CD/Epi Section Resources

Outbreak Reporting

• NEW! 2023 Influenza, COVID-19, and RSV Surveillance Guide
• COVID-19 Outbreak Decision Making Matrix for Healthcare Settings
• COVID-19 Outbreak Reporting County Abbreviations
• COVID-19 Outbreak Tracking Tool

MIDIS Resources for COVID-19 Case Investigations: 

• Attach Vaccines to COVID Investigations
• COVID Variant Testing Information
• COVID Data Key
• COVID-19 Data Priority Key 
• COVID Investigation Data Prioritization
• COVID-19 Guidance For MIDIS 
• Entering a COVID-19 At-Home or Patient Self-Administered Test Result in MIDIS
• LTC/ALF MIDIS Entry Key- updated 1/19/21
• MIDIS Attach Vaccinations Using Query
• MIDIS Upgrade Training - 12/2/2020

Healthcare Resources:

• HCW Monitoring Toolkit
• COVID-19 Outbreak Guidance
• Healthcare Linelist for COVID Outbreaks 

School and Child Care Resources:

• Prevention Strategies for K-12 and Child Care Settings Resources 
• Hand Washing Guide Updated 9/21/2022
• Hand Washing Infographic 9/23/2022

Other COVID-19 Resources: 

• COVID-19 case definition Guidance 01/05/2023
• COVID-19 Isolation and Exposure Guidance - updated October 2023
• Vaccine Breakthrough Case Investigation 
• Expanded courier pick-up schedule
• Case Investigation prioritization
• Formstack upload template 
  • This CSV file for reporting COVID-19 test results is for the use of facilities that have been onboard and approved by MT DPHHS CDEpi only. 

Quarter 1:

E4: Disseminate Disease Reporting Instructions (Disease Reporting Rules Update)

• LHJ Reportable Disease List(customize for your jurisdiction)
• Laboratory Reportable Disease List(customize for your jurisdiction)

Quarter 3:

E5: Checklist for Review and Approval of CDEpi Reporting Protocols

E7: Attend Public Health Webinar

Recording for this webinar can be found in the MIDIS Office Hours Shard Drive in EPass

Public Health Law Post-Test Survey

Quarter 4:

E8:  Pandemic Influenza Plan Review Checklist

Additional Resources: CDEpi PHEP AAR Template for Communicable Disease Exercises

Tabletop Exercise Materials:

Measles

• Measles tabletop exercise
• Sample DPHHS HAN
• Sample press release
• Parent notification letter

Salmonella

• Salmonella tabletop exercise
• Sample county Press release (Hepatitis A)
• Sample county HAN
• Food code exclusion information ( Salmonella)

TB

• TB tabletop exercise
• Example Press release
• Example HAN
• TB Fact sheet (exposure)
• Provider letter contact positive test result
• Declination of TB testing

New Outbreak reporting app

Acute Flaccid Myelitis (AFM)

• Disease form
• Instructions
• Job Aid for Clinicians

Acquired Immune Deficiency Syndrome (AIDS)

• Disease Form (adult)
• Disease Form - Fillable (adults)
• Disease Form (pediatric)

Anaplasmosis

• Disease Form

Anthrax

• Disease Form

Arboviral

• Disease Form

Arsenic

• Investigation guidelines 
• Exposure questionnaire

Babesiosis

• Disease Form

Botulism

• Disease Form

Brucellosis

• Disease Form

Cadmium

• Investigation Guidelines
• Follow-up Exposure Questionnaire 

Campylobacteriosis

• Disease Form
• Investigation Guidelines

Chlamydia trachomatis infection

• Disease Form
• Partner Record Form
• Case Record Form

Chronic Wasting Disease (CWD)

• CWD Frequently Asked Questions for Public Health Personnel

Coccidioidomycosis

• Disease Form

Colorado Tick Fever

• Disease Form
• Case Definition

Congenital Syphilis 

• Congenital Syphilis Disease Form
• Congenital Syphilis Investigation

COVID-19

• Disease Form
• Investigation Guidelines
• Updated Reporting Requirements and Case Definitions

Creutzfeldt-Jakob Disease (CJD)

• Diagnostic Criteria
• Disease Form

Cryptosporidiosis

• Disease Form
• Investigation Guidelines

Cyclosporiasis

• Disease Form

Dengue virus infection

• Disease Form

Diphtheria

• Disease Form

Ebola

• 2022 Ebola Outbreak in Uganda Local Health Jurisdiction guide to Uganda traveler assessment and monitoring
• Case Report Form 

