Ala. Admin. Code r. 420-4-1-A1
Immediate, Extremely Urgent Disease/Condition – Report to the County or State Health Department by telephone within 4 hours of presumptive diagnosis or clinical suspicion
| Anthrax, human | Smallpox |
| Botulism Brucellosis Plague Poliomyelitis, paralytic Severe Acute Respiratory Syndrome-associated Coronavirus (SARS-CoV) disease | Tularemia Viral hemorrhagic fever Cases related to nuclear, biological, or chemical terroristic agents |
Immediate, Urgent Disease/Condition – Report to the County or State Health Department by electronic means as specified by the Department or by telephone within 24 hours of presumptive diagnosis
| COVID-19 infection in congregate living facilities | Measles (rubeola) | Rabies, human and animal |
| Diphtheria | Meningococcal disease | Rubella |
| Haemophilus influenzae, invasive disease1 | (Neisseria meningitidis)1 | Tuberculosis disease, active |
| Hemolytic uremic syndrome (HUS), post-diarrhea1 | Novel influenza A virus infection (i.e., potential new strain | Typhoid fever |
| Hepatitis A, including ALT | Pertussis | Outbreaks of any kind |
| Legionellosis | Poliovirus infection, nonparalytic | Cases of potential public health importance |
Standard Disease/Condition – Report to the County or State Health Department by electronic means as specified by the Department within 3 days of diagnosis, unless otherwise noted
| Acute flaccid myelitis | Hepatitis B, C, and D (Acute only and with associated ALTs) | Salmonellosis |
| Anaplasmosis | HIV infection* (including asymptomatic infection, AIDS, CD4 counts, and viral loads) | Shigellosis |
| Arboviral disease | Influenza-associated pediatric deaths | Spotted Fever Rickettsiosis |
| Babesiosis | Lead, all blood results | Staphylococcus aureus, Vancomycin-intermediate (VISA) and Vancomycin– resistant (VRSA) |
| Birth defects2 | Listeriosis1 | Streptococcus pneumoniae, invasive disease1 |
| Campylobacteriosis | Lyme disease | Syphilis* |
| Chancroid* | Malaria | Tetanus |
| Chlamydia trachomatis* | Mumps | Trichinellosis (Trichinosis) |
| Cholera | Perinatal hepatitis B & C | Tuberculosis infection, latent |
| Coccidioidomycosis | Perinatal HIV Exposure (<18 months of age) | Varicella |
| Cryptosporidiosis | Primary amebic meningoencephalitis | Yellow fever |
| Cyclosporiasis | Q Fever | Zika virus |
| Dengue | ||
| E.coli, shiga toxin- producing (STEC) | ||
| Ehrlichiosis | ||
| Gonorrhea* | ||
| Hansen’s disease (Leprosy) |
*Designated Sexually Transmitted Diseases by the State Board of Health
1 Detection of organism from a normally sterile body site (e.g., blood, cerebrospinal fluid, or,
less commonly, joint, pleural, or pericardial fluid)
2 Reportable within 30 days of diagnosis or associated laboratory test
State Health Department Telephone Numbers:
Bureau of Clinical Laboratories 334-290-6130 (24-hour coverage)
Infectious Diseases & Outbreaks Division 334-206-5971 or 1-800-338-8374 (24-hour
coverage), FAX: 334-206-3734
Office of HIV Prevention & Care 334-206-5364 or 1-800-344-1153
Division of Immunization 334-206-5023 or 1-800-469-4599
Division of Sexually Transmitted Diseases 334-206-5350
Division of Tuberculosis Control 334-206-5330
Author: Sherri L. Davidson, Ph.D, M.P.H.
Statutory Authority: Code of Ala. 1975, §22-11A-1.
History: Repealed and New Rule: Published February 29, 2024; effective April 14, 2024.