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Report All Diseases

All diseases and conditions should be reported to the Communicable Disease Control and Prevention Unit unless otherwise listed.


Legally Reportable Diseases in San Francisco

The San Francisco Department of Public Health depends on clinicians to identify and report infectious diseases. Clinicians may be the first to see a potential outbreak and their prompt notification enables us to investigate and begin disease control activities quickly. For some diseases every hour makes a difference in preventing illness and death.


Reportable Diseases and Conditions by Urgency of Reporting

(or download an Alphabetical List)


Immediately (within 1 hour) report by phone


  • Anthrax*, human or animal  
  • Botulism* (Infant, Foodborne, Wound, or Other)
  • Brucellosis*, human 
  • Cholera
  • Ciguatera Fish Poisoning
  • Dengue  
  • Diphtheria
  • Domoic Acid poisoning (Amnesic Shellfish Poisoning)
  • Escherichia coli: shiga toxin producing (STEC) including E. coli O157 infection
  • Foodborne illness (2 or more cases from different households)
  • Hantavirus infections
  • Hemolytic Uremic Syndrome
  • Measles (Rubeola) 
  • Meningococcal infections
  • Paralytic Shellfish Poisoning
  • Plague*, human or animal 
  • Rabies, human or animal
  • Scombroid Fish Poisoning
  • Severe Acute Respiratory Syndrome (SARS)
  • Shiga toxin (in feces)
  • Smallpox* (Variola)
  • Tularemia*, human 
  • Viral Hemorrhagic Fevers* (e.g. Crimean-Congo, Ebola, Lassa, and Marburg viruses)
  • Yellow Fever
  • Any unusual diseases
  • New diseases or syndrome not previously recognized
  • Outbreaks of any disease


Within one working day report by phone or fax


  • Amebiasis
  • Babesiosis
  • Campylobacteriosis
  • Chickenpox (only hospitalization and death)  
  • Cryptosporidiosis
  • Encephalitis, infectious (specify etiology)
  • Haemophilus influenzae invasive disease (less than 15 years of age)
  • Hepatitis A, acute infection 
  • Listeriosis
  • Malaria  
  • Meningitis (specify etiology)
  • Pertussis (Whooping Cough)
  • Poliovirus infection 
  • Psittacosis
  • Q Fever
  • Relapsing Fever
  • Salmonellosis (other than Typhoid fever)
  • Shigellosis
  • Staphylococcus aureus infections, severe (ICU/death) in a previously healthy person
  • Streptococcal Infections, outbreaks of any type and individual cases in food handlers and dairy workers only
  • Syphilis, Report to STD Clinic
  • Trichinosis
  • Tuberculosis, Report to TB Clinic
  • Typhoid fever (cases and carriers)
  • Vibrio infections  
  • West Nile Virus (WNV) infection 
  • Yersiniosis


Within 7 calendar days report by phone, fax, or mail


  • Acquired Immune Deficiency Syndrome (AIDS), Report to AIDS Office 
  • Alzheimer's Diseases and Related Conditions
  • Anaplasmosis/Ehrlichiosis
  • Animal Bites (mammals only), Report to Animal Care & Control
  • Brucellosis, animal (except infections due to Brucella canis)
  • Chancroid, Report to STD Clinic
  • Chlamydia trachomatis infections, Report to STD Clinic
  • Coccidioidomycosis
  • Creutzfeldt-Jakob Disease (CJD)
  • Cyclosporiasis
  • Cysticercosis
  • Disorders Characterized by Lapses of Consciousness
  • Ehrlichiosis/Anaplasmosis
  • Giardiasis
  • Gonococcal infections, (including disseminated) Report to STD Clinic
  • Hepatitis, Viral
  • Hepatitis B (specify acute case or chronic)
  • Hepatitis C (specify acute case or chronic)
  • Hepatitis D (Delta) (specify acute case or chronic)
  • Hepatitis E, acute infection
  • Human Immunodeficiency Virus (HIV), Report to AIDS Office
  • Influenza Deaths (in laboratory-confirmed cases for age 0-64 years)
  • Influenza, novel strains (human)  
  • Legionellosis
  • Leprosy (Hansen Disease)
  • Leptospirosis
  • Lyme Disease
  • Lymphogranuloma venereum, Report to STD Clinic
  • Mumps
  • Pelvic Inflammatory Disease (PID), Report to STD Clinic
  • Rickettsial Diseases (non-Rocky Mountain Spotted Fever), including Typhus and Typhus-like illness
  • Rocky Mountain Spotted Fever
  • Rubella (German Measles)
  • Rubella Congenital Syndrome
  • Taeniasis
  • Tetanus
  • Toxic Shock Syndrome
  • Transmissible Spongiform Encephalopathies (TSE)
  • Tularemia, animal 

* Potential Bioterrorism Agents

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