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Communicable Disease Services

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Local Health Departments are required by law to investigate and follow-up all suspected or confirmed communicable diseases or conditions. In North Carolina, there are 66 reportable diseases or conditions for which investigation and follow-up are required. 

Investigation and follow-up includes:

  • Identifying the source of the infection, if possible
  • Implementing control measures to prevent the spread of infection
  • Assuring adequate treatment of persons with infection to minimize spread

Testing for TB, required by many employers, is available at the Health Department by appointment. Testing is free for persons who are contacts to active TB cases, symptomatic, and/or HIV positive. For others, the cost is $17.00. 

The Health Department also provides treatment and follow-up for persons with TB infection or disease. Included in the follow-up is contact tracing of persons identified as having been exposed to an infectious TB case.  Medications to treat TB are provided at no charge. For more information on tuberculosis, including a link to the North Carolina TB Policy Manual, go to


The diseases in BOLD are diseases that can largely be prevented through immunization. Many of the vaccines to prevent these diseases are available at the Health Department (see Immunizations). 

Following immunizations, the most effective way to prevent transmission of communicable diseases is adequate handwashing

Reportable diseases are:

AIDS Monkeypox  
Anthrax* Mumps
Botulism NGU (other than lab-confirmed chlamydia)
Brucellosis Pelvic inflammatory disease
Campylobacter Plague
Cholera Polio
Chlamydia Psittacosis
Cryptosporidiosis Q fever
Cyclosporiasis Rabies (human)
Dengue Rocky Mountain Spotted Fever
Diptheria Rubella
E-coli shiga toxin-producing infection Salmonellosis
Ebola (Viral hemorrhagic fever)el Virus del Ebola SARS
Ehrlichiosis Shigellosis
Encephalitis (arboviral) Smallpox*
Foodborne disease Staph Aureus reduced susceptibility to vancomycin
Gonorrhea Streptococcal infection; group A, invasive disease
Hantavirus Syphilis
Hemolytic uremic syndrome TB (Tuberculosis)
Hemophilus influenza invasive disease Tetanus
Hepatitis A Toxic Shock Syndrome
Hepatitis B Toxoplasmosis (congenital)
Hepatitis C, acute Transmissible Spongiform Encephalopathies (CJD/vCJD)
HIV Trichinosis
Influenza death (< 18 year old) Typhoid
Legionellosis Typhus
Leprosy Tularemia
Leptospirosis Vaccinia*
Listeriosis Vibrio Illness
Lyme disease Yellow Fever
Lymphogranuloma Venereum Whooping Cough (Pertussis)
Malaria  Zika
Meningitis, pneumococcal  
Meningococcal disease  

*Vaccine use primarily restricted to military personnel

For more information on Communicable Diseases, go to the CDC website at or call our team of Communicable Disease Nurses at (919) 245-2400. To report communicable diseases, call (919) 245-2400 or fax the information to (919) 644-3373.