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Reporting of Communicable Diseases
The public health system depends upon the reporting of diseases to monitor the health of the community and to guide preventive actions.  Michigan law requires that physicians, laboratories, infection control practitioners, and other health care providers promptly report certain diagnosed and/or suspected communicable diseases to the local public health agency.  The law also provides the authority for public health departments to investigate cases of reportable diseases and assigns them the responsibility of protecting the health of the public by implementing measures to control spread of these infections.
Reportable Diseases in Michigan www.michigan.gov/documents/Reportable_Diseases_Chart_136393_7.pdf provides a list of the diseases currently required to be reported.  This list includes several diseases and conditions added in November 2004 through the enactment of an Emergency Rule.

Why report?  We depend on you to let us know what is happening on the front lines in the health community.  We appreciate and depend on your expertise in diagnosis and treatment.  Your reports help us to:

  • Identify outbreaks and epidemics
  • Provide for preventive treatment and/or education
  • Identify care needs, target prevention programs, and allocate scarce resources
  • Evaluate the success of long-term control efforts
  • Contribute to research to uncover preventable causes of disease
  • Assist with national and international surveillance and preparedness activities
  • Comply with Michigan’s Public Health Code

The following documents will provide you with more information.

The Health Care Professional’s Guide to the Michigan Communicable Disease Rules

Michigan HIV Law

CDC Sexually Transmitted Diseases Treatment Guidelines 2006

To report a communicable disease, notify your local county office of District Health Department #10.  You will be provided with a confidential fax number if needed.  By law your report must include:

  • Patient’s full name, date of birth, age, & gender
  • Patient’s residential address & telephone number
  • Name of the disease, infection, or condition
  • Estimated date of onset
  • Mane & address of the reporting person and/or laboratory
  • Pertinent lab tests, date performed, & results
  • Any other information deemed to be related to protecting the health of the public

Laboratory Testing

The Michigan Department of Community Health Bureau of Laboratories www.michigan.gov/mdchlab accepts clinical specimens sent from health care providers for testing of many communicable diseases that affect public health.  Specimen collection kits and requisitions can be ordered from MDCH. For information on ordering supplies, pathogen specific testing, specimen requirements, shipping instructions, and the most up-to-date requisitions, visit the MDCH Lab web site.

Michigan Disease Surveillance System (MDSS)

Michigan Disease Surveillance System (MDSS) www.michigan.gov/mdch/mdss is a web-based communicable disease reporting system developed for the state of Michigan to provide for the secure transfer and analysis of infectious disease information.  It enables public health epidemiologists to quickly identify and track emerging infections, and it facilitates investigation of local outbreaks.

Why use MDSS?
  • It fulfills communicable disease reporting requirements
  • It provides a single point of access for reporting
  • Reports are automatically routed to the correct Local Health Department for follow-up.
  • It provides reporter access to case follow-up information for cases reported.
Contact your local office of District Health Department #10 for more information.
Michigan Care Improvement Registry (MCIR)
Michigan Care Improvement Registry (MCIR) www.mcir.org is an electronic statewide immunization registry that is accessible to both private and public providers.  Through the careful tracking of immunizations provided by health care providers, MCIR strives to reduce the occurrence of vaccine-preventable illnesses.
The goal for the Registry is to improve the overall health of the citizens of Michigan by insuring widespread utilization of immunizations to target vaccine preventable illnesses, including: 
  • Pertussis (whooping cough)
  • Polio
  • Measles (rubeola or hard measles)
  • Mumps
  • Rubella (German measles)
  • Haemophilus Influenzae Type B (Hib)
  • Hepatitis B
  • Tetanus (lockjaw)
  • Diphtheria
  • Chickenpox (Varicella)
  • Influenza
  • Pneumococcal disease 
These are all potentially serious diseases which can be prevented through the use of timely immunization.
Recommended schedules for immunizations include:
2008 Recommended Immunization Schedule for Persons Aged 0-6Years
2008 Recommended Immunization Schedule for Persons Aged 7-18 Years
2008 Catch-up Immunization Schedule for Persons Aged 4 Months-18 Years
Adult Immunization Schedule
Healthcare Personnel Vaccination Recommendations July 2008
Busy practices have found that MCIR can assist them in the challenges of assessing ever-changing and complex immunization requirements and schedules involving different vaccine manufacturers and combination vaccines.  MCIR can also help you manage your vaccine supply, and assist with reporting requirements.  For more information, please contact your regional office at 1-888-217-3904.
Visit the Michigan Department of Community Health web site for more information on immunizations.
Influenza Vaccination
ACIP Provisional Recommendations for the Prevention and Control of Influenza, March 2008
ACIP Prevention and Control of Influenza, August 2008 (MMRW lg file)
http://www.michigan.gov/documents/mdch/MMWR_ACIP_Recs_July_13_2007_202812_7.pdf
ACIP Vaccines for Children (VFC) Program: Influenza Vaccines, February 2008
Influenza Vaccination: A Summary of Clinicians, January 2008

Michigan Health Alert Network (MIHAN)

Michigan Health Alert Network (MIHAN) www.michigan.gov/mdch/han is a secure Internet-based emergency alert notification system that provides health alert messages to registered users.  Users may specify several methods of contact, including e-mail and phone.  Alerts are distributed according to a role-based directory of local health departments, hospitals, clinics, and other critical first responders across Michigan.  For more information, contact the Project Coordinator through an e-mail link on the state web site above.
PROVIDER UPDATES
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