Communicable Diseases

Communicable Diseases

Here at Barren River District Health Department we have a communicable disease team (CD team) that is a foundational part of Kentucky’s core public health services. This team works to monitor the occurrence of infectious diseases, develop strategies for preventing disease, and works to control the spread of disease within the community. CD team members provide consultations to the healthcare community, community partners, and the public for over 70 reportable diseases, which are required to be reported by Kentucky law. The CD team utilizes reports, investigations, and disease surveillance to identify cases and outbreaks; these tools are used to aid the CD team in the control of reportable diseases.

The CD team also provides case management for individuals with active tuberculosis (TB) disease, which includes direct observed therapy and contact investigation. The CD team holds monthly TB clinics, provides management for latent TB infection, and assesses all recently immigrated individuals for TB disease from other counties; Dr. Douglas Thomas is our Chief TB Control Officer.

Barren River District Health Department provides staff to assist your agency with
Kentucky Reportable Disease issues:

For reportable/communicable disease issues on the weekend or holidays that cannot wait until the next business day call: 270-781-8039 (press 3 to report).

For reportable/communicable disease issues during regular business hours call (270) 781-8039. See Communicable Disease Team page for staff extensions.

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Tuberculosis Resources

Click the links below to view.

Click the links below to view full documents

Communicable Disease Team

Barren River District Health Department provides staff to assist your agency with
Kentucky Reportable Disease issues:
 
For reportable/communicable disease issues on the weekend or holidays that cannot wait until the next business day call: 270-781-8039 (press 3 to report)
 
For reportable/communicable disease issues during regular business hours call (270) 781-8039. See Communicable Disease Team staff extensions below.

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Bethany Kinney, RN, Communicable Disease Team Leader EXT 183
Susan Rice, RN, TB Coordinator EXT 190
Debbie Montgomery, Community Outreach Worker EXT 111
Kristian Caudill, RN EXT 166
Saul Sanchez, RN EXT 141
Tina Loy, RN (part-time) EXT 196
India Martinez, MPH District Epidemiologist EXT 105
Jessica Wright EXT 172
Secure FAX:270-796-8946

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Disease Information

The mission of Barren River District’s Communicable Disease Team (CD Team) is to prevent and control the spread of disease within the community.

Obligation to Report—902 KAR 2:020 requires health professionals to report the following diseases to the local health department or district serving the jurisdiction in which the patient resides or to the Kentucky Department for Public Health (KDPH).

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To report a disease on this list, please contact a member of our communicable disease team above.

