Checklist for Review and Approval of CDEpi Reporting Protocols

Pandemic Influenza Plan Review Checklist

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 (HepA)

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 

Isolation order

Home isolation order

 

Acute Flaccid Myelitis (AFM)

• Disease form
• Instructions
• Job Aid for Clinicians

Acquired Immune Deficiency Syndrome (AIDS)

• Disease Form (adult)
• Disease Form (pediatric)

Anaplasmosis

• Disease Form

Anthrax

• Disease Form

Arboviral

• Disease Form

Babesiosis

• Disease Form

Botulism

• Disease Form

Brucellosis

• Disease Form

Campylobacteriosis

• Disease Form
• Investigation Guidelines

Chlamydia trachomatis infection

• Disease Form

Chronic Wasting Disease (CWD)

• CWD Frequently Asked Questions for Public Health Personnel

Coccidioidomycosis

• Disease Form

Colorado Tick Fever

• Disease Form
• Case Definition

Creutzfeldt-Jakob Disease (CJD)

• Diagnostic Criteria
• Disease Form

Cryptosporidiosis

• Disease Form
• Investigation Guidelines

Cyclosporiasis

• Disease Form
• Cyclosporiasis Hypothesis Generating Questionnaire (use May-Oct)

Dengue virus infection

• Disease Form

Diptheria

• Disease Form

Ehrlichiosis

• Disease Form

E. Coli, Shiga-Toxin producing (STEC)

• Disease Form

Gastroenteritis outbreak

• Investigation Guidelines
• Foodborne Line List
• Disease Form (long)
• Disease Form (short)

Giardiasis

• Disease Form

Gonorrheal infection

• Disease Form

Granuloma inguinale

• Disease Form

Haemophilus influenzae, 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

• Acute Disease Form
• Chronic Disease Form
• Perinatal Hospital Report
• Perinatal Infant Report
• Perinatal Primary Report
• Perinatal Contact Investigation

Hepatitis C

• Acute Disease Form
• Chronic Disease Form
• Hepatitis C Investigation Guidelines
• HCV Recommended Testing Sequence
• HCV Interpretation of Test Results

HIV

• Disease Form (adults)
• Disease Form (pediatric)
• Partner Notification
• Previously Diagnosed

Influenza, hospitalizations/deaths

• Hospitalization/Deaths Reporting Form (2017-18)
• Pediatric Mortality Disease Form
• Pediatric Mortality Instructions

Lead

• Investigation Guidelines

Legionellosis

• Disease Form

Leptospirosis

• Disease Form

Listeriosis

• Disease Form

Lyme Disease

• Disease Form
• Investigation Guidelines

Lymphogranuloma venereum

• Disease Form

 

Malaria

• Disease Form

Measles

• Suspect Measles Checklist
• Disease Form
• Investigation Guidelines

Meningococcal disease

• Disease Form

MERS

• Disease Form

Mumps

• Disease Form

Outbreaks

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

Pertussis

• Disease Form
• Investigation Guidelines

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

Streptoccocus pneumoniae invasive disease

• Disease Form

Syphilis

• Disease Form

Tetanus

• Disease Form

Tickborne Relapsing Fever

• Disease Form

Toxic shock syndrome, non-streptococcal (TSS)

• Disease Form

Transmissible spongiform encephalopathies

• Disease Form
• CJD Diagnostic Criteria

Trichinellosis

• Disease Form

Tuberculosis

• Disease Form
• LTBI Medication Enrollment Form
• State TB Program Medication Assistance 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 Followup Form
• Directly Observed Therapy Side Effects and Adverse Reactions
• Monthly TB Patient Assessment
• Home Isolation Agreement
• Directly Observed Therapy Agreement - Active TB Disease

Tularemia

• Disease Form
• 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 Forms

West Nile

• Disease Form
• Investigation Guidelines

Yellow fever

• Disease Form

Zika virus

• Disease Form

LHJ Reportable Disease List

Laboratory Reportable Disease List

MT Communicable Disease Reporting Reference for Local PH Jurisdictions (not for distribution)

Diseases Reportable in Congregate Settings

School Absenteeism Reporting Form

Sensitive Occupation Exclusion Rules

STEC & Typhoid Fever Exclusion Rules

2017 ARM changes

• Summary of Rule Changes
• Tuberculosis Rule Changes
• HIPAA Document
• Rule Change Webinar: Powerpoint
• Provider Reporting Pamphlet
• Confidentiality and Information Release

General MIDIS Resources

2018 MIDIS User Guide

STD MIDIS Training Videos

Shared County Resources

STD Investigation Troubleshooting - Toole County
STD Case Form - Hill County

DPHHS Resources

• Rabies Presentation Spring 2018
• Rabies Management Training Handouts 2018
• 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) 

Local Health Jurisdiction Resources

• Beaverhead County bite reporting form
• Cascade City-County Health Department rabies webpage
• Gallatin City-County animal bite protocol
• Bat Report Form Template
• Animal Bite Report Form Template
• Rabies Info for Healthcare Providers Template

 

Syphilis Webinar Part 1

Syphilis Webinar Part 2 *please note that the first few minutes of the recording have some background noise, but it will resolve

Social Media and Communicable Disease 2018

Salmonella in Montana 2018

Human Prion Disease 2018

Arboviral and Vector Borne Investigations 2017

HIV Reporting 2017

Norovirus Outbreaks in Montana 2017

Public Health Management of TB 2017

Outbreak Reporting Guidelines 2016