Code No. 507.3E2
REPORTABLE INFECTIOUS DISEASES
While the school district is not responsible for reporting, the following infectious diseases are required to be reported to the state and local public health offices:
Acquired Immune Leprosy Rubella (German
Deficiency Syndrome Leptospirosis measles)
(AIDS) Lyme disease Rubeola (measles)
Amebiasis Malaria Salmonellosis
Anthrax Meningitis Shigellosis
Botulism (bacterial or viral) Tetanus
Brucellosis Mumps Toxic Shock Syndrome
Campylobacteriosis Parvovirus B 19 Trichinosis
Chlamydia trachomatis infection (fifth Tuberculosis
Cholera disease and other Tularemia
Diphtheria complications) Typhoid fever
E. Coli 0157:h7 Pertussis Typhus fever
Encephalitis (whooping cough) Venereal disease
Giardiasis Plague Chancroid
Hepatitis, viral Poliomyelitis Gonorrhea
(A,B, Non A- Psittacosis Granuloma Inguinale
Non-B, Unspecified) Rabies Lymphogranuloma
Histoplasmosis Reye's Syndrome Venereum
Human Immunodeficiency Rheumatic fever Syphilis
Virus (HIV) infection Rocky Mountain Yellow fever
other than AIDS spotted fever
Influenza Rubella (congenital
Legionellosis syndrome)
Any other disease which is unusual in incidence, occurs in unusual numbers of circumstances, or appears to be of public health concern, e.g., epidemic diarrhea, food or waterborne outbreaks, acute respiratory illness.
Code No. 507.3E3
REPORTING FORM
Source: Iowa Department of Public Health (1997).
REPORT THE FOLLOWING DISEASES IMMEDIATELY BY TELEPHONE (1-800-362-2736)
Botulism |
Poliomyelitis |
Yellow Fever |
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Cholera |
Rabies (Human) |
Disease outbreaks of |
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Diphtheria |
Rubella |
any public health concern |
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Plague |
Rubeola (measles) |
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REPORT ALL OTHER DISEASES BELOW. |
WEEK ENDING |
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See other side for list of reportable infectious diseases. |
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Reporting Physician, Hospital, or Other Authorized Person
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Remarks: |
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FOR SCHOOLS ONLY: Report over 10% absent only. Total enrollment: |
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Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
No. Absent |
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% of Enrollment |
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REPORT NUMBER OF CASES ONLY
Chickenpox Gastroenteritis Erythema infectiosum (5th Disease Influenza-like illness (URI) |