October 2019 Florida Department of Health - Hillsborough County
Disease Surveillance Newsletter
1
EpiNotes
Ron Desantis
Governor Mission: To protect, promote & improve the health of all
people in Florida through integrated state & community
efforts.
Vision: To be the Healthiest State in the Nation
Director
Douglas Holt, MD
813.307.8008
Medical Director (HIV/STD/EPI)
Charurut Somboonwit, MD
813.307.8008
Medical Director (TB/Refugee)
Beata Casanas, MD
813.307.8008
Medical Director (Vaccine Outreach)
Jamie P. Morano, MD, MPH
813.307.8008
Community Health Director
Leslene Gordon, PhD, RD, LD/N
813.307.8015 x7107
Disease Control Director
Carlos Mercado, MBA
813.307.8015 x6321
Environmental Administrator
Brian Miller, RS
813.307.8015 x5901
Epidemiology
Michael Wiese, MPH, CPH
813.307.8010 Fax 813.276.2981
TO REPORT A DISEASE:
Epidemiology
813.307.8010
After Hours Emergency
813.307.8000
HIV/AIDS Surveillance
Erica Botting
813.307.8011
Lead Poisoning
Cynthia O. Keeton
813.307.8015 x7108 Fax 813.272.6915
Sexually Transmitted Disease
Sophia Romeus
813.307.8045 Fax 813.307.8027
Tuberculosis
Irma B. Polster
813.307.8015 x4758 Fax 813.975.2014
Articles and Attachments Included This Month
Health Advisories and Alerts 1
January 2019 Reportable Disease Summary 2
Florida Food Recalls 5
About Vaping-Associated Pulmonary Illness (VAPI) 6
Weekly Influenza Report 7
Flu Season means Flu Shots are in Style 8
Dengue Information for Clinicians 9
Drain and Cover 10
Reportable Diseases/Conditions in Florida, Practitioner List 12
FDOH, Practitioner Disease Report Form 13
• Health Officials In Hillsborough County Issue Mosquito-Borne Illness Advisory - A human case of locally-acquired dengue fever has been confirmed.
• CDC Travel Notices:
• Hurricane Dorian in the Bahamas - Parts of the Bahamas,
including the Abacos and Grand Bahama Island, have been
severely affected by Hurricane Dorian. US residents should
avoid nonessential travel to affected parts of the Bahamas.
• Polio in the Philippines
• Yellow Fever in Nigeria (Updated)
• Dengue in the Mediterranean, Asia and the Pacific Islands,
Africa and the Middle East, and the Americas
• Extensively drug-resistant typhoid fever in Pakistan
Health Advisories, News, and Alerts
2 October 2019
231.7
49.7 22.7 58.3
221.3
72.7
12.7
274
50 4260
224
2812
Campylobacteriosis Cryptosporidiosis Escherichia coli,Shiga toxin-
producing (STEC)
Giardiasis Salmonellosis Shigellosis Vibriosis
January-September Reportable Disease Summary - Enteric Infections
September YTD 2016-2018 Average
September YTD 2019
2.0
48.0
40.3
1.7 4.0 1.3
17.36
5248
2
8
0
18
Mumps Pertussis Varicella Listeriosis Meningitis (Bacterial,Cryptococcal,
Mycotic)
MeningococcalDisease
Legionellosis
September YTD 2016-2018Average
2.0
48.0
40.3
1.74.0
1.3
17.3
6
52
48
28
0
18
Mumps Pertussis Varicella Listeriosis Meningitis (Bacterial,Cryptococcal,
Mycotic)
MeningococcalDisease
Legionellosis
January-September Reportable Disease Summary - Other Common Reportable Infections
September YTD 2016-2018 Average
September YTD 2019
These vaccine reportable diseases are summarized monthly in the state Vaccine
Preventable Disease Report, which is available online at:
http://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-
