Thursday, 29 May 2014 22:38


Union County Health Department

940 London Ave, Suite 1100
Marysville, Ohio 43040
Telephone: (937) 642-2053 or toll free (888) 333-9461
Fax: (937) 642-1568

Lobby Hours: Mon. - Fri. 8:00 am - 4:00 pm

Staff Contact: 

Mary Salimbene - Epidemiologist
Phone: (937) 645-2062

Zach Colles - Epidemiologist
Phone: (937) 645-2056

For a full staff directory, click here.

To report a public health emergency, please call (937) 642-2053 during normal business hours. To report a public health emergency after hours, please contact the Union County Sheriff's Office Dispatch at (937) 645-4110. Dispatch will notify the on-call Union County Health Department staff person. 

Thursday, 29 May 2014 22:37


The Infectious Disease Reporting System (IDRS) allows for the online reporting of communicable diseases within Union County. The systems makes reporting, tracking and investigation of infectious disease cases easier and more convenient. This site is intended for use by physicians, healthcare facilities, hospitals, labratories, infection control personnel, and individuals diagnosing or suspecting a reportable infectious disease. 

IDRS allows for:

  • convenient & easy reporting of any required infectious disease case in Union County, 24/7
  • Enables active reporting and analysis of disease trends
  • Provides early identification of potential outbreaks and new trends in infectious disease
  • Enables timely case follow-up and public health interventions resulting in fewere secondary cases
Thursday, 29 May 2014 22:36

Alerts & Advisories

There are currently no alerts.

Thursday, 29 May 2014 22:36

A-Z Diseases



AAIDS (Acquired Immunodeficiency Syndrome) – see HIV/AIDS

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Botulism - Foodborne, Infant, Wound

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Chickenpox – See Varicella
Chlamydia trachomatis Infections
Creutzfeldt-Jakob Disease
Crimean-Congo Hemorrhagic Fever

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DDengue Fever

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EEbola Virus Disease
E. coli O157:H7 and Other Shiga Toxin-Producing E. coli
Eastern Equine Encephalitis Virus Disease (EEE)
Encephalitis, Arboviral – See individual chapters

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FFoodborne Disease Outbreaks

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Gonorrhea (Neisseria gonorrhoeae)

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HHaemophilus influenzae, Invasive Disease
Hansen Disease – See Leprosy
Hemolytic Uremic Syndrome (HUS) – See E. coli
Hepatitis A
Hepatitis B (including Delta Hepatitis)
Hepatitis B, Perinatal Exposure
Hepatitis C
Hepatitis E
Herpes Zoster (Shingles) – See Varicella
HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome)
HIV Exposure, Perinatal

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IInfluenza A Novel Virus Infection
Influenza-Associated Pediatric Mortality
Influenza-Associated Hospitalization

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LLaCrosse Virus Disease (LAC)
Lassa Fever
Leprosy (Hansen Disease)
Lyme Disease
Lymphocytic Choriomeningitis – See Meningitis, Aseptic

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Marburg Hemorragic Fever
Meningitis, Aseptic
Meningitis, Bacterial
Meningitis, Non-Bacterial – See Meningitis, Aseptic
Meningococcal Disease
Middle East Respiratory Syndrome (MERS)
Mycobacterial Disease, Other Than Tuberculosis

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OOutbreak, unusual incidence or epidemic of other infectious diseases from the following sources:
Community Outbreaks
Foodborne Outbreaks
Healthcare-Associated Outbreaks
Institutional Outbreaks
Waterborne Outbreaks
Zoonotic Outbreaks

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Pneumococcal Disease – See Streptococcus pneumoniae, Invasive Disease
Powassan Virus Disease (POW)

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QQ Fever

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Rubella, Acute
Rubella, Congenital

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Severe Acute Respiratory Syndrome (SARS)
Shingles (Herpes Zoster) – See Varicella
Spotted Fever Rickettsiosis, including Rocky Mountain Spotted Fever (RMSF)
St. Louis Encephalitis Virus Disease (SLE)
Staphylococcus aureus, Resistance or Intermediate Resistance to Vancomycin (VISA, VRSA)
Streptococcal Disease, Group A, Invasive
Streptococcal Disease, Group B, in Newborn
Streptococcal Toxic Shock Syndrome (STSS)
Streptococcus pneumoniae, Invasive Disease

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Toxic Shock Syndrome (TSS)
Typhoid Fever
Typhus Fever

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Any unexpected pattern of cases, deaths, or increased incidence of any other disease of major public health concern, because of the severity of disease or potential for epidemic spread, which may indicate a newly recognized infectious agent, an outbreak, epidemic, related public health hazard or act of bioterrorism.

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Viral Hemorrhagic Fever (VHF)

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WWaterborne Disease Outbreaks
West Nile Virus Infection (WNV)
Western Equine Encephalitis Virus Disease (WEE)

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YYellow Fever

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ZZika Virus

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Thursday, 29 May 2014 22:35

Disease Reporting

Report in 3 easy steps!

1Determine the reporting requirement for the disease using
one or more of the following tools:

2Complete a report form with all available information pertaining to the patient,
lab testing, provider and disease (click on each to expand option info):


Disease Specific Forms

CLASS A Diseases

All suspected or confirmed cases of class A reportable disease, bioterrorism event, or other infectious disease emergency must be reported IMMEDIATELY by phone as soon as knowledge or suspicion of a case exists.

  • What is a Class A Disease?
  • During business hours (8:00 a.m. - 5:00 p.m. Mon - Fri excluding holidays):
  • Call (937) 642-2053 and state you are reporting a Class A disease. You will be transferred to the appropriate health department personnel. 
  • After hours: Call (937) 645-4100. Tell the Union County Sheriff's Office dispatcher that you are calling to report a Class A disease. The dispatcher will take your contact information and your call will be returned shortly by health department personnel.

