The Epidemiology Division's mission is to protect the residents of Alabama and prevent illness by monitoring and investigating infectious (e.g., Salmonella, influenza, and hepatitis), zoonotic (e.g., rabies, spotted fever rickettsiosis, and West Nile fever), and environmental (e.g., Legionnaires's disease, chemical and toxin) diseases, conditions, and exposures.
- Effective 12/31/14, the Notifiable Disease Rules (Chapter 420-4-1) have been updated. A Synopsis of the Rules Revisions and/or Notifiable Disease Rules Highlights (see below) are available for easy reference.
- Healthcare providers who have been contacted about submitting specimens for an outbreak need to review the EPI Partner Instructions.
- The Epidemiology Division has the DETECT, TEST and REPORT Notifiable Diseases awareness campaign to determine Alabama's true disease burden.
- For healthcare providers interested in Ebola, see ADPH Healthcare Providers and ADPH ALERT/HAN.
- Physicians, dentists, nurses, medical examiners, hospital administrators, nursing home administrators, lab directors, school principals, and day care directors are responsible for reporting Notifiable Diseases in Alabama. To report an Immediate Urgent or Standard Notification Notifiable Disease, please submit a REPORT Card.
- If you are a healthcare provider and would like to report adult lead exposure, please complete an ABLES Investigation Response Form. To learn more about Management Guidelines for Blood Lead Levels in Adults.
- EV-D68 - For healthcare providers who have a patient who died and tested positive for enterovirus and/or rhinovirus, ADPH requests a specimen be submitted to test for Enterovirus D68 (EV-D68) in Alabama and complete Patient Summary Form and contact Epidemiology at 1-800-338-8374. Patients who test positive for enterovirus may need to read Enterovirus D68 Flyer.
- For healthcare providers who have a patient with Acute Neurologic Illness, please complete the Patient Summary Form and contact Epidemiology at 1-800-338-8374.
- Chikunguya - If a healthcare provider suspects a patient to have chikungunya with recent travel history, please see West Nile.
Notifiable Disease Rules Highlights Effective 12/31/14
- Minimum data element reported by all reporters now includes patient's race, ethnicity, payor source, and the reporter's facility.
- Laboratories are required to report electronically to EPI and must include test method and result reference range.
- Report Immediate, Extremely Urgent (4 hours) and Immediate, Urgent (24 hours) disease when "presumptive" diagnosed, not confirmed.
- ALTs must be reported with all acute hepatitis reports.
- Reporters cannot assume or delegate laboratories to report for them.
- Standard Notification diseases must be reported in 5 days, instead of 7 days.
- Only report acute hepatitis B and C cases
- E. coli, shiga-toxin producing (STEC), legionellosis, and hemolytic syndrome moved to 24-hour notification category.
- Arboviral disease must include any resulted test, because negative labs help classify the case.
- Encephalitis, viral
- Toxic shock syndrome
Epidemiology Fast Fact Flyers
These flyers are easy to read and generally one-page education for students, parents, and patients to learn more about notifiable diseases, outbreaks, and cases of public health importance.