Reporting Guide

Pertussis disease is generally under-reported and under-diagnosed for several potential reasons. Because pertussis immunization is available from infancy through adulthood, there may be a misconception that the disease has been eliminated. With more than 25,000 cases reported in 2005, it is clear that awareness must be increased because pertussis is much more prevalent than is currently perceived.

Public health officials rely on physicians and health care professionals (PNPs, PAs, etc.), to report the occurrence of notifiable diseases to state and local health departments. Without such data, monitoring trends or evaluating the effectiveness of intervention activities would be difficult.

The Pertussis.com Reporting Guide provides health care professionals with links to reporting forms and/or reporting contact information for all 50 states, the District of Columbia, and Puerto Rico.

State laws require that health care providers, physicians, and laboratories report cases of pertussis to their state health or epidemiology department. Pertussis is normally categorized as a Category 1 disease, meaning it must be reported immediately.

State health departments, in turn, collect reports from physicians and health care providers either directly or through local health officers. The state health departments provide the number of cases reported in their state to the Centers for Disease Control and Prevention. The CDC does not take reports of pertussis cases directly from individual health care providers. The data collected by the CDC is published weekly in its Morbidity and Mortality Weekly Report (MMWR).

Reporting requirements vary by state. Please refer to the reporting forms below for more information. State health departments can also use the CDC's Pertussis Surveillance Worksheet to report cases to their local health department or as a guideline when investigating cases.


Helpful Definitions:

Clinical Case Definition

A cough illness lasting at least 2 weeks with one of the following: paroxysms of coughing, inspiratory "whoop," or post-tussis vomiting and without other apparent cause (as reported by a health professional)

In adults, adolescents, and older children, pertussis often manifests itself in a milder form and may be hard to distinguish from other upper respiratory infections. The cough is typically milder and persists for a shorter time period. The inspiratory "whoop" is usually absent during coughing spells. Mild pertussis cases often escape diagnosis but may be confirmed though laboratory tests.

Laboratory Criteria for Diagnosis:  Isolation of Bordetella pertussis from clinical specimen

Surveillance Case Classification

Probable: meets the clinical case definition, is not laboratory-confirmed, and is not epidemiologically linked to a laboratory confirmed case

Confirmed: a clinically compatible case that is laboratory-confirmed or epidemiologically linked to a laboratory confirmed case


Report a Case: Forms/Contact Information

Alabama
www.adph.org/EPI/default.asp?TemplateNbr=0&DeptID=93&TemplateIdTemplateId=468
www.adph.org/EPI/NotifDx.pdf(form)

Alaska
www.epi.hss.state.ak.us/pubs/conditions/default.stm (contact)
www.epi.hss.state.ak.us/pubs/conditions/frmInfect.pdf (form)

Arizona
www.hs.state.az.us/phs/oids/index.htm (contact)
www.hs.state.az.us/phs/oids/downloads/cdr_form.pdf (form)

Arkansas
www.healthyarkansas.com/data/data.html

California
www.dhs.ca.gov/ps/dcdc/izgroup/pdf/title17.pdf

Colorado
www.cdphe.state.co.us/dc/dceedhom.asp (contact)

Connecticut
www.dph.state.ct.us/BCH/infectiousdise/PDF/2001PhysicianRepDisList.pdf

Delaware
www.state.de.us/dhss/dph/dpc/rptdisease.html

District of Columbia
dchealth.dc.gov/services/administration_offices/phsa/bedc/reportable_
diseases.shtm

Florida
www.doh.state.fl.us/disease_ctrl/epi/topics/surv.htm

Georgia
health.state.ga.us/epi/disease/report.asp

Hawaii
www.hawaii.gov/health/family-child-health/immunization/providers/index.html

Idaho
www.healthandwelfare.idaho.gov/portal/alias__Rainbow/lang__en-US/tabID__3383/DesktopDefault.aspx

