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Babesiosis Case Report Form

At its 2010 Annual Meeting, the Council of State and Territorial Epidemiologists (CSTE) recommended that babesiosis be added to the list of nationally notifiable conditions and that states and territories conduct surveillance using the national case definition. On January 1, 2011, babesiosis became a nationally notifiable condition.

For cases of babesiosis that have been identified and reported through the National Notifiable Diseases Surveillance System, states are also encouraged to submit additional information using OMB-approved CDC Case Report Forms (CRFs). The Babesiosis CRF [PDF, 2 pages, 650 KB] includes variables that routine electronic reporting does not, such as risk factors for infection, clinical manifestations, and laboratory results. If a state-specific form is already used to collect such information, the supplemental details may be submitted to CDC in lieu of a CRF.

For more information regarding babesiosis surveillance or assistance in completing the form, please call the Parasitic Diseases Branch at 404-718-4745 or email Completed forms (or other supplemental information) may be submitted to CDC in any of the following ways:

Form: Babesiosis Case Report Form [PDF, 2 pages, 650 KB]

More on: Babesiosis

More on: Council of State and Territorial Epidemiologists

More on: List of Nationally Notifiable Conditions, June 2010

More on: Mortality and Morbidity Weekly Report, CDC