Disease or Condition
(click on title for more disease information, causes, prevention measures, etc.)		Additional Information / ResourcesCDC Recommended Testing
(click for complete CDC testing recommendations and case definition)		Report Within
Acute flaccid myelitis (AFM)KDPH AFM QuicksheetMRI5 days
Anaplasmosis Culture, PCR, IFA5 days
Anthrax Culture, PCR, IHC24 hours
Arboviral Diseases, neuroinvasive and non-neuroinvasive:
California serogroup virus diseases:
– California encephalitis virus
– Jamestown Canyon virus
– Keystone virus
– La Crosse virus
– Snowshoe hare virus
– Trivittatus viruses
Chikungunya Virus
Eastern Equine Encephalitis
Powassan Virus
 St. Louis Encephalitis
 Venezuelan equine encephalitis disease
West Nile Viruses
Western Equine Encephalitis		 Isolation, PCR1 day
Asbestosis  3 months of diagnosis
Babesiosis Culture, PCR, NAAT5 days
Botulism Isolation and identification24 hours
Brucellosis Culture and identification, PCR1 day
CampylobacteriosisCampylobacter Fact SheetIsolation, PCR1 day
Candida aurisUse EPID 250 and fax to 502-398-2462Detection24 hours
Carbapenem-resistant AcinetobacterUse EPID 250 and fax to 502-398-2462 24 hours
Carbapenem-resistant EnterobacteralesUse EPID 250 and fax to 502-398-2462Isolation24 hours
Carbapenem-resistant PseudomonasUse EPID 250 and fax to 502-398-2462 24 hours
Carbon Monoxide Poisoning COHb level1 day
Chancroid Isolation5 days
Chlamydia Detection, Isolation5 days
Cholera Culture1 day
Coal Worker’s Pneumoconioses  3 months of diagnosis
Coccidioidomycosis Culture, EIA, Serology5 days
Creutzfeldt-Jakob Disease (Transmissible Spongiform Encephalopathy (TSE) and other prion diseases) WB confirmed protease-resistant PrP5 days
Cronobacter spp, invasive disease in an infant <12 months of age  24 hours
CryptosporidiosisKDPH Cryptosporidium Fact SheetPCR, EIA, DFA, Microscopy1 day
CyclosporiasisKDPH Cyclospora Fact Sheet PCR, Microscopy1 day
Dengue Virus Infections Culture, PCR, IHC, or IFA1 day
DiphtheriaKDPH Diptheria QuicksheetIsolation and identification24 hours
E. coli 0157:H7,Shiga toxin positive (STEC) Isolation and identification24 hours
Ehrlichiosis Culture, PCR, IFA5 days
Foodborne / Waterborne Disease Outbreak  1 day
GiardiasisKDPH Giardia Fact SheetEIA, DFA, Microscopy1 day
Gonorrhea Isolation, PCR5 days
Granuloma inguinale  5 days
Haemophilus Influenza, Invasive DiseaseKDPH Invasive Haemophilis Influenzae QuicksheetIsolation and identification, PCR1 day
Hantavirus Infection, Non-Hantavirus Pulmonary Syndrome PCR, ELISA, IFA, Western blot1 day
Hantavirus pulmonary syndrome (HPS) Detection1 day
Hemolytic Uremia Syndrome (HUS), post-diarrheal Anemia with microangiopathic on peripheral blood smear AND Renal injury1 day
Hepatitis A, acute IgM, NAAT24 hours
Hepatitis B, acute HBsAg AND IgM antibody1 day
Hepatitis B, infant or child aged two years or lessUse EPID 394 formHBsAg AND IgM antibody1 day
Newborns born to Hepatitis B positive mothers at the time of delivery1 day
Hepatitis B, perinatal infectionUse EPID 394 formHBsAg, HBeAg, HBV DNA1 day
Hepatitis C, acute HCV antibody, HCV RNA5 days
Hepatitis C, infant or child aged three years or lessUse EPID 394 formHCV antibody, HCV RNA5 days
Histoplasmosis Culture, Serology, PCR5 days
HIV Infection or AIDS diagnosisReport case by phone 1-866-510-0008 or mail (Do not fax) 5 days
Influenza – associated outbreaks/mortalityKDPH Influenza Quicksheet 1 day
Invasive Pneumococcal Disease (IPD)KDPH IPD QuicksheetIsolation1 day
Lead poisoning Blood lead concentration of ≥5 µg/dL (0.24 µmol/L)5 days
Legionellosis Culture, IFA, DFA1 day
Leprosy / Hansen’s Disease Detection1 day
Leptospirosis Isolation, PCR1 day
ListeriosisListeria Fact SheetIsolation1 day
Lymphogranuloma venereum  5 days
Lyme Disease Isolation, NAAT5 days
Newborns born to Hepatitis C positive mothers at the time of delivery  5 days
Norovirus outbreakKDPH Norovirus Resources 1 day
Novel influenza A virus infectionsKDPH Avian and Novel Influenza QuicksheetPCR, subtyping24 hours
Malaria RDT5 days
MeaslesKDPH Measles QuicksheetIsolation, PCR, IgM24 hours
Melioidosis Isolation, DNA, IHA24 hours
Meningococcal DiseaseKDPH Meningococcal QuicksheetCulture, PCR24 hours
Middle East Respiratory Syndrome associated Coronavirus (MERS-CoV) disease rRT-PCR24 hours
Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with SARS-CoV-2 Infection Detection5 Days
MumpsKDPH Mumps QuicksheetCulture, PCR1 day
PertussisKDPH Pertussis QuicksheetIsolation, PCR1 day
Pesticide-related illness, acute  1 day
Plague Isolation, Serology24 hours
Poliovirus, Paralytic Poliomyelitis and Nonparalytic Poliovirus InfectionKDPH Polio QuicksheetCulture, PCR24 hours
Psittacosis Isolation, PCR, CF, MIF, Serology1 day
Q Fever Culture, PCR, IHC, Serology1 day
Rabies, animal Isolation, DFA, dRIT, IHC, RR-PCR24 hours
Rabies, human Isolation, DFA, RNA24 hours
RubellaKDPH Rubella QuicksheetIsolation, PCR, Serology24 hours
Rubella, congenital syndrome (CRS)KDPH CRS QuicksheetIsolation, Detection, PCR, IgM antibody1 day
SalmonellosisSalmonella Fact SheetIsolation, CIDT1 day
Severe Acute Respiratory Syndrome-associated Coronavirus (SARS-CoV) Isolation, PCR, EIA24 hours
Severe Acute Respiratory Syndrome-associated Coronavirus 2 (SARS-CoV-2) (The virus that causes COVID-19) Isolation, PCR, EIA24 hours (only mortality reportable in <18, OR pregnant/postpartum)
Shiga toxin-producing E.coli (STEC)Shiga Toxin Producing E.coli (STEC) Fact SheetIsolation1 day
ShigellosisKDPH Shigella Fact SheetIsolation, PCR1 day
Silicosis Chest radiograph, Lung histopathology3 months
Smallpox CDC Only24 hours
Spotted Fever Rickettsiosis (Rocky Mountain Spotted Fever) Isolation, PCR, IHC, IFA5 days
Streptococcal disease, invasive Group A Isolation1 day
Streptococcal Toxic Shock Syndrome (STSS) Isolation and Clinical diagnosis1 day
Streptococcus pneumoniae, invasive disease Identification, Isolation1 day
Syphilis – primary, secondary, early latent, or congential Microscopy, PCR1 day
TetanusKDPH Tetanus QuicksheetClinical diagnosis1 day
Toxic Shock Syndrome (TSS), other than Streptococcal Culture and Clinical diagnosis1 day
Toxoplasmosis PCR, Serology5 days
Trichinellosis Serology5 days
Tuberculosis Isolation, NAAT1 day
Tularemia Isolation, PCR, ELISA, Serology24 hours
Typhoid/Paratyphoid Fever Isolation1 day
Vancomycin-intermediate Staphylococcus Aureus and Vancomycin-resistant Staphylococcus Aureus (VISA/VRSA)Use EPID 250 and fax to 502-398-2462Isolation24 hours
Varicella/Chickenpox