disease/vaccine-preventable-disease-report-archive.html
3 October 2019
10.0
35.321.7
250.3
1,139.7
145
4064
267
936
Hepatitis A Hepatitis B (Acute) Hepatitis C (Acute) Hepatitis B (Chronic) Hepatitis C (Chronic)
January-September Reportable Disease Summary - Viral Hepatitis
September YTD 2016-2018 Average
September YTD 2019
52%33%
15%
Cases who Report Drug Use as a Risk Factor
Yes No Unknown
January 2018 to September 2019 Case Summary
Total Number of cases 229
Number of cases acquired in Florida or Unknown
226
Age of Cases
Mean 39.3
Median 38
Min-max 7 - 71
Cases by Age Category Number (%)
0-19 4 (1.7%)
20-29 41 (18.1%)
30-39 80 (35.4%)
40-49 62 (27.4%)
50-59 32 (14.2%)
60+ 7 (3.1%)
Gender Number (%)
Female 69 (30.5%)
Male 157 (69.5%)
Race Number (%)
White 183 (81.0%)
Black 14 (6.2%)
Other 26 (11.5%)
Asian 2 (0.9%)
Unknown race 1 (0.4%)
Ethnicity Number (%)
Non-Hispanic 191 (84.5%)
Hispanic 34 (15.0%)
Unknown ethnicity 1 (0.4%)
Hillsborough County is currently
experiencing a large increase in
infections of hepatitis A, which is
a viral infection transmitted
through the fecal-oral route.
There is a vaccine available to
prevent hepatitis A.
4 October 2019
0.7 2.0
6.7
4.3
15.3
0
18
4 43
Chikungunya Dengue Lyme Disease Malaria Zika Fever
September YTD 2016-2019Average
September YTD 2019
January-September Reportable Disease Summary – Arboviral Infections
Cases of any infection are reported based on the county where the person’s home
address is. Hillsborough County has reported infections of imported mosquito-borne
diseases every year, which means the individual was infected while traveling outside
of the county. In October 2019 Hillsborough County reported one case of locally
acquired dengue fever.
The Florida Department of Health releases a weekly arboviral surveillance report that
is available here: http://www.floridahealth.gov/%5C/diseases-and-
conditions/mosquito-borne-diseases/surveillance.html
The data in these charts represent the most common reportable diseases investigated by
the Epidemiology Program. All of the state’s reportable disease data is available for the
public to search on FL CHARTS here:
http://www.flhealthcharts.com/charts/CommunicableDiseases/default.aspx To build your
own search, click on the link for “Reportable Diseases Frequency Report”.
The case numbers for 2018 and 2019 are provisional and subject to change until the
yearly database is closed, usually around April of the following year. Once the numbers
are finalized, the state puts together a comprehensive Florida Annual Morbidity Statistics
Report that details case trends and notable outbreak investigations. The report for 2017
and previous years are available at: http://www.floridahealth.gov/diseases-and-
conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-
and-publications/fl-amsr1.html
Florida is seeing an increase in dengue infections
in people traveling from other countries. The
majority of cases in Florida have reported travel
to Cuba. When there is an increase in infections
in returning travelers, this is an increased risk for
local introduction. In 2019 Miami-Dade has
reported 11 cases of locally acquired dengue
fever and Hillsborough has reported one.
