Alabama Administrative Code
Title 420 - ALABAMA STATE BOARD OF HEALTH
Chapter 420-4-1 - NOTIFIABLE DISEASES
Appendix II - Alabama Notifiable Laboratory Results (Laboratories Only)

Universal Citation: AL Admin Code R II
Current through Register Vol. 42, No. 11, August 30, 2024

Note: Positive results only, unless otherwise specified.

Immediate, Extremely Urgent - Report to the County or State Health Department by telephone within 4 hours of laboratory result, as well as submit electronically within 24 hours

* Bacillus anthracis

* Brucella species

* Burkholderia mallei

* Burkholderia pseudomallei

* Clostridium botulinum or botulinum toxin in food, wound, unspecified source, or an infant (<12 months old)

* crimean-congo hemorrhagic fever virus

* Francisella tularensis

* ebola virus

* lassa virus

* lujo virus

* marburg virus

* new world arenavirus - chapare virus

* new world arenavirus - guanarito virus

* new world arenavirus - junin virus

* new world arenavirus - machupo virus

* new world arenavirus - sabia virus

* poliovirus

* variola virus (orthopox virus)

* vaccinia virus

* Yersinia pestis

Standard Reporting by Laboratories - Report electronically within 24 hours

* Anaplasma species

* Babesia species

* Bordetella pertussis

* Borrelia burgdorferi

* california serogroup virus diseases (all results)

* Campylobacter species

* chikungunya virus disease (all results)

* Chlamydia trachomatis

* Clostridium tetani

* Coccidioides species

* Corynebacterium diphtheriae

* Coxiella burnetii

* Cryptosporidium species

* Cyclospora cayetanensis

* cytomegalovirus (if age <21 days old)

* dengue virus (all results)

* eastern equine encephalitis virus disease (all results)

* Ehrlichia species

* Escherichia coli, shiga toxin-producing

* Grimontia hollisae

* Haemophilus ducreyi

* Haemophilus influenzae isolated from a normally sterile site

* hepatitis a (igm positives and genotyping results)

* hepatitis b, c, and d (all results to include surface antigens, antibody, genotyping, viral load/RNA/DNA, and associated ALTs)

* hiv, all test results (e.g., positive and negative immunoassay, positive and negative virologic tests, and associated CD4 counts) for children < 18 months old

* human immunodeficiency virus (hiv), repeatedly reactive enzyme immunoassay followed by a positive confirmatory test (e.g., Western blot, IFA, or HIV differentiation). Positive result on any HIV virologic test (e.g., p24 AG, nucleic acid test (NAT/NAAT), viral culture). All viral load (detectable and undetectable) test results and associated CD4 counts.

* influenza virus (molecular positive test results only)

* lead, all blood results

* Legionella species

* Listeria monocytogenes from a normally sterile site

* mantoux tuberculin skin test (tst) and interferon gamma release assay (igra) blood test, positives

* measles (rubeola) virus

* mumps virus

* Mycobacterium leprae

* Mycobacterium tuberculosis complex, culture, or naat (including pcr)

* Naegleria fowleri

* Neisseria gonorrhoeae

* Neisseria meningitidis isolated from a normally sterile site

* Photobacterium damselae

* Plasmodium species

* powassan virus disease (all results)

* rabies virus in animal or human

* rapid plasma reagin (rpr), positive results

* Rickettsia rickettsii and other spotted fever rickettsia species

* rubella virus

* Salmonella species

* sars-cov-2

* shigella species

* st. louis encephalitis virus disease (all results)

* Staphylococcus aureus, intermediate or full resistance to vancomycin (visa, vrsa)

* Streptococcus pneumoniae isolated from a normally sterile site

* Treponema pallidum

* Trichinella species

* varicella virus

* venereal disease research laboratory (vdrl) test, positive results

* Vibrio cholerae type o1 and o139

* Vibrio species

* west nile virus disease (all results)

* western equine encephalitis virus disease (all results)

* yellow fever virus (all results)

* zika virus (all results)

* detection or isolation of one or more specimens of etiological agents of a disease or condition not listed that is of urgent public health significance

* agents suspected to be the cause of a cluster or outbreak

State Health Department Telephone Number:

Bureau of Clinical Laboratories 334-290-6130 (24-hour coverage)

Infectious Diseases & Outbreaks Division 334-206-5971 or 1-800-338-8374 (24-hour coverage)

Office of HIV Prevention & Care 334-206-5364 or 1-800-344-1153

Division of Immunization 334-206-5023 or 1-800-469-4599

Division of Sexually Transmitted Diseases 334-206-5350

Division of Tuberculosis Control 334-206-5330

Author: Sherri L. Davidson, Ph.D, M.P.H.

Statutory Authority: Code of Ala. 1975, §22-11A-1.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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