Ehrlichiosis

• Disease Form

Enteric Conditions

• Case Definition Summary

E.Coli, Shiga-Toxin producing (STEC)

• Disease Form

Gastroenteritis outbreak

• Outbreak Investigation Guidelines
• Foodborne Line List
• Outbreak Reporting Form (long)
• Outbreak Reporting Form (short)

Giardiasis

• Disease Form

Gonorrheal infection

• Disease Form
• Partner Record Form
• Case Record Form

Granuloma inguinale

• Disease Form

Haemophilus influenza, invasive disease

• Disease Form

Hansen's disease (Leprosy)

• Disease Form

Hantavirus

• Disease Form

Hemolytic Uremic Syndrome

• Disease Form

Hepatitis A, acute

• Disease Form

Hepatitis B

• Interpretation of Hepatitis B Serologic Test Results
• Acute Case Definition 
• Acute Disease Form
• Chronic Case Definition
• Chronic Disease Form
• Know HBV: What Every Asian and Pacific Islander Should Know About Hepatitis B and Liver Cancer
• Hepatitis B and Moms-to-be
• Perinatal Hospital Report
• Perinatal Infant Report
• Perinatal Primary Report
• Perinatal Contact Investigation

Hepatitis C

• HCV Case Definition
• HCV Case Definition Algorithm
• Acute Disease Form
• Chronic Disease Form
• Hepatitis C Investigation Guidelines
• HCV Recommended Testing Sequence
• HCV Interpretation of Test Results
• Sample HCV Case Determination Tool

HIV

• Disease Form (adults) Fillable pdf
• Disease Form (adults) Word
• Disease Form (pediatric) Fillable pdf
• Disease Form (pediatric) Word
• Partner Interview
• Index Patient Interview 
• Previously Diagnosed

Influenza, hospitalizations/deaths, novel A

• Hospitalization/Deaths Reporting Form (2023-24)
• Pediatric Mortality Disease Form
• Pediatric Mortality Instructions
• Novel Influenza A Case Report Form

Lead

• Investigation Guidelines
• Lead Exposure Questionnaire
• Blood lead lab reporting form: https://hipaa.jotform.com/222996725629068 

Legionellosis

• Disease Form

Leptospirosis

• Disease Form

Listeriosis

• Disease Form

Lyme Disease

• Disease Form
• Investigation Guidelines

Lymphogranuloma venereum

• Disease Form

New Outbreak reporting app

Malaria

• Disease Form

Measles

• Suspect Measles Checklist
• Disease Form
• Investigation Guidelines

Meningococcal disease

• Disease Form

MERS

• Disease Form

Mercury

• Investigation guidelines
• Exposure questionnaire

MIS-C

• Case Investigation Process 2023
• Case Report Form
• Case report form guidance
• Interim case reporting guidance

Monkeypox (mpox)

• CDC Mpox Case Report Form
• CDC Mpox Case Report Form (Excel file)
• See Mpox Resource tab below for more information.

Mumps

• Disease Form

Norovirus

• Norovirus Toolkit for Schools and Daycares
• Norovirus Toolkit for Long-Term Care Facilities
• How to clean-up after a Norovirus incident 

Outbreaks

• General Outbreak Reporting Form
• Guidance Document for General Outbreak Reporting Form
• Short Version Outbreak Reporting Form(head lice, scabies, HFMD)
• General Outbreak Line List

Pertussis

• Disease Form
• Investigation Guidelines
• Technical Guidance on Pertussis Testing

Plague

• Disease Form

Polio

• Disease Form

Psittacosis

• Disease Form

Q Fever

• Disease Form
• Investigation Guidelines

Rabies

• Disease Form
• PEP Form
• Investigation Guidelines

Rubella

• Disease Form
• Congenital Disease Form

Salmonella

• Disease Form

SARS

• Disease Form

Shigellosis

• Disease Form

Smallpox

• Disease Form

Spotted Fever Rickettsiosis

• Disease Form

Streptococcal toxic shock syndrome (STSS)

• Disease Form

Streptococcus pneumoniae invasive disease

• Disease Form

Syphilis

• Disease Form
• Partner Record Form
• Syphilis Investigation
• Case Record Form
• Congenital Syphilis Disease Form
• Congenital Syphilis Investigation Instructions

