Disease Reporting Requirements



*** CLICK HERE for ZIKA VIRUS GUIDANCE ***

 

  COMMUNICABLE DISEASES          (845) 486-3402
 

NYS Health Provider Network (HPN) Information and How to Apply Brochure (.pdf version).

Physicians, laboratories and school nurses are required by NYS NYCRR2.10 to report communicable specific diseases to the local health department. 

The Dutchess County Department of Behavioral & Community Health’s Communicable Disease Control Division conducts surveillance and investigation of reportable communicable disease, and can provide diagnostic and treatment guidance.  Partner services including patient  location, education and prophylactic treatment of persons exposed to communicable diseases are also available.

Mandated communicable disease reporters may report by faxing a case report form to the DBCH-CDC Division at (845) 486-3564. 

High Priority disease reports highlighted in red on the back of the NYSDOH reporting form require an immediate phone call to (845) 486-3402 whether suspected or confirmed.  

Routine reports may also be called to the same number.

 

Table 1 (Table 1 in .pdf format) 

 

Diseases that Must be Reported to the DBCH Within 24 Hours

Amebiasis
Animal bites for which rabies
  prophylaxis is given+
Anthrax
Babesiosis
Botulism
Brucellosis
California Encephalitis
Campylobacteriosis
Chancroid
Chlamydia trachomatis
Cholera
Cryptosporidiosis
Cyclosporidiosis
Diphtheria
E. Coli 0157:H7
Eastern Equine Encephalitis
Ehrlichiosis (HGE,HME)
Encephalitis
Food borne illness
Giardiasis
Glanders
Gonorrhea
Haemophilus Influenza
Hantavirus
Hemolytic Uremic Syndrome
(HUS)
Hepatitis A (HAV)
Hepatitis A in a food handler
Hepatitis B (HBV)
Hepatitis C (HCV)

HIV
Legionellosis
Listeriosis

Lyme Disease
Lymphogranuloma venereum
(LGV)
Malaria
Measles
Meiliodosis
Meningitis (Aseptic & Viral)
Meningitis (Haemophilus)
Meningitis (Meningococcal)
Meningitis Other (specify type)
Meningococcemia
Monkey Pox
Mumps
Pertussis
Plague
Poliomyelitis
Powassan Viral Encephalitis (POW)
Pregnant Hepatitis B infection
Psittacosis
Q Fever
Rabies
Rocky Mountain Spotted Fever
Rubella (including congenital rubella syndrome)

Salmonellosis
SARS
Shigatoxin-producing infection
Shigellosis
Smallpox
St. Louis Encephalitis
Staphylococcal Enterotoxin B Poisoning
Staphylococcal Aureus
Streptococcal Infection (Group A beta-hemolytic strep)
Streptococcal Infection (Group B strep)
Streptococcal Infection (Invasive disease)
Streptococcus pneumoniae 
Syphilis (specify stage) ++
Tetanus
Toxic shock syndrome
Trichinosis
Tuberculosis
Tularemia
Typhoid
Vibriosis
Viral Hemorrhagic Fever
West Nile Virus
Yellow Fever
Yersiniosis

+  Animal Bites - Health care providers must immediately report suspected rabid animals and persons exposed to them to the Environmental Health Services Division, DBCH at (845) 486-3404. The full name, age, address and telephone number must be provided of any person under care, observation or who has been exposed to any animal suspected of having ++ rabies. All pertinent facts relating to such exposure must be provided.     

++  Syphilis - Report by phone any non-treponemal test ≥1:16 or any positive prenatal or delivery test regardless of titer; all others may be reported by mail.

 

PUBLIC HEALTH SERVICES 
Confidential and Anonymous HIV Counseling and Testing   DBCH offers HIV counseling and testing by appointments at
29 N. Hamilton St, Suite 109 Poughkeepsie by appointment. Please call (845) 486-3401 to schedule an appointment.

Partner Services Program    (845) 486-3452   DBCH assists HIV-infected patients and their healthcare providers in contacting persons who may have been exposed; and will contact and counsel contacts regarding their potential exposure.  Training is also available for healthcare providers.

 

HIV/AIDS Reporting  - 

Contact the Dutchess County Department of Behavioral & Community Health to report all cases of HIV/AIDS by calling (845) 486-3452 or (845) 486-3479

This includes:

  1.  Initial/New HIV diagnosis - First report of HIV antibody positive test results.

  2. Previously diagnosed HIV infection (non-AIDS) - Infection previously diagnosed (including repeat/confirmatory test) but patient has not met criteria for AIDS. (Applies to a medical provider who is seeing the patient for the first time.)

