1. Healthy People. Healthy Community. Healthy Future. Notifiable Conditions: Rates & Reporting Requirements Henry Taylor MD MPH Clinical Deputy Health Officer Presentation to Union Hospital Medical Staff June 2, 2015

2. Cases of Select Notifiable Conditions in Cecil County & Maryland- 2013 ConditionMD TotalCecilConditionMD TotalCecil Animal Bites10,829269Meningitis, Fungal261 Babesiosis91Mycobacteriosis, Other than TB & Leprosy 5565 Botulism82Pertussis2131 Campylobacteriosis6459Rabies - Animal3756 Chlamydia26,723233Salmonellosis - Other than Typhoid Fever 86211 Cryptosporidiosis652Shiga toxin producing E. coli (STEC)652 Ehrlichiosis332Spotted Fever Rickettsiosis81 Giardiasis2284Strep Group A - Invasive Disease1682 Gonorrhea5,98956Strep Group B - Invasive Disease5724 Hepatitis B (Acute-Symptomatic)431Strep pneumoniae - Invasive Disease4927 Hepatitis C (Acute-Symptomatic)537Syphilis - Primary and Secondary4561 Legionellosis1621Vibriosis (Non-Cholera)571 Listeriosis201West Nile Virus Symptomatic Infections162 Lyme Disease1,19859Yersiniosis81 Meningitis, Aseptic3853 Data source: Maryland's NEDSS and STD*MIS databases.

3. Healthy People. Healthy Community. Healthy Future. STI Cases in Cecil County & Maryland STIs in Maryland 2014 vs. 2013 ChlamydiaGonorrheaP&S Syphilis Location20132014Change20132014Change20132014Change Cecil23325911.2%567025.0%14300.0% MD Total26,72327,4232.6%5,9896,1082.0%456449-1.5% Data source: Maryland's NEDSS and STD*MIS databases.

4. Healthy People. Healthy Community. Healthy Future. Disease Reporting Who Should Report Health Care Providers Only physicians shall report newborn infants exposed to HIV infection. Only physicians and clinical or infection control practitioners in certain institutions shall report diagnosed cases of HIV and AIDS. What to Report Health care providers must report those diseases and conditions indicated in Table 1 of “Diseases, Conditions, Outbreaks, & Unusual Manifestations Reportable by Maryland Health Care Providers”.“Diseases, Conditions, Outbreaks, & Unusual Manifestations Reportable by Maryland Health Care Providers”. DHMH 1140 DHMH 1140 form should be used for reporting all diseases and conditions.

5. Healthy People. Healthy Community. Healthy Future. Disease Reporting How to Report Use form DHMH 1140 for all diseases and conditions. Mailed reports should be placed in a sealed envelope marked “confidential.” Reports may be faxed for all diseases and conditions EXCEPT AIDS and HIV infection, which MUST NOT BE FAXED. When to Report There are two timeframe categories: “immediate” and “within one working day.” When an immediate report is required, the person making the report should communicate directly with an individual and not leave a message on an answering device.

6. Healthy People. Healthy Community. Healthy Future. Disease Reporting Where to Report Cecil County Health Department Phone: 410-996-5100 Fax: 410-996-1019 After hours reporting: 410-392-2011 Mail: Attn: Communicable Disease Cecil County Health Department 401 Bow Street Elkton MD 21921 For more information on reporting requirements please visit: http://phpa.dhmh.maryland.gov/SitePages/what-to-report.aspx http://phpa.dhmh.maryland.gov/SitePages/what-to-report.aspx