Standard Case Definition of Immediately and Weekly Reportable Diseases/

Conditions to be used in the health centers and hospitals.

I. Immediately Reportable
No Disease/ Standard Case Definition
condition Suspected Confirmed
Any child under 15 years of age with acute flaccid paralysis (AFP) or any
Acute Flaccid A suspected case with wild poliovirus
1 person with paralytic illness at any age in whom the clinician suspects
Paralysis isolation in stool.
poliomyelitis.
Any person with acute onset characterized by several clinical forms which
are:
(a) localized form:
 coetaneous: skin lesion evolving over 1 to 6 days from a popular
through a vesicular stage, to a depressed black eschar invariably
accompanied by edema that may be mild to extensive
(b) systemic forms:
A suspected case that is laboratory-
 gastro-intestinal: abdominal distress characterized by nausea,
confirmed with ELISA or Western blot,
2 Anthrax vomiting, anorexia and followed by fever
toxin detection, chromatography assay,
 pulmonary (inhalation): brief prodrome resembling acute viral
fluorescent antibody test
respiratory illness, followed by rapid onset of hypoxia, dyspnoea
and high temperature, with X-ray evidence of mediastinal widening
 meningeal: acute onset of high fever possibly with convulsions,
loss of consciousness, meningeal signs and symptoms; commonly
noted in all systemic infections
And has an epidemiological link to confirmed or suspected animal
cases or contaminated animal products.
 Any person presenting with unexplained acute lower respiratory illness
0
with fever (>38 C ) and cough , shortness of breath or difficulty of
breathing. And one or more of the following exposures in the 7 days prior
symptom onset.
a. Close contact (within 1 meter) with a person (e.g. caring for, speaking
with, or touching) who is a suspected, probable, or confirmed H5N1
case;
b. Exposure (e.g. handling, slaughtering, defeathering, butchering, A person meeting the criteria for a
Avian Human preparation for consumption) to poultry or wild birds or their remains or suspected case and positive results in a
3
Influenza to environments contaminated by their feces in an area where H5N1 national and regional influenza
infections in animals or humans have been suspected or confirmed in laboratory.
the last month;
c. Consumption of raw or undercooked poultry products in an area
where H5N1 infections in animals or humans have been suspected or
confirmed in the last month;
d. Close contact with a confirmed H5N1 infected animal other than
poultry or wild birds;
e. Handling samples (animal or human)

 In a patient age 5 years or more, with severe dehydration or death

A suspected case in which Vibrio
from acute watery diarrhea.
4 Cholera cholerae O1 or O139 has been isolated
 If there is a cholera epidemic, a suspected case is any person age 5
in the stool.
years or more with acute watery diarrhea, with or without vomiting.

An individual exhibiting a skin lesion or lesions with emergence of one or

Dracunculiasis /
5 more Guinea worm (each individual should be counted only once in a
Guinea worm
calendar year)

A suspected case with laboratory

Any person with fever and maculopapular (non-vesicular) generalized rash
confirmation (positive IgM antibody) or
6 Measles and cough, coryza or conjunctivitis (red eyes) OR any person in whom a
epidemiological link to confirmed cases
clinician suspects measles.
in an epidemic.

Any newborn with a normal ability to suck and cry during the first two days
rd th
7 Neonatal Tetanus of life, and who, between the 3 and 28 day of age, cannot suck normally,
and becomes stiff or has convulsions or both
 A person with acute febrile respiratory illness: fever, cough, sore throat,
Pandemic An individual with laboratory confirmed
shortness of breath, difficulty in breathing or chest pains) with onset:
8 Influenza A new influenza A(H1N1) virus infection
• within 7 days of close contact with a person who is a confirmed case of
(H1N1) by real-time RT-PCR
the new influenza A (H1N1) virus infection

A person bitten by suspected rabid dog and presented with fever, ,

9 Rabies A suspected case confirmed by lab.
nausea, vomiting, agitation, pharyngeal spasms (hydrophobia/ aerophobia)

0
An illness with acute onset of fever > 38 C followed by a rash
A suspected case with laboratory
10 Smallpox characterized by vesicles or firm pustules in the same stage of
confirmed
development without other apparent cause.
0
Any person with history of fever, or documented fever > 38 C AND
 One or more symptoms of lower respiratory tract illness (Cough,
difficulty of breathing, shortness of breath) And
Severe Acute
 Radiographic evidence of lung infiltrates consistent with pneumonia or A suspected case whose tests positive
11 Respiratory
autopsy findings consistent with pathology of pneumonia or ARDS for SARS-Cov (cell culture)
Syndrome (SARS)
(Acute Respiratory Distress Syndrome) without an identifiable cause
And
 NO alternative diagnosis can fully explain the illness.

