Alabama Department of Public Health 
Alabama Emergency Response Technology (ALERT) 
Health Alert Network (HAN) 
October 23, 2026
Notifiable Disease Rules Updated List of Reportable Conditions, Effective 11/14/2026 

The Alabama Department of Public Health, Bureau of Communicable Disease, has updated the Notifiable Disease Rules (Chapter 420-4-1), Appendices I-III.

The changes affect healthcare provider and laboratory reporting, in addition to requirements for sending clinical materials to the state public health laboratory for confirmatory testing and further characterization.

Healthcare providers and laboratories are required to report the following conditions within 24 hours:

• Candida auris infections and colonization
• Carbapenemase-Producing Organism infections and colonization among Acinetobacter baumannii, Pseudomonas aeruginosa, and any organism from the Enterobacterales order, including but not limited to, Escherichia coli, Enterobacter species, and Klebsiella 

Healthcare providers will report using the ADPH REPORT Card and laboratories via an Electronic Laboratory Report (ELR).

For laboratories only:

• Alpha-gal syndrome, including serum or plasma immunoglobulin E specific alpha-gal ≥ 0.1 IU/mL or ≥ 0.1 kU/L, must be reported via ELR within 24 hours.
• Submit isolates of Staphylococcus aureus that are Vancomycin-intermediate (VISA) and Vancomycin-resistant (VRSA) to the state lab for confirmatory testing. 
• Submit isolates of Carbapenem-Resistant Enterobacterales (CRE), Carbapenem-Resistant Acinetobacter baumannii (CRAB), and Carbapenem-Resistant Pseudomonas aeruginosa (CRPA) to the state lab for further testing.

If you have any questions, contact the Bureau of Communicable Disease, Infectious Diseases & Outbreaks Division at 1-800-338-8374. To schedule a 1-hour Notifiable Disease Continuing Education Training for you and your staff to review the changes, go to alabamapublichealth.gov/infectiousdiseases or call 1-800-338-8374.