5 October 2019
Florida Food Recalls (September 15, 2019 – October 16, 2019)
Brand Name Food Date of Recall
Health Risk
Arla Apetina Marinated Feta
& Olives in Oil, Pitted 10/10/2019 Clostridium botulinum Details
Premo and Fresh Grab Ham and Cheese Wedge
Sandwiches 10/7/2019 Listeria monocytogenes Details
Cornerstone Frozen Blackberries 10/4/2019 Norovirus Details
Robin Hood Flour All-Purpose Flour 10/3/2019 E. coli O26 Details
Mrs. Stratton’s, Star, Ballard’s
Farm, Laura Lynn, more
Chicken and tuna salad
products 10/2/2019 Listeria monocytogenes Details
Deli Express, Market Sandwich,
Market Artisan, more Sandwiches 10/2/2019 Listeria monocytogenes Details
Lipari Old Tyme, Premo, Fresh
Grab, Premo Signature
Chicken Salad and
Chicken Salad
Sandwiches
10/2/2019 Listeria monocytogenes Details
Captain K Salmon Slightly Salted
Pieces 10/2/2019 Listeria monocytogenes Details
Mical Seafood Yellowfin Tuna 10/1/2019 Elevated Levels of Histamine
or Scombroid Fish Poisoning Details
Tip Top Poultry, Inc. Ready-To-Eat Poultry
Products 9/28/2019 Listeria monocytogenes Details
TDBBS, LLC Pig Ears 9/20/2019 Salmonella Details
Roland Foods, LLC Red Lumpfish Caviar and
Black Lumpfish Caviar 9/20/2019 Clostridium botulinum Details
Captain K Salmon Slightly Salted
Pieces 9/20/2019 Listeria monocytogenes Details
Gold Medal Unbleached All Purpose
Flour 9/16/2019 E. coli O26 Details
6 October 2019
About Vaping-Associated Pulmonary Illness (VAPI)
Vaping-Associated Pulmonary Illness (VAPI) cases are lung injury cases with pulmonary infiltrates or
opacities on CT scan which lack infectious or other alternative medical diagnoses among people who use
vaping devices. The condition may present similarly to pneumonia of infectious origin with elevated white
blood cells and fever, but lacks an infectious or other internal disease process. Vaping devices include e-
cigarettes, vape pens, and others. 11 confirmed and probable cases have been reported in Hillsborough
County as of October 10th, 2019.
In Hillsborough County, approximately 91% of the individuals are white and non-Hispanic. Of the cases,
82% were male, 73% were under 35 years of age (average 28.5 years). The most frequently reported
symptoms were cough (64%), fever (64%), vomiting (64%), shortness of breath (55%), and diarrhea
(55%). While much of the vaping product history is unknown at this time, the majority of individuals (82%)
with confirmed or possible VAPI have reported use of marijuana and/or THC (tetrahydrocannabinol) oils
in their vaping device. The illegality of THC oils in the State of Florida may lead to incomplete reporting of
THC vape oil usage among cases.
While the direct cause of these lung injury cases is unknown, it is suggested for individuals who currently
vape to stop use vaping devices and cartridges, especially those containing THC. If an individual who is
currently using a vaping device to quit smoking, it is not recommended to return to smoking cigarettes.
The VAPI situation is developing and new guidelines may be provided in the future.
For more healthcare provider information, including guidelines for patient evaluation, diagnosis and
management, visit https://www.cdc.gov/mmwr/volumes/68/wr/mm6841e3.htm?s_cid=mm6841e3_w
For information from the Florida Department of Health on Lung Injury Associated with E-Cigarette Use,
Vaping please visit http://www.floridahealth.gov/newsroom/2019/09/092019-outbreak-of-lung-injury-
associated-with-ecigarette-use-vaping.pr.html
For a full summary of United States vaping associated illness status from the Centers for Disease Control
and Prevention, please visit https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-
disease.html
For case definition, please visit https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-
disease/health-departments/index.html
7 October 2019
Hillsborough County Weekly Influenza Report (Week 41, 2019)
Flu Trend:
Increasing
Flu Level:
Mild Flu Activity This Week (October 6 – October 12)
• Influenza like illness (ILI) activity continues to remain at low levels, although
there is an increase in flu activity. (Figure 1).
• Positive influenza labs increased and are mostly influenza type B.
• One ILI outbreak was reported in a child care facility in week 41.
• No pediatric mortalities were reported in the previous week.
Flu Activity This Season (September 29 – October 12)
• Total Outbreaks: One ILI outbreak has been reported during the 2019-2020 flu
season.
• Total Deaths: Hillsborough County has reported no pediatric mortalities in the
current flu season.
Figure 1: In week 41, the percent of emergency department and urgent care center visits for ILI* in
Hillsborough County increased and is slightly above levels seen in previous seasons.
*Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE-FL) measures trends in ILI
visits from emergency departments (ED) and urgent care clinics (UCC). Participating EDs and UCCs in Hillsborough County
(n=21) electronically transmit visit data into ESSENCE-FL daily or hourly. The ESSENCE-FL ILI syndrome captures visits with
chief complaints that include the words “influenza” or “flu,” or chief complaints that include the words “fever” and “cough,” or “fever”
and “sore throat.”