KDPH Varicella Quicksheet


KDPH Zoster (Shingles) Quicksheet

Isolation, PCR, DFA, Serology1 day
Vibrio (Vibrionaceae spp., other than Vibrio cholerae O1 or O139)Vibrio Fact SheetIsolation1 day
Viral Hemorrhagic Fever (VHF):
Crimean-Congo hemorrhagic fever,
Ebola,
Lassa fever,
Lujo fever,
Marburg,
New World arenaviruses including:
Guanarito virus, Junin virus, Machupo virus, and Sabia virus		 Isolation, PCR, ELISA IHC and Clinical diagnosis24 hours
Yellow Fever Isolation, PCR, Serology24 hours
Zika Virus Disease Detection1 day

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Resources
Kentucky Administrative Regulations—902 KAR 2:020. Reportable disease surveillance
Kentucky Department for Public Health—Division of Epidemiologist and Health Planning
School Health Disease Defender Toolkit

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Respiratory Illness Resources:
Respiratory Virus Guidance
Viral Respiratory Pathogens Toolkit for Nursing Homes

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EPID Forms
EPID 200 – Kentucky Reportable Disease Form
EPID 250 – Kentucky Reportable MDRO Form
EPID 394 – Kentucky Reportable Disease Form, Hepatitis Infection in Pregnant Women or Child

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