Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Appendix II - Alabama Notifiable Laboratory Results (Laboratories Only)

Current through Register Vol. 42, No. 9, June 28, 2024
Note: Positive results only, unless otherwise
				specified.
Immediate, Extremely Urgent - Report to the County or
				State Health Department by telephone within 4 hours of laboratory result, as
				well as submit electronically within 24 hours
*
Bacillus anthracis
*
Brucella
species
*
Burkholderia mallei
*
Burkholderia pseudomallei
*
Clostridium botulinum
or botulinum toxin in
				food, wound, unspecified source, or an infant (<12 months old)
* crimean-congo hemorrhagic fever virus
*
Francisella tularensis
* ebola virus
* lassa virus
* lujo virus
* marburg virus
* new world arenavirus - chapare virus
* new world arenavirus - guanarito virus
* new world arenavirus - junin virus
* new world arenavirus - machupo virus
* new world arenavirus - sabia virus
* poliovirus
* variola virus (orthopox virus)
* vaccinia virus
*
Yersinia pestis
Standard Reporting by Laboratories - Report
				electronically within 24 hours
*
Anaplasma
species
*
Babesia
species
*
Bordetella pertussis
*
Borrelia burgdorferi
* california serogroup virus diseases (all results)
*
Campylobacter
species
* chikungunya virus disease (all results)
*
Chlamydia trachomatis
*
Clostridium tetani
*
Coccidioides
species
*
Corynebacterium diphtheriae
*
Coxiella burnetii
*
Cryptosporidium
species
*
Cyclospora cayetanensis
* cytomegalovirus (if age <21 days old)
* dengue virus (all results)
* eastern equine encephalitis virus disease (all
				results)
*
Ehrlichia
species
*
Escherichia coli
, shiga
				toxin-producing
*
Grimontia hollisae
*
Haemophilus ducreyi
*
Haemophilus influenzae
isolated from a
				normally sterile site
* hepatitis a (igm positives and genotyping results)
* hepatitis b, c, and d (all results to include surface
				antigens, antibody, genotyping, viral load/RNA/DNA, and associated ALTs)
* hiv, all test results (e.g., positive and negative
				immunoassay, positive and negative virologic tests, and associated CD4 counts)
				for children < 18 months old
* human immunodeficiency virus (hiv), repeatedly reactive
				enzyme immunoassay followed by a positive confirmatory test (e.g., Western
				blot, IFA, or HIV differentiation). Positive result on any HIV virologic test
				(e.g., p24 AG, nucleic acid test (NAT/NAAT), viral culture). All viral load
				(detectable and undetectable) test results and associated CD4 counts.
* influenza virus (molecular positive test results only)
* lead, all blood results
*
Legionella
species
*
Listeria monocytogenes
from a normally
				sterile site
* mantoux tuberculin skin test (tst) and interferon gamma
				release assay (igra) blood test, positives
* measles (rubeola) virus
* mumps virus
*
Mycobacterium leprae
*
Mycobacterium tuberculosis
complex, culture,
				or naat (including pcr)
*
Naegleria fowleri
*
Neisseria gonorrhoeae
*
Neisseria meningitidis
isolated from a
				normally sterile site
*
Photobacterium damselae
*
Plasmodium
species
* powassan virus disease (all results)
* rabies virus in animal or human
* rapid plasma reagin (rpr), positive results
*
Rickettsia rickettsii
and other spotted
				fever rickettsia species
* rubella virus
*
Salmonella
species
* sars-cov-2
* shigella species
* st. louis encephalitis virus disease (all results)
*
Staphylococcus aureus
, intermediate or full
				resistance to vancomycin (visa, vrsa)
*
Streptococcus pneumoniae
isolated from a
				normally sterile site
*
Treponema pallidum
*
Trichinella
species
* varicella virus
* venereal disease research laboratory (vdrl) test, positive
				results
*
Vibrio cholerae
type o1 and o139
*
Vibrio
species
* west nile virus disease (all results)
* western equine encephalitis virus disease (all
				results)
* yellow fever virus (all results)
* zika virus (all results)
* detection or isolation of one or more specimens of
				etiological agents of a disease or condition not listed that is of urgent
				public health significance
* agents suspected to be the cause of a cluster or
				outbreak
State Health Department Telephone Number:
Bureau of Clinical Laboratories 334-290-6130 (24-hour
				coverage)
Infectious Diseases & Outbreaks Division 334-206-5971
				or 1-800-338-8374 (24-hour coverage)
Office of HIV Prevention & Care 334-206-5364 or
				1-800-344-1153
Division of Immunization 334-206-5023 or
				1-800-469-4599
Division of Sexually Transmitted Diseases
				334-206-5350
Division of Tuberculosis Control
				334-206-5330
Author:
Sherri L. Davidson, Ph.D, M.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §22-11A-1.