Report a Disease or Outbreak
We rely on medical providers, school officials and other community partners to notify us when they encounter cases or suspected cases of certain diseases or conditions. Reporting allows local health departments to keep track of the diseases in the community and to take action to prevent diseases from spreading.
Who is required to report?
- Healthcare Providers (Title 17 CCR §2500)
- Laboratorians (Title 17 CCR §2505) must report to the state electronic reporting system (CalREDIE)* or to a system that is linked to CalREDIE.
- Veterinarians (Title 3 CCR § 797) must report animal cases of anthrax, brucellosis (except Brucella canis), plague, rabies, tularemia, and viral hemorrhagic fever
- Schools (Title 17 CCR §2508)
- Healthcare Facilities Licensed by CA Department of Public Health (CDPH):
- Congregate Facilities Licensed by CA Department of Social Services (CDSS):
- Child Care Facilities, such as:
- Childcare Programs (Title 22 CCR §101212(d)(g))
- Family Day Care Homes for Children ((22 CCR §102416.2(c)(3))
- Residential Community Care Facilities, such as:
- Adult Day Programs (22 CCR §82061)
- Small Family Homes (22 CCR §83061)
- Group Homes (22 CCR §84061
- Adult Residential Facilities (22 CCR §85061)
- Residential Care Facilities for the Elderly (RCFE) (22 CCR §87211)
- Residential Care Facilities for the Chronically Ill (22 CCR §87861)
- Child Care Facilities, such as:
What is reportable to Public Health?
- List of Reportable Diseases and Conditions – (Title 17, California Code of Regulations §2500, §2593, §2641.5-2643.20, and §2800-2812)
- List of Reportable Conditions: Notifications by Laboratories - (Title 17, California Code of Regulations §2505))
How do I report?
To report a suspect or confirmed disease, condition or outbreak complete the following to have information routed to the correct Contra Costa Public Health program as indicated in table below:
- Online CalREDIE* Form in the Provider Portal (PP) or Manual Lab Reporting Module (MLRM),
- Electronic Laboratory Reporting (ELR) Feed via CalREDIE,
- Electronic Case Reporting (eCR) Feed via CalREDIE,
- Confidential Morbidity Report (CMR),
- Microsoft Form/Workbook (Outbreaks ONLY), and/or
Disease or Condition
Public Health Program
Submission Methods & Contact Information
|Outbreaks (everything non-COVID-19)
If a group of people are acutely ill and COVID-19 negative this is still considered reportable!
|NEW – Report an Outbreak [non-COVID] to Public Health
GUIDANCE Quick links:
|Communicable Disease Programs-Acute Communicable Disease||Electronically via:
Online Contra Costa Health Services Form
|Outbreaks (COVID-19 only)||Case & Suspected Outbreak Reporting||Coronavirus (COVID-19) Unit||Electronically via:
IMPORTANT NOTE: COVID-19 Public Health Reporting Waiver in Contra Costa
|Case & Suspected Outbreak Reporting||Coronavirus (COVID-19)||Electronically via:
SPOT (for case reports)
CalREDIE (for lab results)
|Any Communicable Disease (other than COVID-19, TB, or any STD)||Communicable Diseases other than TB and HIV/AIDS (110a)||Communicable Disease Programs - Acute Communicable||Electronically via:
|Tuberculosis (TB)||Tuberculosis (110b)||Communicable Disease Programs – Tuberculosis Client Services|
|Disorder Characterized by Loss of Consciousness||Conditions Reportable to Department of Motor Vehicles [DMV] (110c)||Communicable Disease Programs & CA Department of Motor Vehicles (DMV)|
|Animal Diseases||Animal Patients||Communicable Disease Programs - Acute Communicable Disease - Disease Investigation & Control|
|Sexually Transmitted Diseases (except HIV)||Sexually Transmitted Diseases (110a)||HIV/AIDS & STD Program||Electronically via:
|HIV/AIDS||HIV/AIDS & STD Program||Phone: 925-313-6771|
|Pesticide-Related Illness||Confidential Report of Known or Suspected Pesticide-Related Illness (OEH 700)||Contra Costa Public Health or CA Poison Control System (CPCS)||Electronically via:
California Poison Control System (CPCS): 1-800-411-8080
|Acute Flaccid Myelitis (AFM)||CDPH Acute Flaccid Myelitis: Patient Summary Form
Clinicians should report any person with onset of acute flaccid* limb weakness to patient's local health department (LHD)(PDF) regardless of laboratory testing or MRI results.
*Low muscle tone, limp, hanging loosely, not spastic or contracted.
|Communicable Disease Programs||Electronically via:
|Multisystem Inflammatory Syndrome in Children (MIS-C)||CDC MIS-C Case Report Form||Communicable Disease Programs||Electronically via:
* CalREDIE (California Reportable Disease Information Exchange) can be used by health care providers, administrators and/or laboratories to securely submit reports to Public Health and comply with statewide regulatory requirements
CalREDIE (California Reportable Disease Information Exchange) Registration and Onboarding
- I. Laboratories must report to the state electronic reporting system (CalREDIE)* or to a system that is linked to CalREDIE via Electronic Lab Reporting (ELR) to comply with laboratory reporting requirements as outlined in Title 17 CCR § 2505 with licensing received via California Department of Public Health (CDPH) Laboratory Field Services.
HOW TO REGISTER for CalREDIE Laboratory Reporting:
- Option #1: Electronic Laboratory Reporting (ELR) system using HL7:
- Option #2: Manual Lab Reporting Module (MLRM):
- II. Provider and Administrators can report electronically via CalREDIE (California Reportable Disease Information Exchange) Provider Portal (PP) to comply with provider disease reporting requirements as outlined in Title 17 CCR §2500.
- III. Healthcare Systems and Provider Networks can more easily comply with provider disease reporting requirements as outlined in Title 17 CCR § 2500 via Electronic Case Reporting (eCR). Electronic Case Reporting (eCR) is the process of automatically generating and transmitting case reports from a healthcare organization's electronic health record (EHR) system to public health agencies for review and action.
- CalREDIE Electronic Case Reporting (eCR) registration form
- IMPORTANT NOTE: As of 2022, CalREDIE eCR implementation is in Phase 1 and only processing eCRs for COVID-19 but actively working on next Phases of expansion into other reportable diseases.
What is permitted in the law as disclosures to Public Health?
The Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 sets standards for the use and disclosure of private health information. The Privacy Rule does allow communicable disease reporting as part of permitted disclosures for public health activities (CFR Title 14 §164.512). No consent or authorization is required.
- HIPAA Privacy Rule and Public Health: Guidance from CDC and the US Department of Health and Human Service (CDC MMWR, 2003)
Physicians who need to report a suspected public health emergency should contact the Public Health division immediately at 925-313-6740; or after hours, call the sheriff's dispatch at 925-646-2441 and ask for the Communicable Disease on call.
Examples of public health emergencies include a suspected or confirmed case of measles, suspected or confirmed meningococcal disease, suspected botulism, suspected illness due to a bioterrorism agent, a severe outbreak or any unusual illness that requires immediate containment.