  3. Initial/New Diagnosis of AIDS - Including <200 CD4 cells/µL or opportunistic infection (AIDS-defining illness).

  4. Previously diagnosed AIDS - (Applies to a medical provider who is seeing the patient for the first time.)

Physicians and laboratories are required to report HIV infection upon initial diagnosis that a person has AIDS or HIV- related illness to the AIDS Epidemiology Program at the State Health Department and to the local county Health Department. To report to the NYS Health Department medical providers must complete the NYS Medical Provider HIV/AIDS and Partner/Contact Report Form (PRF) (DOH-4189 revised 8/05) for all reportable cases and submit to the NYSDOH as instructed on the form.  Blank forms are available from the NYSDOH (518) 474-4284

In order to protect patient confidentiality, faxing of reports is not permitted.

Dutchess County Department of Behavioral & Community Health can assist with supplying and completion of forms to assure that legal reporting requirements are met, please contact us at (845) 486-3452 or (845) 486-3479.

SEXUALLY TRANSIMITTED DISEASES (STDs) - Effective prevention of disease transmission begins with infections that are properly diagnosed, appropriately treated and fully reported to the local health unit in a timely and complete manner in accordance with the established laws and regulations.

Sexually Transmitted Disease Partner Notification  A Public Health Advisor will conduct a STD interview/counseling session without delay after the confirmed infection is reported to DBCH.  The rationale for this activity is:

  • To assure that appropriate treatment has been prescribed,
  • Educate the patient about the specific ramifications of the particular infection,
  • Answer questions and offer educational materials regarding sexually transmitted infections,
  • Discuss and obtain information about others who are potentially exposed,
  • Assist in the notification and assure testing and treatment of all elicited contacts in a confidential and professional manner, and promote responsible health behavior that will interrupt disease transmission and prevent future infection.

 

REPORTING - 
The sexually transmitted diseases listed below should be reported:

  • Chancroid
  • Chlamydia trachomatis
  • Gonorrhea
  • Hepatitis A, B, C
  • Lymphogranuloma venereum
  • Syphilis - It is mandatory to report by phone any non-treponeal test ≥1:16 or   any positive prenatal or delivery test regardless of titer.

Phone:      (845) 486-3401. After hours messages can be left at (845) 486-3452
Confidential Fax #:    (845) 486–3557 
Mail to:     DBCH Att: CDCDC  85 Civic Center Plaza- Suite 106., Poughkeepsie, NY 12601

For reporting the sexually transmitted diseases listed below utilize the DBCH Sexually Transmitted Disease Reporting Form (.pdf). These forms are also available by calling (845) 486-3401.

 

TUBERCULOSIS - REPORTING (845) 486-3505   
It is a requirement of New York State Sanitary Code that all suspects and active Tuberculosis cases be reported within 24 hours.  Tuberculosis reports are mandatory if any of the following criteria are met::

  • Positive AFB smear (culture pending)

  • Clinically suspected pulmonary OR extrapulmonary case when isolation or treatment is initiated.

Tuberculosis reports should be called in to (845) 486-3505.
After-hours - (845) 431-6465.

 

TUBERCULOSIS - HEALTH SERVICES 
Treatment for Active TB and LTBI
The DBCH provides free chest X-rays, physician exams, medication and lab work for persons with LTBI or active TB who are uninsured or under insured at the monthly pulmonary clinic, by appointment. 

Directly Observed Therapy (DOT)
Currently the standard of care, Directly Observed Therapy is available for all cases of tuberculosis.  DOT is also provided free of charge for patients diagnosed with LTBI who are determined to be at high risk for non-compliance.  Included in the standard of care for all active cases is to provide DOT free of charge.

Mantoux Skin Test Clinics   Free  clinics are available

 

Top of Page


  CONSULTATION SERVICES for Communicable Disease or Suspect Bioterrorism Exposures    (845) 486-3402 - Private physicians are strongly encouraged to consult DBCH regarding the collection, processing, and shipment of communicable disease specimens and/or clinical specimens from persons exposed to suspect bio-terrorist agents.

Bacteriologic and viral specimens for such agents as West Nile Virus, Salmonella sero-typing, e coli 0157 confirmation and others will be referred to the NYSDOH Wadsworth / Griffen Labs for confirmation.

Clinical and environmental suspect bio-terrorist agent samples will be referred to Westchester Medical Center Level 3 laboratory.

Under the Provider Based Immunization Initiative (PBII), DBCH will review a medical practice’s immunization procedures and offer suggestions for increasing immunization rates. Program is voluntary.  DBCH can provide the latest information on recommended immunization practices.