Illness with onset of fever and not showing improvement to treatments of A suspected case with laboratory
Viral Hemorrhagic usual causes of fever in the area, and at least one of the following signs: confirmation (positive IgM antibody or
12
Fever (VHF) bloody diarrhea, bleeding from gums, bleeding into skin (purpura), viral isolation), or epidemiologic link to
bleeding into eyes and urine. confirmed cases or epidemic.

A suspected case with laboratory

A person with acute onset of fever followed by jaundice within two weeks
confirmation (positive IgM antibody or
13 Yellow fever of onset of first symptoms. Hemorrhagic manifestations and renal failure
viral isolation) or epidemiologic link to
may occur
confirmed cases or epidemics.

The death of a woman while pregnant or within 42 days of the end of

pregnancy (irrespective of duration and site of pregnancy), from any cause
14 Maternal Death
related to or aggravated by the pregnancy or its management but not from
accidental or incidental causes

A death of a fetus born after 28 completed weeks of gestation or neonatal

15 Prenatal Death
deaths through the first 28 completed days after birth``
II. Weekly Reportable
Suspected case with stool culture
1. Dysentery A person with diarrhea with visible blood in stool.
positive for Shigella dysentariae 1.

A suspected case confirmed by

Any person with fever or fever with headache, rigor, back pain, chills,
2. Malaria microscopy or RDT for plasmodium
sweats, myalgia, nausea, and vomiting diagnosed clinically as malaria.
parasites.

0 0
Any person with sudden onset of fever (>38.5 C rectal or 38 C axillary)
A suspected case confirmed by isolation
3. Meningitis and one of the following signs: neck stiffness, altered consciousness or
of N. meningitis from CSF or blood
other meningeal sign.

Any person presented with an abrupt onset of rigors with fever, usually A suspected case with demonstration of
4. Relapsing fever
remittent, headache, arthralgia and myalgia, dry cough, epistaxis Borrelia in peripheral blood film

 A suspected case with Widal test,

“o” titer of 1/160 and more, is very
Any person with gradual onset of remittent fever (rising in step ladder suggestive,
st
5. Typhoid fever fashion) in the 1 week, headache, arthralgia, anorexia, constipation and  A suspected case with positive
st
abdominal pain. blood culture at the 1 week or
rd th
positive stool culture at 3 , 4 and
th
5 week of illness is very definitive

A suspected case with Weil-Felix

Any person with an abrupt onset of headache, chills and rapidly mounting reaction of the proteus strain OX-19 with
6. Typhus fever, malaise, prostration and rash. fourfold rise in titer, or a single titer
equal to or greater than 320 in the
second week of illnesses.

Children with MUAC less than 11.5cm

Children age from 6 months to 5 years with MUAC less than 11.5cm
7. Malnutrition and/or children with bilateral oedema
and/or children with bilateral oedema regardless of their MUAC
regardless of their MUAC
 A person who has a skin scraping in
A person with signs and symptoms consistent with scabies (persistent
which mites, mite eggs or mite feces
8. Scabies pruritic rash and itching).
have been identified by a trained health
care professional.

NOTE:

 Any unusual occurrences, outbreaks, clusters of illnesses that may indicate public health hazards should also be reported
immediately. To report any outbreak or unusual public events call national public health emergency center at EHNRI, using a
free of charge telephone number 971.
 Suspected COVID-19 should be report to the Rapid Response Team or call 8335 if you have seen a patient with: -
o Acute respiratory illness (fever AND at least one sign/symptoms of respiratory diseases e.g. cough, shortness of breath), regardless of
a history of a history of travel, residencies and contact to a confirmed or probable cases; OR
o Sever acute respiratory illness (fever AND at least one sign/symptoms of respiratory diseases e.g. cough, shortness of breath; AND
requiring hospitalization) and in the absence of an alternative diagnosis that fully explains the clinical presentation. OR
o Death from unknown cause.