For statewide data
see the Florida Flu
Review.
8 October 2019
Flu Season means Flu Shots are in Style
Flu season begins each year in week 40, which means that the season is currently underway. If you have
not already received your flu shot, you should get yours as soon as possible. Typically, it takes about two
weeks following receipt of the flu shot for immunity to be established, so a head start on preventing the flu
is critical. Flu activity is currently increasing in the state of Florida. Doctor’s offices and many retail stores
in Florida offer flu shots either for free or at a reduced cost to help provide protection against the flu.
Early pre-season vaccine availability provides plenty of time for people to get vaccinated before the start
of the season, but it’s not too late to receive the vaccine after the season starts! Flu vaccination coverage
among the American population is typically low, with estimates under 50% of the population receiving a
flu vaccine in 2017-2018 and 2018-2019. To protect as many people from the flu as possible, everyone
should get their flu vaccine every year. Flu sickens millions of Americans every year, hospitalizes
hundreds of thousands, and kills thousands every single year.
Here are some frequently asked questions about flu shots:
Q: Won’t the flu shot give me the flu?
A: No - the flu shot only contains completely killed viruses. It is impossible for killed viruses to cause
disease. There are many different types of flu shots available this year, with different recommendations
for each based on age. There is only one flu vaccine which is live, the live attenuated influenza vaccine
(LAIV). The LAIV can only multiply in the nose and will not survive in the warmer temperature in your
lungs. Sometimes, people do develop mild symptoms that may look like flu symptoms (e.g. aches,
malaise), but they are from the immune system’s response to the vaccine, not an actual case of illness. It
is possible to catch the flu after receiving a flu shot if you are infected before immunity develops, or if the
strain of flu that they catch is different from one of the covered strains in the vaccine.
Q: Why do I have to get a new flu shot every year?
A: Flu viruses change every year – the viruses mutate. Because the viruses change, you may not have
immunity against new viruses from one year to the next.
Q: If other people get the flu shot, why should I get it?
A: Flu vaccine coverage isn’t typically high among the US population, which means that every person
who gets the vaccine helps to increase the coverage. While most people are able to receive the flu shot,
children under 6 months of age can’t get a flu vaccine which makes it very important for people around
them to get their shots. Infections with the flu among children under 2 years of age can be fatal.
Resources:
For Florida flu activity visit http://www.floridahealth.gov/diseases-and-conditions/influenza/index.html
For 2017-2018 Flu Season information from CDC, visit https://www.cdc.gov/flu/about/burden/2017-
2018.htm
For 2018-2019 Flu Season information, visit https://www.cdc.gov/flu/fluvaxview/coverage-
1819estimates.htm
For facts about flu vaccines, please visit https://www.cdc.gov/flu/prevent/keyfacts.htm
Dengue Fever – Information for Clinicians Version 2.1 5/10/2019
Please contact your county health department (CHD) immediately during business hours if you suspect a patient has dengue to ensure prompt mosquito control efforts. Dengue infection is caused by any of four distinct but closely related dengue virus (DENV) serotypes (called DENV-1, -2, -3, and -4). Dengue is currently the most frequent cause of acute febrile illness among returning U.S. travelers from the Caribbean, Central and South America, and Asia. Transmission occurs through the bite of an infected mosquito. Dengue may also be transmitted from mother to fetus in utero or to neonate at parturition. An infected person should avoid mosquito bites while ill to prevent infection of local mosquitoes. Incubation period is 3 to 14 days. Clinical Presentation: Dengue fever can range from a mild non-specific febrile syndrome to classic dengue fever or “break-bone fever,” or in the most severe forms of the disease (2–4% of cases), dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). More than 20% of cases may be asymptomatic. Dengue should be considered when locally acquired infection is suspected or in persons who live in or have traveled to a dengue endemic area in the two weeks prior to symptom onset and have fever. Dengue fever signs and symptoms may include:
• Headache or retro-orbital pain