DBCH provides the following Immunization Clinics

Top of Page


  MATERNAL/CHILD HEALTH SERVICES      (845) 486-3419

PUBLIC HEALTH SERVICES

Assessment, Support & Coordination

Physicians may request Public Health assessment and follow-up for pregnant women, mothers, and young children who are at risk.  Risks include:

- Risk Factors for Pregnant Women, Mothers, and Young Children -
Mother Child
• Age 16 or under • Poor nutrition • Low birth weight 
• Mental illness or retardation • Lack of parenting, coping skills • Diagnosis requiring nursing follow-up
• Poor prenatal follow-up • Post-partum depression • Under 32 weeks gestation
• HIV positive • Substance abuse • Asthma
• Physical difficulty affecting parenting • Lack of support system • Inborn metabolic disease
• Known fetal anomaly • Child-Protective involvement • Immunization delays
• Gestational diabetes • Preeclampsia • Failure to thrive

Maternal/Child Home Visiting

 

Home visiting services include:

  • Perform physical and psychosocial nursing assessments of mothers, infants and children.
  • Assess nutritional status of mothers, infants and children and provide education and referral to Women, Infants and Children Nutrition Program (WIC) and/or other nutrition assistance programs.
  • Monitor growth and development of all infants and children.
  • Screen all infants and children for developmental delays and provide developmental surveillance for those identified at risk.
  • Refer infants and children with developmental delays to the Early Intervention Program (EIP).
  • Identify family strengths and weaknesses and provide health education as needed.
  • Provide education to promote positive parent-child interaction.
  • Identify families at risk for child abuse and neglect; as well as provide support services and referrals to child abuse prevention programs and/or agencies.
  • Provide domestic violence screening and refer to domestic violence advocacy agency.
  • Provide childhood immunization information and education.
  • Perform home evaluations and provide injury prevention education including lead poisoning prevention.
  • Provide case management and assists families to access community resources and primary health care.
     

 

Children in Foster Care

The Department of Social Services refers all foster care children under the age of 3 to Public Health Nursing for developmental surveillance. This surveillance program ensures the healthy development of foster care children and support foster care families.

Newborn Screening

Each newborn in New York State is tested for metabolic diseases, HIV infection and hearing.  NYSDOH and local hospitals refer those newborns that have positive or incomplete results to Public Health Nursing for follow-up.  The Public Health Nurses locate these families and arrange for re-testing and medical follow-up.

 

Top of Page


  ELEVATED BLOOD LEAD LEVELS REPORTING   (845) 486-3419 -     Confirmed venous BLL greater or equal to 15mcg/dL to receive environmental management services.  Venous confirmation is required of all BLL greater than or equal 10mcg/dL.   All children under the age of eighteen who have a BLL greater than or equal to 45 mcg/dL, must be reported to DBCH with in 24 hours of laboratory notification.

Environmental Health will investigate to identify sources of lead exposure and follow-up to ensure corrective action has been taken.  Public Health Nurses will provide:

  • Home visits
  • Developmental screenings
  • Tracking and recall
  • Health education
  • Nutritional education

 

DBCH has the authority to enforce its recommendations.

 

Top of Page



    EMERGENCY PREPAREDNESS

The Health Emergency Response Plan helps Dutchess County to prepare the community for possible public health emergencies including those caused by natural or intentional emergencies.

Healthcare providers play an important role in the detection and response to a public health emergency. Early detection of clusters or unusual illnesses is often found in a healthcare provider's office, making providers the first "responders" to inform the health department, giving an early start to the investigation process.

Healthcare Provider Preparedness Recommendations:

  • Become familiar with signs and symptoms of the illnesses caused by biological agents or call the CDC Clinical Information Service; prepare an emergency plan for your facility and your family; and become familiar with the emergency plans of affiliated hospitals.
     
  • Report clusters of illnesses or unusual illnesses to the Communicable Disease Control Division at (845) 486-3401 (M–F 9am-5pm) or After-Hours (845) 431-9111.
     
  • Follow standard personal protection precautions.
     
  • Provide information and routine care to patients during an event, utilized CDC INFO for information.
  •  
  • Get accurate information through the Health Commerce System.  Subscribe via email to HPN (Health Providers Network) Subject Line:  HPN Request, <Your name>, <The County where You are located>”.  Include Your full first name (DO NOT use nicknames); full middle name; and full last name; date of birth; mailing addres; and direct contact information for telephone, fax, and email.
  •  
  • Consider Emergency Volunteer Opportunities by joining the Medical Reserve Corps of Dutchess County.  (845) 486-2493   DCMRC@DutchessNY.gov
     
  • Work in collaboration as a partners and the Dutchess County Department of Behavioral & Community Health as an avenue for mass vaccination.

 

Top of Page




 

A. K. Vaidian, MD, MPH,Commissioner of Behavioral & Community Health A. K. Vaidian, MD, MPH
Commissioner of Behavioral & Community Health
Dutchess County Seal

Accessibility