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South Carolina List of Reportable Conditions

Disease Reporting by Health Care Providers, Hospitals, Clinics, Other Health Care Facilities

South Carolina Law (44-29-10) and Regulations (61-20) require reporting of specified contagious and infectious diseases and conditions to the local health department "in the form and manner as prescribed by DHEC in regulations concerning infectious diseases. The reports must be made to the Bureau of Disease Control in the manner required in the regulations. When available, clinical information supporting the diagnoses, including results of specific diagnostic tests, must be included."

In South Carolina, these diseases and conditions are specified in the List of Reportable Conditions (pdf), published annually. The list also includes outbreaks of disease or unusual clusters of illness, events such as animal (mammal) bites and pesticide poisoning, and findings suggestive of disease (e.g., hemolytic uremic syndrome).

Diseases do not have to be confirmed to be reported -- actions to prevent further spread of disease may be necessary while confirmatory tests are pending.

Reporting by Laboratories

The Laboratory List of Reportable Conditions specifies which conditions/findings must be reported to SC DHEC by clinical laboratories.

HIPAA
Federal HIPAA legislation allows disclosure of protected health information, without consent of the individual, to public health authorities for the purpose of preventing or controlling disease. (HIPAA 45 CFR §164.512)

FERPA
For schools subject to the Family Education Rights and Privacy Act (FERPA), FERPA allows reporting of illnesses without specific parent permission if a "health or safety emergency" exists. SC DHEC and the SC Department of Education have jointly determined that conditions where reports are requested immediately or within 24 hours by phone, including all clusters or outbreaks of illnesses, may be reported to SC DHEC by name, without parental consent. Disclosure of this information is documented in the student's/students' record(s) per local policies for FERPA compliance.

Conditions where reporting is required within 3 days may be reported to DHEC by name with parental consent. De-identified reporting is also allowed for these conditions. School personnel should work with local education agency nursing leadership, or local health department epidemiology staff to review processes for de-identified reporting of illnesses that may spread in schools, especially varicella.

Reportable Conditions in South Carolina
Report all suspected and confirmed cases, including preliminary clinical and laboratory results.


A-C D-G H-I J-L M-P Q-S T-Z

Disease, Condition or Event

Time for Reporting

Notes

Any outbreak or unusual disease

Immediately, by phone

(1) (5)

**

Any intentional biological, chemical, or radiological event

Immediately, by phone

AIDS, clinical diagnosis

Within 3 days

Anaplasmosis (Anaplasma phagocytophilum)

Within 3 days

Animal (mammal) bites

Urgently, within 24 hours, by phone

(6)

 

Aseptic meningitis

Within 3 days

 

**

Anthrax (Bacillus anthracis)

Immediately, by phone

(5)

Babesiosis

Within 3 days

**

Botulism (Clostridium botulinum or Botulinum toxin)

Immediately, by phone

**

Brucellosis

Urgently, within 24 hours, by phone

(5)

Campylobacteriosis

Within 3 days

Chancroid (Haemophilus ducreyi)

Within 3 days

Chlamydia trachomatis, genital site

Within 3 days

**

Clostridium botulinum

Immediately, by phone

Creutzfeldt-Jakob Disease (Age < 55 years)

Within 3 days

Cryptosporidiosis

Within 3 days

Cyclosporiasis

Within 3 days

Dengue (Flavivirus)

Urgently, within 24 hours, by phone

(5)

Diphtheria

Urgently, within 24 hours, by phone

(5)

Eastern Equine Encephalitis

Urgently, within 24 hours, by phone

(5)

E. coli, shiga toxin - producing (STEC), including E. coli O157:H7

Urgently, within 24 hours, by phone

(5)

Ebola Virus (Viral Hemorrhagic Fever)

Immediately, by phone

Ehrlichiosis (Ehrlichia species)

Within 3 days

Giardiasis

Within 3 days

Gonorrhea

Within 3 days

Haemophilus influenzae, all types, invasive disease

Urgently, within 24 hours, by phone

(3) (5)

Hansen's Disease (Leprosy)

Within 3 days

Hantavirus

Urgently, within 24 hours, by phone

Hemolytic uremic syndrome (HUS)

Urgently, within 24 hours, by phone

Hepatitis A, B C, D, & E acute

Urgently, within 24 hours, by phone

Hepatitis B, C, & D chronic

Within 3 days

Hepatitis B Surface Antigen positive with each pregnancy

Within 3 days

HIV and AIDS, clinical diagnosis

Within 3 days

HIV CD4 tests (all results)

Within 3 days

(L)

HIV subtype, genotype, and phenotype

Within 3 days

(L)

HIV positive test results (detection and confirmatory tests)

Within 3 days

HIV viral load - all results

Within 3 days

(L)

HIV HLA-B5701 and co-receptor assay

Within 3 days

(L)

Influenza A, avian or other novel

Immediately, by phone

Influenza associated deaths (all ages)

Urgently, within 24 hours, by phone

Influenza Lab-confirmed cases (culture, RT-PCR, DFA, IFA)

Within 3 days

Influenza Lab-confirmed Hospitalizations (aggregate report of totals)

Weekly aggregate totals

Influenza Positive rapid flu tests (aggregate report of totals)

Within 3 days

LaCrosse Encephalitis

Urgently, within 24 hours, by phone

(5)

Lassa Fever (Viral Hemorrhagic Fever)

Immediately, by phone

Lead tests, all results

Within 3 days

Legionellosis (all positive tests)