• Myalgia, bone pain, or arthralgia
• Anorexia and nausea
• Rash
• Thrombocytopenia
• Leukopenia
Hemorrhagic fever or shock symptoms may appear after the febrile phase and include abdominal pain or tenderness, persistent vomiting, mucosal bleeding, liver enlargement, clinical fluid accumulation, or laboratory results indicating an increase in hematocrit concurrent with a rapid decrease in platelets. Patients at risk for severe disease:
• Previously infected with another dengue virus
• Elderly
• Infants
• Sickle cell anemia
• Diabetes mellitus
• Chronic renal failure
Patients with suspected dengue fever also should be evaluated, tested and managed for possible Zika or chikungunya virus infection if travel was to areas where these viruses are present, as co-infection is possible. Laboratory Testing: Polymerase chain reaction (PCR) can be used to detect viral RNA in serum samples collected during the first seven days post-symptom onset. Testing for DENV-specific IgM antibodies should be requested for serum specimens taken six or more days after onset. Approximately 20% of dengue patients who have been previously exposed to another dengue serotype may show elevated IgG titers and have transient or no elevated dengue IgM titers, making identification of such cases difficult without PCR testing on the acute sample. PCR testing is available commercially and is the only way to definitively diagnose acute cases. In 2018 alone, over 75 individuals tested PCR-positive for dengue virus after travel to affected areas. More than one third of these would not have been identified without complete dengue testing, including PCR. Your CHD can provide guidance on how and when to submit samples to the Florida Department of Health (FDOH) Bureau of Public Health Laboratories. Resources: Hillsborough County Health Department: 813-307-8010 FDOH: www.floridahealth.gov/diseases-and-conditions/dengue/index.html CDC: www.cdc.gov/dengue/clinicallab/clinical.html
Mosquito BiteProtection in FloridaFloridaHealth.gov • Florida Department of Health
Not all mosquitoes are the same. Different mosquitoes spread different diseases and bite at different times of the day. Somemosquito species bite during the day, such as those mosquitoes that can spread chikungunya, dengue and Zika viruses. Otherspecies of mosquitoes bite most often at dawn and dusk, including those that can transmit West Nile virus.
* The use of commercial names is to provide information about products; it does not represent an endorsement of these products by the Centers for Disease Control and Preventionor the U.S. Department of Health and Human Services.
Use Environmental ProtectionAgency (EPA)-registered insectrepellentsWear repellent when you are outdoors. Useproducts with active ingredients that are safeand effective.nAlways follow the product label instructions.
nDo not spray repellent on skin under clothing.
nIf you use sunscreen, put sunscreen on first and insect repellentsecond.
nIt is safe for pregnant or nursing women to use EPA-approvedrepellants if applied according to package label instructions.
nLearn more: www2.epa.gov/insect-repellents.
Cover up with clothingnWear long-sleeved shirts and long pants.
nMosquitoes can bite through thin clothing.Treat clothes with permethrin or anotherEPA-registered insecticide for extra protection.
Use permethrin-treated clothing and gear.nPermethrin is an insecticide that kills mosquitoes andother insects.
nBuy permethrin-treated clothing and gear (boots, pants, socks,tents), or use permethrin to treat clothing and gear—followproduct instructions closely.
nRead product information to find out how long the permethrinwill last.
nDo not use permethrin products directly on skin.
05/2018
Mosquitoes can live indoors and will bite at any time, day or night.
USE INSECT REPELLENTWITH ONE OF THESE
ACTIVE INGREDIENTS
BRAND EXAMPLES*Overseas brand names
may vary.
DEET➜➜ Off!, Cutter, Sawyer,Ultrathon
Picaridin (KBR 3023),Bayrepel and icaridin➜➜
Skin So Soft BugGuard Plus
Oil of lemon eucalyptus(OLE) or para-menthane-
diol (PMD)➜➜
Repel
IR3535➜➜ Skin So Soft Bug GuardPlus Expedition, Skin Smart
Higher percentages of active ingredient=longer protection
➜
If you have a baby or child:nAlways follow product instructionswhen applying insect repellent tochildren.
nSpray insect repellent onto your handsand then apply to a child’s face.
nDo not apply insect repellent to achild’s hands, mouth, cut or irritated skin.
nDo not use insect repellent on babies younger than 2 months.
nDress babies or small children in clothing that covers arms andlegs.
nCover cribs, strollers or baby carriers with mosquito netting.
