Our message to healthcare providers is to report cases quickly, not to wait for confirmatory laboratory testing or complete evaluation of all clinical findings.

Though we have a reasonably good system for reporting communicable diseases …. we have a great need to emphasize obligations to report “suspect” cases and “unusual occurrence” of disease in the community.

We must constantly remind physicians of where to report;

In Allegheny County the notification is well known… outside the county this may not be the case …