North Carolina Communicable Disease Manual

 

Confidential Disease Reporting Forms

A - E      F - I      J - R      S - Z

PART 1:

PART 2:
Supplemental Surveillance Forms
Instructions: Part 2 (NC EDSS Users)

A - E

  • Anthrax
  • Botulism
  • Brucellosis
  • Campylobacter infection
  • Chancroid (Part 1 form only; Part 2 form not required)
  • Chikungunya
  • Chlamydial infection laboratory confirmed (Part 1 form only; Part 2 form not required)
  • Cholera
  • Creutzfeldt-Jakob Disease
  • Cryptosporidiosis
  • Cyclosporiasis
  • Dengue
  • Diphtheria
  • E.coli infection, shiga toxin producing
  • Ehrlichia
  • Encephalitis/Meningitis, Arboviral


  • F - I

  • Foodborne poisoning
  • Foodborne
  • Gonorrhea (Part 1 form only; Part 2 form not required)
  • Granuloma inguinale (Part 1 form only; Part 2 form not required)
  • Haemophilus influenzae, invasive disease
  • Hantavirus infection
  • Hemolytic-uremic syndrome (HUS)
  • Hemorrhagic fever virus infection
  • Hepatitis A
  • Hepatitis B, acute
  • Hepatitis B, carriage, chronic
  • Hepatitis B, perinatally acquired
  • Hepatitis C, acute
  • HIV/AIDS (NC EDSS forms pending implementation)
  • Influenza, NOVEL virus infection
  • Influenza, adult death (>= 18 years of age)
  • Influenza, pediatric death (< 18 years of age)
  • J - R

  • Legionellosis
  • Leprosy (Hansen's Disease)
  • Leptospirosis
  • Listeriosis
  • Lyme Disease
  • Lymphogranuloma venereum (Part 1 form only; Part 2 form not required)
  • Malaria
  • Measles (Rubeola)
  • Meningitis, pneumococcal
  • Meningococcal disease, invasive
  • Middle East Respiratory Syndrome (MERS) (Part 1 form only; contact CDB regarding Part 2)
  • Monkeypox
  • Mumps
  • Non-gonococcal urethritis (Part 1 form only; Part 2 form not required)
  • Ophthalmia neonatorum (Part 1 form only; Part 2 form not required)
  • Pertussis (whooping cough)
  • PID (chlamydial/gonococcal) (Part 1 form only; Part 2 form not required)
  • Plague
  • Poliomyelitis, paralytic
  • Psittacosis
  • Q fever
  • Rabies, human
  • Rocky Mountain Spotted Fever
  • Rubella
  • Rubella, congenital


  • S - Z

  • S. aureus, reduced susceptibility to vancomycin
  • Salmonellosis
  • SARS (coronavirus infection)
  • Shigellosis
  • Smallpox
  • Streptococcal infection, Group A, invasive
  • Syphilis (NC EDSS forms pending implementation)
  • Tetanus
  • Toxic Shock Syndrome, non-streptococcal
  • Toxic Shock Syndrome, streptococcal
  • Trichinosis
  • Tuberculosis (See TB Manual)
  • Tularemia
  • Typhoid Fever, acute
  • Typhoid, carriage
  • Vaccinia
  • Vibrio infection (other than cholera & vulnificus)
  • Vibrio vulnificus infection
  • Yellow fever
  • Zika