Tetanus

• Disease Form

Tickborne Relapsing Fever

• Disease Form

Toxic shock syndrome, non-streptococcal (TSS)

• Disease Form

Trichinellosis

• Disease Form

Tuberculosis

• Disease Form
• LTBI Toolkit
• LTBI Treatment Program Enrollment Form
• LTBI Treatment Program Enrollment Policy
• Tuberculosis - Reporting and Control in Montana
• TB Case Monthly Report
• TB Contact Investigation Report
• TB Contact Investigation Summary
• TB Home Evaluation
• Case Management Treatment Plan for Active TB Disease
• Interjurisdictional Tuberculosis Notification
• Interjurisdictional TB Notification Follow-up Form
• Directly Observed Therapy Side Effects and Adverse Reactions
• Monthly TB Patient Assessment
• Home Isolation Agreement
• Directly Observed Therapy Agreement - Active TB Disease
• TB Diagnostic Referral
• Directly Observed Therapy Form 1 – Treatment Record
• Treatment of Active TB Education
• Bacteriology Data Sheet

Tularemia

• Disease Form
• Disease Form (fillable) 
• Investigation Guidelines

Typhoid Fever

• Disease Form

Varicella

• Disease Form
• Varicella Death Form

Vibrio cholerae infection (Cholera)

• Disease Form

Vibriosis

• Disease Form

Viral hemorrhagic fevers

• Disease Form

West Nile

• Disease Form
• Investigation Guidelines

Yellow fever

• Disease Form

Zika virus

• Disease Form

Outbreak reporting app

2022 Disease Packet information:

• LHJ Reportable Disease List (customize for your jurisdiction) Updated 10/18/2022
• LHJ Disease Reporting Reference Updated 9/23/2022
• CDEpi Generic Reporting form (customize for your jurisdiction)
• Diseases Reportable in Congregate Settings
• School Absenteeism Reporting Form
• Sensitive Occupation Exclusion Rules
• STEC & Typhoid Fever Exclusion Rules
• Do Not Board Procedure

Additional Reporting Guidance:

• DIS training resources 
• Disease Reporting FAQ 
• HIPAA Document
• Provider Reporting Pamphlet
• Confidentiality and Information Release

• Step 1: Sign-up
  • How-to Sign up
  • JotForm Checklist for Signing Up
  • Sign-up for the JotForm Connected Community 

• Step 2: Inform your communities 
  • Social Media Post Ideas
  • Community Handout 
  • Provider Handout 

• Step 3: Learn more about Jotform:
  • How-to Use Templates
  • Additional Resources and How-to Videos Updated 
  • Best Practices  
  • Schedule a training, questions, or ideas contact Meagan.Gillespie@mt.gov

• JotForm Templates 08/13/2023
  • Additional templates shared by LHJs can be found in the JotForm Connected Community 

We are transitioning MIDIS Office Hours to be hosted through the DPHHS eLearn website. Below you will find the link to access the eLearn MIDIS Office Hours module, and a pdf walkthrough of how to create a free account the first time you log in.

• eLearn Office Hours Access Instructions 
• eLearn MIDIS Office Hours

• General MIDIS Materials
  • How to Run a Report in MIDIS 2/25/2021 
  • Administrative Rules of Montana 8/5/2021
  • Vaccine Query and PHEP Quarterly Reconciliation 5/6/2021
  • Important MIDIS Requirements 3/10/2022
  • Meet the CDEpi Crew 10/21/2021
  • Managing Outbreaks in Congregate Settings 11/4/2021
  • PHEP E7 Public Health Law Webinar 2/24/2022
  • Residency Guidelines and Valley Fever Review 9/16/2021
• COVID-19 Related Materials
  • COVID-19 Auto Case Creation and Community of Practice 1/20/2022 
  • COVID-19 Reporting Contagious Travelers and the DO NOT BOARD Process 10/28/2021 
  • COVID-19 Updated Quarantine and Isolation Guidelines 12/30/2021
• Subject-Matter Specific Materials
  • Enterics
    • Enterics Part 3: Hepatitis A and Legionella 7/1/2021
  • Hepatitis C
    • Hepatitis C Reporting in Montana 3/31/2022
    • HCV Slides - Part 1
    • HCV Slides - Part 2
  • Influenza
    • Influenza Cases in MIDIS 10/7/2021
  • STD
    • Recalcitrant Patient Management
  • Vaccine Preventable Diseases
    • Pertussis and Varicella 5/27/2021