FloridaHealth.gov/zika
Around all buildings:
At least once a week, empty, turn over or cover anything that
could hold water:tires
bucketstoys
pools & pool coversbirdbaths
trash, trash containers and recycling binsboat or car covers
roof gutterscoolers
pet dishes
Stop mosquitoes from breedingMosquitoes breed by laying eggs in and near standing water.
LARVA
PUPA
As little as one teaspoon or bottle cap of water standing for more than one week is enough for mosquitoes to breed and multiply.
At your house or business:Put away items that are outside and not being used because they could hold standing water.
In your garden:Keep flower pots and saucers free of standing water. Some plants, such as bromeliads, hold water in their leaves—flush out water-holding plants with your hose once a week.
EGGS
Repair holes in screens.
Keep mosquitoes outside
Use air conditioning.
Keep screens on all windows.
Keep doorsand windows shut.
www.cdc.gov/features/StopMosquitoes
www.FloridaHealth.gov/DiseaseReporting
www.FloridaHealth.gov/CHDEpiContact
! Outbreaks of any disease, any case, cluster of cases, or exposure to an infectious or non-infectious disease, condition, or agent found in the general community or any defined setting (e.g., hospital, school, other institution) not listed that is of urgent public health significance
+ Acquired immune deficiency syndrome (AIDS)
Amebic encephalitis
! Anthrax
Arsenic poisoning
! Arboviral diseases not otherwise listed
Babesiosis
! Botulism, foodborne, wound, and unspecified
Botulism, infant
! Brucellosis
California serogroup virus disease Campylobacteriosis
+ Cancer, excluding non-melanoma skin cancer and including benign and borderline intracranial and CNS tumors
Carbon monoxide poisoning
Chancroid
Chikungunya fever
Chikungunya fever, locally acquired
Chlamydia
! Cholera (Vibrio cholerae type O1)
Ciguatera fish poisoning
+ Congenital anomalies
Conjunctivitis in neonates <14 days old
Creutzfeldt-Jakob disease (CJD)
Cryptosporidiosis
Cyclosporiasis
! Dengue fever
! Diphtheria
Eastern equine encephalitis
Ehrlichiosis/anaplasmosis
Escherichia coli infection, Shiga toxin-producing
Giardiasis, acute
! Glanders
Gonorrhea
Granuloma inguinale
! Haemophilus influenzae invasive disease in children <5 years old
Hansen’s disease (leprosy)
Hantavirus infection
Hemolytic uremic syndrome (HUS)
Hepatitis A
Hepatitis B, C, D, E, and G
Hepatitis B surface antigen in pregnant women and children <2 years old
Herpes B virus, possible exposure
Herpes simplex virus (HSV) in infants <60 days old with disseminated infection and liver involvement; encephalitis; and infections limited to skin, eyes, and mouth; anogenital HSV in children <12 years old
+ Human immunodeficiency virus (HIV) infection
HIV-exposed infants <18 months old born to an HIV-infected woman
Human papillomavirus (HPV)-associated laryngeal papillomas or recurrent respiratory papillomatosis in children <6 years old; anogenital papillomas in children ≤12 years old
! Influenza A, novel or pandemic strains
Influenza-associated pediatric mortality in children <18 years old
Lead poisoning (blood lead level ≥5 µg/dL)
Legionellosis
Leptospirosis
Listeriosis
Lyme disease
Lymphogranuloma venereum (LGV)
Malaria
! Measles (rubeola)
! Melioidosis
Meningitis, bacterial or mycotic
! Meningococcal disease
Mercury poisoning
Mumps
+ Neonatal abstinence syndrome (NAS)
Neurotoxic shellfish poisoning
Paratyphoid fever (Salmonella serotypes Paratyphi A, Paratyphi B, and Paratyphi C)
Pertussis
Pesticide-related illness and injury, acute
! Plague
! Poliomyelitis
Psittacosis (ornithosis)
Q Fever
Rabies, animal or human
! Rabies, possible exposure
! Ricin toxin poisoning
Rocky Mountain spotted fever and other spotted fever rickettsioses
! Rubella
St. Louis encephalitis
Salmonellosis
