DETECT Notifiable Diseases

The DETECT (Decrease Epidemiological Threats with Environmental Controls and Testing), TEST (Take Epidemiological Specimens Today), and REPORT (Rules for Every Provider and Organization to Report on Time) or DTR Notifiable Diseases awareness campaign emphasizes different disease control actions needed to reduce the impact of Alabama's reportable diseases and create a robust notifiable disease system.

DETECT Notifiable Diseases involves surveillance, investigation, and recommendations for reportable diseases. Public health surveillance is the ongoing, systematic collection (i.e., reported by providers or electronic lab systems), analysis, interpretation, and dissemination of data about a health-related event to reduce morbidity and mortality and to improve health. Public health recommendations are given to stop the transmission and to prevent further disease in the population.

DETECT Education Resources

• To learn about the new Notifiable Diseases Rules effective 9/30/2020, request the free on-site DTR CEU Program conducted by Infectious Diseases & Outbreaks District Investigators.
• Download the updated DTR Flyer as reference and to share with other reporters.

Below are the Alabama Notifiable Diseases and a link to basic information about each disease.

Immediate, Extremely Urgent Disease/Condition

(Notify ADPH within 4 hours of presumptive diagnosis)

• Anthrax, Human
• Botulism (Foodborne, Infant, Wound)
• Plague
• Poliomyelitis, paralytic
• SARS-associated Coronavirus (SARS-CoV)
• Smallpox
• Tularemia
• Viral hemorrhagic fever
• Cases related to nuclear, biological, or chemical terroristic agents*

Immediate, Urgent Disease/Condition

(Notify ADPH within 24 hours of presumptive diagnosis)

• Brucellosis
• Cholera
• Coronavirus Disease (COVID-19) from providers and all Severe Acute Respiratory Syndrome-associated Coronavirus (SARS-CoV2) test results from laboratories
• Diphtheria
• E. coli, shiga-toxin producing (STEC)
• Haemophilus influenzae, invasive disease¹
• Hemolytic uremic syndrome (HUS), post-diarrheal
• Hepatitis A, including ALT</
• Legionellosis
• Measles
• Meningococcal disease¹
• Novel influenza A virus (i.e., potential new strain)
• Pertussis
• Poliovirus infection, nonparalytic
• Rabies, human and animal
• Rubella
• Tuberculosis
• Typhoid fever
• Yellow fever
• Outbreaks of any kind
• Cases of potential public health importance²

Standard Notification Disease/Condition

(Notify ADPH within 5 days of diagnosis, unless otherwise noted)

• Acute Flaccid Myelitis
• Anaplasmosis
• Arboviral diseases (in addition to those listed)
• Babesiosis
• California encephalitis
• Campylobacteriosis
• Chancroid
• Chikungunya
• Chlamydia trachomatis
• Coccidiodomycosis
• Cryptosporidiosis
• Cyclosporiasis
• Dengue
• Eastern equine encephalitis
• Ehrlichiosis
• Giardiasis
• Gonorrhea
• Hansen's disease (Leprosy)
• Hantavirus Pulmonary Syndrome
• Hepatitis B, C, and other viral (acute only), including ALT
• HIV (including asymptomatic infection, AIDS, CD4 counts and viral load)
• Influenza-associated deaths
• Jamestown Canyon virus
• Keystone virus
• La Crosse virus
• Lead, exposure screening test results
• Leptospirosis
• Listeriosis
• Lyme disease
• Malaria
• Mumps
• Perinatal Hepatitis B
• Perinatal HIV exposure (<18 months of age)
• Powassan virus
• Psittacosis
• Q Fever
• Salmonellosis (including paratyphoid fever)
• Shigellosis
• Snowshoe Hare virus
• Spotted Fever Rickettsiosis
• Staphylococcus aureus, Vancomycin-intermediate (VISA) and Vancomycin-resistant (VRSA)
• St. Louis encephalitis
• Streptococcus pneumoniae, invasive disease¹
• Syphilis
• Tetanus
• Toxic Shock Syndrome (non-Strep)
• Trichinellosis (Trichinosis)
• Trivittatus viruses
• Varicella
• Vibriosis
• West Nile
• Western equine encephalitis
• Zika

Terroristic Agents = Select Agents and Toxins List

¹ Detection from a normally sterile body site, please see Alabama Notifiable Disease Rules, Chapter 420-4-1 for complete details.

² As determined by the reporting provider.

³ Asthma discharge data reporting is limited to hospitals, please see Alabama Notifiable Disease Rules, Chapter 420-4-1 for complete details.