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The Infectious Diseases & Outbreaks Division's mission is to protect the residents of Alabama and prevent illness by monitoring and investigating  infectious (e.g., Salmonella, influenza, and hepatitis), zoonotic (e.g., rabies, spotted fever rickettsiosis, and West Nile fever), and environmental (e.g., Legionnaires's disease, chemical and toxin) diseases, conditions, and exposures.

Infectious Diseases & Outbreaks News

Notifiable Disease Rules Highlights Effective 12/31/14


  • Minimum data element reported by all reporters now includes patient's race, ethnicity, payor source, and the reporter's facility.
  • Laboratories are required to report electronically to ID&O and must include test method and result reference range.
  • Report Immediate, Extremely Urgent (4 hours) and Immediate, Urgent (24 hours) disease when "presumptive" diagnosed, not confirmed.
  • ALTs must be reported with all acute hepatitis reports.
  • Reporters cannot assume or delegate laboratories to report for them.


  • Standard Notification diseases must be reported in 5 days, instead of 7 days.
  • Only report acute hepatitis B and C cases
  • E. coli, shiga-toxin producing (STEC), legionellosis, and hemolytic syndrome moved to 24-hour notification category.
  • Arboviral disease must include any resulted test, because negative labs help classify the case.


  • Histoplasmosis
  • Encephalitis, viral
  • Toxic shock syndrome

Infectious Diseases & Outbreaks Fast Fact Flyers

These flyers are easy to read and generally one-page education for students, parents, and patients to learn more about notifiable diseases, outbreaks, and cases of public health importance.

Bed Bugs



Outbreak Investigation Actions

C. diff

PFOS and Fish Consumption Advisory

Psittacosis Flyer

Childcare Exclusion Supplement

Rabies Flow Chart

E. Coli

Rabies Prophylaxis

Enterovirus D68 (EV-D68)

Rabies Prophylaxis Providers

Enterovirus D68 (EV-D68) Spanish

Reduce Mosquitoes 

Food Cross Contamination 


Hand, Foot, and Mouth Disease


Head Lice




Influenza in People and Pigs  


Keep Bats Out

Specimen - General Public New!


Specimen - Healthcare Provider New!

Lymphocytic Choriomeningitis Virus 

Stop Dog Bites

Meningococcal Disease and Vaccine 

Tickborne Diseases



Additional Resources

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