Saxitoxin poisoning (paralytic shellfish poisoning)
! Severe acute respiratory disease syndrome associated with coronavirus infection
Shigellosis
! Smallpox
Staphylococcal enterotoxin B poisoning
Staphylococcus aureus infection, intermediate or full resistance to vancomycin (VISA, VRSA)
Streptococcus pneumoniae invasive disease in children <6 years old
Syphilis
Syphilis in pregnant women and neonates
Tetanus
Trichinellosis (trichinosis)
Tuberculosis (TB)
! Tularemia
Typhoid fever (Salmonella serotype Typhi)
! Typhus fever, epidemic
! Vaccinia disease
Varicella (chickenpox)
! Venezuelan equine encephalitis
Vibriosis (infections of Vibrio species and closely related organisms, excluding Vibrio cholerae type O1)
! Viral hemorrhagic fevers
West Nile virus disease
! Yellow fever
! Zika fever
! Report immediately 24/7 by phone
upon initial suspicion or laboratory test order Report immediately 24/7 by phone
Report next business day + Other reporting timeframe
Reportable Diseases/Conditions in Florida Practitioner List (Laboratory Requirements Differ)
Per Rule 64D-3.029, Florida Administrative Code, promulgated October 20, 2016 Florida Department of Health
*Subsection 381.0031(2), Florida Statutes, provides that “Any practitioner licensed in this state to practice medicine, osteopathic medicine, chiropractic medicine, naturopathy, or veterinary medicine; any hospital licensed under part I of chapter 395; or any laboratory licensed under chapter 483 that diagnoses or suspects the existence of a disease of public health significance shall immediately report the fact to the Department of Health.” Florida’s county health departments serve as the Department’s representative in this reporting requirement. Furthermore, subsection 381.0031(4), Florida Statutes, provides that “The Department shall periodically issue a list of infectious or noninfectious diseases determined by it to be a threat to public health and therefore of significance to public health and shall furnish a copy of the list to the practitioners…”
9
Patient Information Medical Information
SSN: MRN:
Last name: Date onset: Date diagnosis:
First name: Died: Yes No Unknown
Middle: Hospitalized: Yes No Unknown
Parent name: Hospital name:
Gender:
Male Female Unknown
If female, pregnant:
Yes No Unknown
Date admitted: Date discharged:
Insurance:
Birth date: Death date: Treated: Yes No Unknown
Race:
American Indian/Alaska native Asian/Pacific islander Black
White Other Unknown
Specify treatment:
Ethnicity:
Hispanic Non-Hispanic Unknown
Laboratory testing:
Yes No Unknown Attach laboratory result(s) if available
Address: Provider Information
ZIP: County: Physician:
City: State: Address:
Home phone: City: State: ZIP:
Other phone: Phone:
Emergency phone: Fax:
Email: Email:
To obtain local county health department contact information, see www.FloridaHealth.gov/CHDEpiContact. See www.FloridaHealth.gov/DiseaseReporting for other reporting questions. HIV/AIDS and HIV-exposed newborn notification should be made using the Adult HIV/AIDS Confidential Case Report Form, CDC 50.42A (revised March 2013) for cases in people ≥13 years old or the Pediatric HIV/AIDS Confidential Case Report, CDC 50.42B (revised March 2003) for cases in people <13 years old. Please contact your county health department for these forms (visit www.FloridaHealth.gov/CHDEpiContact to obtain contact information). Congenital anomalies and neonatal abstinence syndrome notification occurs when these conditions are reported to the Agency for Health Care Administration in its inpatient discharge data report pursuant to Chapter 59E-7 FAC. Cancer notification should be directly to the Florida Cancer Data System (http://fcds.med.miami.edu). All other notifications should be to the CHD where the patient resides.
