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Conditions Reportable to Public Health in Alaska: What Must Be Reported


To report Public Health Emergencies call (907) 269-8000
or after hours (800) 478-0084

Public Health Emergencies

The following are public health emergencies. If you suspect or diagnose a disease which is a public health emergency, immediately call 1-907-269-8000 during business hours or 1-800-478-0084 after hours.

  • Anthrax
  • Botulism
  • Diphtheria
  • Hemorrhagic fever
  • Measles
  • Meningococcal invasive disease
  • Paralytic shellfish poisoning
  • Plague
  • Poliomyelitis
  • Rabies
  • Rubella
  • Severe acute respiratory syndrome (SARS)
  • Smallpox
  • Suspected novel strains of influenza virus
  • Tetanus
  • Tularemia

An unusual number or clustering of diseases or other conditions of public health importance

Elevated Blood Lead

Health care providers and laboratories are required to report all blood lead levels to the Section of Epidemiology and include the patient's date of birth, sex, race, and community of residence, as well as the provider's name. Reporting of levels 5 µg/dL or higher in children aged <18 years and levels 10 µg/dL or higher for adults ≥18 years of age is required within 1 week of receiving the result. All other levels are required within 4 weeks of receiving the result. Reports may be made may be made by mail, FAX, or by calling the RTR System. The report form is available at:

Firearm Injuries

Hospitals and health care providers are required to report all injuries caused by a firearm to the Division of Public Health. A Firearm Injury Report must be made within 5 working days of the date of diagnosis. Firearm injuries may be reported by FAX, or by calling the RTR System.


Hospitals, physicians, surgeons, and other health care facilities and practicioners are required to report cases of cancer (except for basal or squamous cell skin cancer and cervical cancer in-situ) to the Division of Public Health. Cancer must be reported within 6 months of the date of diagnosis.

Cancer cases should be reported to the Alaska Cancer Registry, a functional component of the Section of Epidemiology. Hospitals and other health care facilities should report using the information and instructions in the booklet "Procedural Manual for Reporting Sources" available from the Section of Epidemiology. Copies may be obtained by calling 1-907-269-8000.

Physicians and other health care practicioners should report cases that will not be seen at an Alaska hospital or who obtain evaluation or treatment in another state. The information on the report form should be sent to the Alaska Cancer Registry by FAX or mail. The RTR Sytem is not used to report cancer.

Birth Defects

Physicians, hospitals, and other health care facilities and providers must report children from birth up to 6 years of age who have been diagnosed with or treated for any of the birth defects listed below (7 AAC 27.012). Reports should be submitted within three months of diagnosis or treatment. The RTR system is not used to report birth defects. Information should be entered on a Birth Defects Reporting Form and submitted to the Alaska Birth Defects Registry (ABDR). Please fill one form out for each child being reported. Use the most specific ICD-9 codes available and write out a diagnosis description, along with the diagnosis date.

The ICD-9 code and written diagnosis should be specific. For example, if appropriate you would report a child as having "sickle cell anemia" with an ICD-9 code of 282.60. For this child, do not write "hereditary anemia" with ICD-9 code 282, as such a report is not a specific diagnosis.

If you have never reported before, the ABDR staff can answer any questions you may have. If you have a large number of reports, contact the ABDR to discuss an alternate method of reporting. Completed reports should be mailed or faxed to:

Alaska Birth Defects Registry
3601 C Street, Suite 358
P O Box 240249
Anchorage, Alaska 99524-0249
Fax: (907) 269-3493
Phone: (907) 269-8097

Please include the suite number when mailing.

Reportable Birth Defects
ICD-9 Code Condition
237.7-237.72 Neurofibromatosis
243 Congenital hypothyroidism
255.2 Adrenogenital disorders
270.0-270.9 Amino acid metabolic disorders
271.0-271.1 Glycogenosis and galactosemia
277.0-277.9 Other and unspecified disorders of metabolism
279.0-279.9 Disorders involving the immune mechanism
282.0-282.9 Hereditary hemolytic anemias
284.0 Constitutional aplastic anemia
331.3-331.9 Other cerebral degenerations
334.0-334.9 Spinocerebellar disease
335.0-335.9 Anterior horn cell disease
343.0-343.9 Infantile cerebral palsy
359.0-359.9 Muscular dystrophies and other myopathies
362.74 Pigmentary retinal dystrophy
389.0-389.9 Hearing loss: conductive, senorineural and combined
740.0-740.2 Anencephalus and similar anomalies
741.0-741.9 Spina bifida
742.0-742.9 Other congenital anomalies of nervous system
743.0-743.9 Congenital anomalies of eye
744.0-744.9 Congenital anomalies of ear, face, and neck
745.0-745.9 Bulbus cordis anomalies and anomalies of cardiac septal closure
746.0-746.9 Other congenital anomalies of heart
747.0-747.9 Other congenital anomalies of the circulatory system
748.0-748.9 Congenital anomalies of respiratory system
749.0-749.25 Cleft palate and cleft lip
750.0-750.9 Other congenital anomalies of upper alimentary tract
751.0-751.9 Other congential anomalies of digestive system
752.0-752.9 Congenital anomalies of genital organs
753.0-753.9 Congenital anomalies of urinary system
754.0-754.89 Certain congential musculoskeletal deformities
755.0-755.9 Other congenital anomalies of limbs
756.0-756.9 Other congential musculoskeletal anomalies
757.0-757.9 Congenital anomalies of the integument
758.0-758.9 Chromosomal anomalies
759.0-759.9 Other and unspecified congenital anomalies
760.0-760.9 Fetus or newborn affected by maternal conditions which may be unrelated to present pregnancy
760.71 Alcohol affecting fetus via placenta or breast milk; including Fetal alcohol syndrome

Other Reportable Conditions

Health care providers are required to report two other conditions to the Division of Public Health:

  • Diseases which are known or suspected to be related to environmental exposure to a toxic substance; and
  • Diseases which are known or suspected to be due to a person's occupation.

Reports should be made to the Section of Epidemiology by telephone during regular business hours. After hours, if a health care provider considers the situation to represent a public health emergency, the report should be made by calling 1-800-478-0084.

Conditions Reportable Overview

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