Infectious Disease Reporting

[ Report Immediately by Telephone | Phone Reporting]

• Yellow Card
  The MDH "Yellow Card" is used to report cases of most reportable infectious diseases in Minnesota residents to the Minnesota Department of Health.

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• ABCs Case Report Form
  The Active Bacterial Core Surveillance (ABCs) Case Report Form is used to report invasive bacterial disease caused by group A streptococcus, group B streptococcus, Haemophilus influenzae, Neisseria meningitidisor Streptococcus pneumoniae.
• Arboviral Disease Case Report Form
  This form can be used to report chikungunya virus disease, Eastern equine encephalitis, Jamestown Canyon virus disease, La Crosse encephalitis, Powassan virus disease, St. Louis encephalitis, West Nile virus, Western equine encephalitis, yellow fever, Zika virus disease and other arboviral diseases.
• Blastomycosis Report Forms
  The Blastomycosis report forms are used to report blastomycosis in humans or canines.
   
• Chlamydia and Gonorrhea Report Form
  The Minnesota Chlamydia and Gonorrhea Report Form is used to report lab confirmed cases of chlamydia or gonorrhea in Minnesota residents to the Minnesota Department of Health.
• Enteric (Foodborne) Disease Reporting Form
  The Enteric Disease Reporting Form can be used to report amebiasis, cryptosporidiosis, E. coli infection, giardiasis, listeriosis, salmonellosis, shigellosis, trichinosis, or yersiniosis.
• HIV/AIDS Confidential Case Report Forms 
  These forms are used to report cases of HIV/AIDS in Minnesota residents.
• Legionellosis Case Report Form
  This form is used to report Legionellosis (Legionella spp.).
• Malaria Case Report Form
  This form can be used to report Malaria (Plasmodium spp.) to the Minnesota Department of Health. Please report all patients (symptomatic or asymptomatic) who test positive for Plasmodium species.
• Methicillin-resistant Staphylococcus aureus (MRSA) Infection Case Report Form
  This form is used for sentinel surveillance reporting of Invasive Methicillin-resistant Staphylococcus aureus in Hennepin and Ramsey Counties.
• Mumps Reporting Form
  This form can be used to report mumps.
• Neonatal Sepsis Surveillance Forms
  There are two forms that form can be used to report neonatal sepsis.
• Pertussis Reporting Form
  This form can be used to report pertussis pertussis (Bordatella pertussis - whooping cough).
• Severe Group A Streptococcus (GAS) Infection
  This form is used to report all invasive cases of GAS, and should be sent to MDH with the ABCs Case Report Form.
• Staphylococcus aureus (Rapidly Fatal or Serious Community-associated) Infection Case Report Form
  This is the reporting form for rapidly fatal or serious community-associated Staphylococcus aureus (serious staph) infection.
• Syphilis Report Form
  The Minnesota Confidential Syphilis Report Form is used to report lab confirmed cases of syphilis in Minnesota residents to the Minnesota Department of Health.
• Tickborne Disease Case Report Form
  This form can be used to report anaplasmosis, babesiosis, ehrlichiosis, Lyme disease, and spotted fever rickettsiosis (including typhus).
• Toxic Shock Syndrome (TSS) Case Report Form
  This is the reporting form for Toxic Shock Syndrome.
• Toxoplasmosis Case Report Form
  This is the form for health professionals to report Toxoplasmosis.
• Vancomycin Intermediate and Vancomycin Resistant Staphylococcus aureus (VISA/VRSA) Case Report Form
  This is the reporting form for VISA/VRSA.
• Reporting Varicella (Chickenpox)
  This is reporting for varicella (chickenpox) to the Minnesota Department of Health.

• Health care practitioners (health care facilities, medical laboratories, and in certain circumstances veterinarians and veterinary medical laboratories) are required to report disease to the Minnesota Department of Health (MDH) under Minnesota state law.
  • Unless previously reported, every licensed health care provider who provides care to any patient who has, is suspected of having, or has died from a reportable disease is required to report.
• Any person in charge of any institution, school, child care facility, or camp is also required to report disease to MDH.