Within 3 days

(5)

Leprosy (Hansen's Disease)

Within 3 days

Leptospirosis

Within 3 days

Listeriosis

Within 3 days

(5)

Lyme disease (Borrelia burgdorferi)

Within 3 days

Lymphogranuloma venereum

Within 3 days

Malaria (Plasmodium species)

Within 3 days

Marburg Fever (Viral Hemorrhagic Fever)

Immediately, by phone

Measles (Rubeola)

Immediately, by phone

Meningo-encephalitis, aseptic

Within 3 days

Meningococcal disease

Immediately, by phone

(3) (4) (5)

Mumps

Urgently, within 24 hours, by phone

Pertussis

Urgently, within 24 hours, by phone

**

Plague (Yersinia pestis)

Immediately, by phone

(5)

Poliomyelitis

Immediately, by phone

**

Psittacosis (Chlamydophila psittaci)

Within 3 days

**

Q fever (Coxiella burnetii)

Urgently, within 24 hours, by phone

Rabies (human)

Immediately, by phone

Rabies Post Exposure Prophylaxis (when administered)

Within 3 days

(6)

Rocky Mountain Spotted Fever (Spotted Fever Group)

Within 3 days

Rubella (includes congenital)

Urgently, within 24 hours, by phone

Salmonella typhi (Typhoid fever)

Urgently, within 24 hours, by phone

(5)

Salmonellosis

Within 3 days

(5)

Shiga toxin - producing E. coli (STEC), including E. coli O157:H7

Urgently, within 24 hours, by phone

(5)

Shigellosis

Within 3 days

(5)

**

Smallpox (Variola)

Immediately, by phone

Staphylococcus aureus, Vancomycin-resistant or intermediate (VRSA/VISA)

Urgently, within 24 hours, by phone

(5)

Streptococcus group A, invasive disease

Within 3 days

(3)

Streptococcus group B, age < 90 days

Within 3 days

Streptococcus pneumoniae, invasive,

Within 3 days

(2) (3)

St. Louis Encephalitis

Urgently, within 24 hours, by phone

(5)

Syphilis, congenital, primary or secondary (lesion or rash)

Urgently, within 24 hours, by phone

Syphilis, latent or tertiary, or positive serologic test

Within 3 days

Tetanus

Within 3 days

Toxic Shock (specify staphylococcal or streptococcal)

Within 3 days

Trichinellosis (T. spiralis)

Urgently, within 24 hours, by phone

Tuberculosis

Urgently, within 24 hours, by phone

(5)

**

Tularemia

Urgently, within 24 hours, by phone

(5)

Typhoid fever (Salmonella typhi)

Urgently, within 24 hours, by phone

(5)

**

Typhus, epidemic (Rickettsia prowazekii)

Urgently, within 24 hours, by phone

Varicella

Within 3 days

Vibrio, all types, including Vibrio cholerae O1 and O139

Urgently, within 24 hours, by phone

(5)

**

Viral Hemorrhagic Fever (Ebola, Lassa, Marburg Viruses)

Immediately, by phone

VISA: Vancomycin Intermediate-resistant Staphylococcus aureus

Urgently, within 24 hours, by phone

(5)

VRSA: Vancomycin-Resistant Staphylococcus aureus

Urgently, within 24 hours, by phone

(5)

West Nile Virus

Urgently, within 24 hours, by phone

(5)

Yellow Fever (Flavivirus)

Urgently, within 24 hours, by phone

Yersiniosis (Yersinia, not pestis)

Within 3 days

Footnotes


**

Potential agent of bioterrorism

(L)

Only Labs required to report.

1.

An outbreak is the occurrence of more cases of disease than normally expected within a specific place or group of people over a given time. Clinical specimens may be required.

2.

Include drug susceptibility profile, if available.

3.

Invasive disease = isolated from normally sterile site: blood, bone, CSF, joint, pericardial, peritoneal, or pleural fluid, protected bronchial sampling or from lung aspirate/biopsy, necrotizing fasciitis, and cellulitis only if isolate is from a tissue biopsy. Always specify site of isolate.

4.

Report Gram-negative diplococci in blood or CSF.

5.

Labs are requested to submit these isolates, positive serologies, or specimens to the DHEC Bureau of Laboratories for confirmatory testing or genotyping.

6.

Rabies Post-Exposure Prophylaxis (PEP) guidance. Consultation is available from the DHEC Regional Offices (see lists for daytime and after hours numbers).

7.

Report aggregate totals weekly.

8.

Report all cases of suspect and confirmed tuberculosis (TB). A suspect case of TB is a person whom a health care provider believes, after weighing signs, symptoms, and/or laboratory evidence, to probably have TB. Centers for Disease Control and Prevention case definition of confirmed cases: http://wwwn.cdc.gov/nndss/script/casedefDefault.aspx

What to Report

  • Patient's name
  • Patient's complete address, phone, county, date of birth, race, sex, last six digits of social security number
  • Physician's name and phone number
  • Name, institution, and phone number of person reporting
  • Disease or condition
  • Date of diagnosis
  • Symptoms
  • Date of onset of symptoms
  • Lab results, specimen site, collection date
  • If female, pregnancy status
  • Patient status: In child care, food-handler, healthcare worker, childcare-worker, nursing home, prisoner/detainee, travel in last four weeks.

How and When to Report
Submit reports by one of the following methods:

Division of Surveillance & Technical Support, Mills/Jarrett Complex
Box 101106, Columbia, SC 29211

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