Reportable Diseases and Conditions in Florida Notify upon suspicion 24/7 by phone Notify upon diagnosis 24/7 by phone
Amebic encephalitis
Anthrax
Arsenic poisoning
Arboviral diseases not otherwise listed
Babesiosis
Botulism, foodborne, wound, and unspecified
Botulism, infant
Brucellosis
California serogroup virus disease
Campylobacteriosis
Carbon monoxide poisoning
Chancroid
Chikungunya fever
Chikungunya fever, locally acquired
Chlamydia
Cholera (Vibrio cholerae type O1)
Ciguatera fish poisoning
Conjunctivitis in neonates <14 days old
Creutzfeldt-Jakob disease (CJD)
Cryptosporidiosis
Cyclosporiasis
Dengue fever
Diphtheria
Eastern equine encephalitis
Ehrlichiosis/anaplasmosis
Escherichia coli infection, Shiga toxin-producing
Giardiasis, acute
Glanders
Gonorrhea
Granuloma inguinale
Haemophilus influenzae invasive disease in children <5 years old
Hansen’s disease (leprosy)
Hantavirus infection
Hemolytic uremic syndrome (HUS)
Hepatitis A
Hepatitis B, C, D, E, and G
Hepatitis B surface antigen in pregnant women and children <2 years old
Herpes B virus, possible exposure
Herpes simplex virus (HSV) in infants <60 days old with disseminated infection and liver involvement; encephalitis; and infections limited to skin, eyes, and mouth; anogenital HSV in children <12 years old
Human papillomavirus (HPV)-associated laryngeal papillomas or recurrent respiratory papillomatosis in children <6 years old; anogenital papillomas in children ≤12 years old
Influenza A, novel or pandemic strains
Influenza-associated pediatric mortality in children <18 years old
Lead poisoning (blood lead level ≥5 ug/dL)
Legionellosis
Leptospirosis
Listeriosis
Lyme disease
Lymphogranuloma venereum (LGV)
Malaria
Measles (rubeola)
Melioidosis
Meningitis, bacterial or mycotic
Meningococcal disease
Mercury poisoning
Mumps
Neurotoxic shellfish poisoning
Paratyphoid fever (Salmonella serotypes Paratyphi A, Paratyphi B, and Paratyphi C)
Pertussis
Pesticide-related illness and injury, acute
Plague
Poliomyelitis
Psittacosis (ornithosis)
Q Fever
Rabies, animal or human
Rabies, possible exposure
Ricin toxin poisoning
Rocky Mountain spotted fever and other spotted fever rickettsioses
Rubella
St. Louis encephalitis
Salmonellosis
Saxitoxin poisoning (paralytic shellfish poisoning)
Severe acute respiratory disease syndrome associated with coronavirus infection
Shigellosis
Smallpox
Staphylococcal enterotoxin B poisoning
Staphylococcus aureus infection, intermediate or full resistance to vancomycin (VISA, VRSA)
Streptococcus pneumoniae invasive disease in children <6 years old
Syphilis
Syphilis in pregnant women and neonates
Tetanus
Trichinellosis (trichinosis)
Tuberculosis (TB)
Tularemia
Typhoid fever (Salmonella serotype
Typhi)
Typhus fever, epidemic
Vaccinia disease
Varicella (chickenpox)
Venezuelan equine encephalitis
Vibriosis (infections of Vibrio species and closely related organisms, excluding Vibrio cholerae type O1)
Viral hemorrhagic fevers
West Nile virus disease
Yellow fever
Zika fever
Outbreaks of any disease, any case, cluster of cases, or exposure to an infectious or non-infectious disease, condition, or agent found in the general community or any defined setting (e.g., hospital, school, other institution) not listed above that is of urgent public health significance. Specify in comments below.
Practitioner Disease Report Form Complete the following information to notify the Florida Department of Health of a reportable disease or condition. This can be filled in electronically.
Per Rule 64D-3.029, Florida Administrative Code, promulgated October 20, 2016 (laboratory reporting requirements differ).
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