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Disease Reporting: Additional Information for Medical Providers

California Code of Regulations, Title 17

§2500. Reporting to the Local Health Authority

  • §2500 (b) It shall be the duty of every health care provider, knowing of or in attendance on a case or suspected case of any of the diseases or conditions listed, to report to the local health officer for the jurisdiction where the patient resides. Where no health care provider is in attendance, any individual having knowledge of a person who is suspected to be suffering from one of the diseases or conditions listed may make such a report to the local health officer for the jurisdiction where the patient resides.
  • §2500 (c) The administrator of each health facility, clinic or other setting where more than one health care provider may know of a case, a suspected case or an outbreak of disease within the facility shall establish and be responsible for administrative procedures to assure that reports are made to the local health officer.
  • §2500 (a)(14) ‘Health care provider’ means a physician and surgeon, a veterinarian, a podiatrist, a nurse practitioner, a physician assistant, a registered nurse, a nurse midwife, a school nurse, an infection control practitioner, a medical examiner, a coroner, or a dentist.

Useful Links

  • California Department of Public Health Reportable Diseases and Conditions
  • Download the Confidential Morbidity Report (CMR) and list of reportable diseases and conditions

Unusual Conditions That Require Clinician Reporting

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

In addition, we ask that clinicians immediately (within one hour) report unusual occurrences or patterns of disease, such as:

  1. Serious, unexpected, unexplained acute illness with atypical host characteristics
    Examples: severe illness in a young patient without immunologic defects, underlying illness, recent travel or other exposure to a potential source of infection
  2. Multiple similarly presenting cases, especially if these are geographically associated or closely clustered in time
    Example: persons who attended the same public event or gathering or who work in the same building
  3. An increase in a common syndrome occurring out of season
    Example: many cases of influenza-like illness in summer
  4. An unusual age distribution for common diseases
    Example: many cases of chickenpox-like illness among adult patients who would be expected to be immune to varicella

Useful Links

  • Report an unusual condition or disease
  • Report another problem and frequently requested numbers

 

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Communicable Disease

  • 24/7 Disease Reporting
    • Disease Reporting: Additional Information for Medical Providers
    • Influenza Reporting
    • Frequently Requested Phone Numbers 
  • Healthy Habits
    • How to Put on and Remove a Face Mask 
  • Publications, Data, and Reports
  • Infection Control
    • Infection Prevention and Control for Health Care Settings
    • Infection Prevention and Control for Long-Term Care Facilities
  • Infectious Diseases A to Z

CMR Forms

Medical providers: download the Confidential Morbidity Report (CMR) form to report a communicable disease

CMR Form

or download the COVID-19 CMR form to report COVID-19 hospitalizations, deaths and POC testing by HCPs

COVID-19 CMR Form

Medical Provider Health Alerts

December 21, 2022

CDPH Health Advisory: Lower Barriers to Prescribing COVID-19 Therapeutics to Mitigate Impact of COVID-19

December 09, 2022

Health Update: Expanded Mpox Vaccination Recommendations

November 23, 2022

Health Advisory for SF Providers: Influenza and Respiratory Virus Season 2022–23

View more health alerts

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SF Dept of Public Health
101 Grove Street
San Francisco, CA 94102
(415) 554-2500

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