General MIDIS Resources:

• Welcome to MIDIS Packet
• MIDIS COVID-19 Guidance Binder
• 2021 MIDIS User Login Instructions 
• 2021 MIDIS User Guide
• How to Run a Report in MIDIS - Office Hours Summary
• How to Create a Line List in MIDIS
• How to Search for Outbreak Cases in MIDIS
• Labs sending ELR to MIDIS
• Creating COVID-19 Investigations in MIDIS

Archived Reports, Webinars and Tools:

• Arboviral Page Upgrade Summary - March 2019
• Rabies PEP Page Webinar - June 2019
• 1921 Communicable Disease Record
• 1921 1922 Biennial Report

Our Mpox communication toolkits are still available, please reach out to Meagan.Gillespie@mt.gov for more information.

LHD resources:

• CDC MPOX Case Report Form
• CDC MPOX Case Report Form (Excel file)

LHD resources for mpox cases and contacts in the community:

• Patient Assessment
• Provider Algorithm
• Testing information
• Infection Control At Home
• Determining Close Contacts
• Contact Monitoring Sheet 
• Congregate Setting Guidance (Non-healthcare)

Healthcare settings resources:

• Exposure Risk Assessment for Healthcare Workers
• Mpox Guidance for Healthcare Settings
• Exposed Healthcare Worker Monitoring Tool

JotForm:

• Mpox vaccine waitlist: https://hipaa.jotform.com/222226387633053
• Mpox contact monitoring form: https://hipaa.jotform.com/222204786853056
• Mpox case investigation https://hipaa.jotform.com/222154265629053
  

  • This will be used if you are unable to reach the individual by phone.

 Shared resources from local health departments:

• Mpox investigation toolkit by Flathead County
• Vaccine flowchart Shared by Silver Bow County 
• FAQs and talking points Shared by Silver Bow County
• Vaccine Waitlist JotForm Idea (Please do not press submit):

  https://hipaa.jotform.com/form/222283814536154 

• FAQ and Talking Point Guide Shared by Hill County
• Mpox Pocket guide Shared by Hill County
• Lessons Learned Video

MTDPHHS Resources:

• Rabies ELR Guidance Document
• Rabies Review and PEP Page Webinar - June 2019 
• Rabies Presentation, please contact Jessica Lopeman, jessica.lopeman@mt.gov
• Rabies Management Training Handouts 2021
• Rabies Exposure Assessment Tree for Public Health
• Guidance protocol for rabies response to edit for your purposes
• PEP form (report to DPHHS within 7 days of recommendation, all rabies PEP reporting has moved to MIDIS)

Local Health Jurisdiction Resources:

• Beaverhead County bite reporting form
• Cascade City-County Health Department rabies webpage
• Bat Report Form Template
• Animal Bite Report Form Template
• Rabies Info for Healthcare Providers Template
• For an example of an animal bite protocol, please contact Jessica Lopeman, jessica.lopeman@mt.gov.

Syphilis

Trainings/education resources:

• University of Washington STD Prevention Training Center Syphilis Recorded Trainings
• Case Investigation (DIS) training (select workforce development and training, select Disease Intervention Specialist, select eLearning courses)
• National STD curriculum (chlamydia, gonorrhea, syphilis)
• Syphilis in Pregnancy Presentation (January 24, 2023 MOMS Project ECHO): 
• Syphilis Progression and complications in adults 
• Free STD clinical consults, University of Washington STD Prevention Training Center

Primary vs. Secondary Syphilis:

• CDC Adult Syphilis Surveillance Staging Guidance Document
• Primary Syphilis Algorithm
• Secondary Syphilis Algorithm
• Adult syphilis staging, treatment, and partner management  
• 2021 CDC STI Treatment Guidelines
• Adult Syphilis Surveillance Staging When Primary and Secondary Syphilis Symptoms Are Present

Investigation resources:

• Syphilis Investigation
• MT FIPS Codes

Congenital Syphilis

• Congenital Syphilis Training
• Congenital Syphilis Algorithm

Summer Institute Packet 2022

• COVID-19 Epi Regions Map
• Disease Contacts List
• IP Regions Map
• HAI Section Summary
• Disease Intervention Specialist Training