Illinois
www.idph.state.il.us/health/infect/reportdis.htm

Indiana
www.in.gov/isdh/publications/comm_dis_rule.pdf

Iowa
www.idph.state.ia.us/adper/immunization_programs.asp#surv_epi

Kansas
www.kdhe.state.ks.us/disease_reporting/index.html (contact)
www.kdheks.gov/epi/download/KANSAS_NOTIFIABLE_DISEASE_FORM.pdf (form)

Kentucky
www.chs.ky.gov/publichealth/reportable_diseases_2002-sum.htm

Louisiana
www.oph.dhh.state.la.us/infectiousdisease/reportdisease/index.html

Maine
www.maine.gov/dhhs/boh/ddc/disease_reporting.htm

Maryland
www.edcp.org/html/case_reports.html

Massachusetts
www.state.ma.us/dph/cdc/epii/reportable/reportable.htm

Michigan
www.mdch.state.mi.us/pha/epi/cded/report.htm

Minnesota
www.health.state.mn.us/divs/idepc/dtopics/reportable/index.html

Mississippi
www.msdh.state.ms.us/msdhsite/index.cfm/14,html (contact)
www.msdh.state.ms.us/msdhsite/index.cfm/14,877,194,pdf/
ReportableDiseaseList2.pdf
(form)

Missouri
www.dhss.mo.gov/CommunicableDisease/reportablediseaselist2.pdf

Montana
www.dphhs.state.mt.us/hpsd/pubheal/disease/commdis/qanda.htm

Nebraska
www.hhs.state.ne.us/cod/codreport.htm (contact)
www.hhs.state.ne.us/cod/HHS-9_(DC).pdf (form)

Nevada
health2k.state.nv.us/Epi/index.htm

New Hampshire
http://www.dhhs.state.nh.us/DHHS/CDCS/CONTACT+INFO/default.htm(form)

New Jersey
www.state.nj.us/health/cd/mdrepdis.pdf

New Mexico
sld.state.nm.us/lab/Documents/biological book.pdf (see page six)

New York
www.health.state.ny.us/nysdoh/cdc/cdcrept.pdf

North Carolina
www.epi.state.nc.us/epi/gcdc.html

North Dakota
www.health.state.nd.us/disease/Disease%20Reporting/ReportingMain.htm

Ohio
www.odh.state.oh.us/Resources/publications/IDCManual/dcmweb/pertus.PDF

Oklahoma
www.health.state.ok.us/program/cdd/reportable_disease.htm

Oregon
www.ohd.hr.state.or.us/acd/disrpt.cfm

Pennsylvania
www.dsf.health.state.pa.us/health/cwp/view.asp?a=171&q=199909

Puerto Rico
www.salud.gov.pr/

Rhode Island
www.health.ri.gov/disease/communicable/ [contacts]
www.health.ri.gov/disease/communicable/summarysheet.pdf [form]

South Carolina
www.dhec.sc.gov/health/disease/index.htm

South Dakota
www.state.sd.us/doh/Disease/report.htm

Tennessee
www2.state.tn.us/health/Downloads/ph-1600.pdf

Texas
www.dshs.state.tx.us/idcu/disease/pertussis/reporting/

Utah
www.health.state.ut.us/els/epidemiology/report.html

Vermont
www.state.vt.us/health/rptdisea.htm

Virginia
www.vdh.state.va.us/epi/epi1.pdf

Washington
www.doh.wa.gov/Notify/list.htm

West Virginia
www.wvdhhr.org/idep/default.asp#Disease%20%20Reporting

Wisconsin
www.dhfs.state.wi.us/dph_ops/localhealth/index.htm

Wyoming
wdhfs.state.wy.us/epiid/


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The information contained in the Pertussis.com Web site should not be used as a substitute for the medical care and advice of your health care provider. There may be variations in treatment that your health care provider may recommend based on individual facts and circumstances. Pertussis.com is an educational project by the National Association of Pediatric Nurse Practitioners (NAPNAP). Pertussis.com is made possible through an unrestricted educational grant from sanofi pasteur.