Reporting of cases by health care practitioners and health care facilities - 28 Pa. Code § 27.21a

The following diseases, infections and conditions must be reported by a health care practitioner or facility upon initial discovery in the course of treating or examining a patient:

• Within 24 hours of identification of symptoms, appearance or a diagnosis:
  • Animal bite;
  • Anthrax;
  • Arboviruses;
  • Botulism;
  • Cholera;
  • Diphtheria;
  • Enterohemorrhagic E. coli;
  • Food poisoning outbreak;
  • Haemophilus influenzae invasive disease;
  • Hantavirus pulmonary syndrome;
  • Hemorrhagic fever;
  • Lead poisoning*;
  • Legionellosis;
  • Measles (rubeola);
  • Meningococcal invasive disease;
  • Plague;
  • Poliomyelitis;
  • Rabies;
  • Smallpox; and
  • Typhoid fever.
• Within five work days after identification of symptoms, appearance or a diagnosis:
  • AIDS*;
    • Need only be reported by physicians and hospitals
  • Amebiasis;
  • Brucellosis;
  • CD4 T-lymphocyte test result with a count of less than 200 cells/µL or a CD4 T lymphocyte percentage of less than 14% of total lymphocytes*;
  • Campylobacteriosis;
  • Cancer*;
    • Need only be reported if the practitioner or facility provides screening, therapy or diagnostic services to cancer patients; reporting by such facility or practitioner must be in accordance with regulations on reporting cancer
  • Chancroid;
  • Chickenpox (varicella);
  • Chlamydia trachomatis infections;
    • Reportable only if the disease is confirmed by laboratory evidence
  • Congential adrenal hyperplasia (CAH) in children under 5 years of age*;
  • Creutzfeldt-Jakob Disease;
  • Cryptosporidiosis;
  • Encephalitis;
  • Galactosemia in children under 5 years of age*;
  • Giardiasis;
  • Gonococcal infections;
  • Granuloma inguinale;
  • Guillain-Barre syndrome;
  • HIV (Human Immunodeficiency Virus)*;
  • Hepatitis, viral, acute and chronic cases;
  • Histoplasmosis;
  • Influenza
    • Reportable only if the disease is confirmed by laboratory evidence
  • Leprosy (Hansen’s disease);
  • Leptospirosis;
  • Listeriosis;
  • Lyme disease;
  • Lymphogranuloma venereum;
  • Malaria;
  • Maple syrup urine disease (MSUD) in children under 5 years of age*;
  • Meningitis;
  • Mumps;
  • Perinatal exposure of a newborn to HIV*;
  • Pertussis (whooping cough);
  • Phenylketonuria (PKU) in children under 5 years of age*;
  • Primary congenital hypothyroidism in children under 5 years of age*;
  • Psittacosis (ornithosis);
  • Rickettsial diseases;
  • Rubella (German measles) and congenital rubella syndrome;
  • Salmonellosis;
  • Shigellosis;
  • Sickle cell disease in children under 5 years of age*;
  • Staphylococcus aureus, Vancomycin-resistant (or intermediate) invasive disease;
  • Streptococcal invasive disease (group A);
  • Streptococcus pneumoniae, drug-resistant invasive disease;
  • Syphilis (all stages);
  • Tetanus;
  • Toxic shock syndrome;
  • Toxoplasmosis;
  • Trichinosis;
  • Tuberculosis, suspected or confirmed active disease (all sites); and
  • Tularemia.

Unless otherwise indicated, the health practitioner or facility must report the disease, infection or condition to the Local Morbidity Reporting Office serving the area within the designated time frame. 

Note: All diseases, infections and conditions marked with an asterisk (*) must be reported by a health care practitioner or facility upon discovery, but may be subject to different reporting requirements than the others listed under certain circumstances.