** To ensure accuracy of information left by phone, please fax a copy of the completed Ohio Confidential Reportable Disease Form

3After collecting all required information and completing the form, report the disease using one of the following options:

  • Ohio Confidential Reportable Disease Form is a generic form for most reportable diseases. This is a fillable pdf for completion and printing - the completed form cannot be saved electronically on most computers.
  • FAX: (937) 642-9725
  • CALL: (937) 642-2053
  • MAIL: Union County Health Dept, IDRS  |  940 London Ave, Suite 1100  |  Marysville, OH 43040
Thursday, 29 May 2014 22:34

Requirements & Guidelines

Reporting Requirements

Ohio Department of Health's Infectious Disease Reporting Requirements
A Quick Guide to Reportable Disease Classifications in Ohio


Diseases of major public health concern because of the severity of disease or potential for epidemic spread.

Reporting Requirement: Report by telephone immediately upon recognition that a case, a suspected case, or a positive laboratory result exists.

Class A Disease Listing

Anthrax Plague
Botulism, foodborne Rabies, human
Cholera Rubella (not congenital)
Diphtheria Severe acute respiratory syndrome (SARS)
Influenza A - novel virus Smallpox
Measles Tularemia
Meningococcal disease Viral hemorrhagic fever (VHF) 
Including Ebola, Lassa Fever, Marburg hemorrhagic fever, and Crimean-Congo hemorrhagic fever
MERS CoV Yellow fever
Any unexpected pattern of cases, suspected cases, deaths or increased incidence of any other disease of major public health concern, because of the severity of disease or potential for epidemic spread, which may indicate a newly recognized infectious agent, outbreak, epidemic, related public health hazard or act of bioterrorism.

Class B Diseases

Diseases of pubic health concern needing timely response because of potential for epidemic spread.

Reporting Requirement: Report by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known.

Class B Disease Listing

Arboviral neuroinvasive and non-neuroinvasive disease: Eastern equine, LaCrosse virus disease (other California serogroup virus disease), Powassan virus disease, St. Louis encphalitis virus disease, West Nile virus infection, Western equine encephalitis virus disease, Other arthropod-borne disease
Amebiasis Leprosy (Hansen disease)

Arboviral neuroinvasive and non-neuroinvasive disease (including: Chikungunya virus infectionEastern equine encephalitis virus disease LaCrosse virus disease (other California serogroup virus disease) • Powassan virus disease St. Louis encephalitis virus diseaseWest Nile virus infectionWestern equine encephalitis virus diseaseZika virus infection • Other arthropod-borne diseases)

Babesiosis Listeriosis
Botulism, infant Lyme disease
Botulism, wound Malaria
Brucellosis Meningitis, aseptic (viral)
Campylobacteriosis Meningitis, bacterial
Chancroid Mumps
Chlamydia trachomatis infections  Pertussis
Coccidioidomycosis Poliomyelitis (including vaccine-associated cases)
Creutzfeldt-Jakob disease (CJD) Psittacosis
Cryptosporidiosis Q fever
Cyclosporiasis Rubella (congenital)
Dengue Salmonellosis
E. coli O157:H7 & other enterohemorrhagic (shiga toxin-producing) E. coli Shigellosis
Ehrlichiosis/Anaplasmosis Spotted Fever Rickettsiosis, including Rocky Mountain spotted fever
Giardiasis Staphylococcus aureus, with resistance or intermediate resistance to Vancomycin (VRSA, VISA)
Gonococcal infections (urethritis, cervicitis, pelvic, inflammatory disase, pharyngitis, arthritis, endocarditis, meningitis and neonatal conjunctivitis) Streptococcal disease, group A, invasive (IGAS)
Haemophilus influenzae (invasive disease) Streptococcal disease, group B, in newborn
Hantavirus Streptococcal toxic shock syndrome (STSS)
Hemolytic uremic syndrome (HUS) Streptococcus pneumoniae, invasive disease (ISP)
Hepatitis A Syphilis
Hepatitis B, non-perinatal Tetanus
Hepatitis B, perinatal Toxic Shock Syndrome (TSS)
Hepatitis C Trichinosis
Hepatitis D (delta hepatitis) Tuberculosis, including multi-drug resistant tuberculosis (MDR-TB)
Hepatitis E Typhoid fever
Influenza-associated hospitalization Varicella
Influenza-associated pediatric mortality Vibriosis
Legionnaires' disease Yersiniosis

Class C Diseases

Outbreaks, unusual incidence, or epidemics (e.g., histoplasmosis, pediculosis, scabies, staphylococcal infections)

Reporting Requirement: Report an outbreak, unusual incidence, or epidemic  by the end of the next business day.


Community Healthcare-associated Waterborne
Foodborne Institutional Zoonotic

Guidelines & Manuals

CDC STD Guidelines and Recommendations
Ohio Infectious Disease Control Manual (IDCM)


Find general reporting forms and instructions on the Reports page.

For a specific disease-related form, explore our comprehensive Disease page.





Friday, 18 April 2014 19:44

Tobacco Prevention

tobacco billboard

Local Tobacco Cessation Services

Local tobacco cessation services are available through various mechanisms in Union County, Ohio.

  1. If you are pregnant and a Union County resident, the Union County Health Department can help you quit smoking. Services include visits with a Certified Tobacco Treatment Specialist at least once a trimester and once after the baby is born. We offer carbon monoxide testing to help you reach your goal. Our cessation services are available to both parents. For more information, please contact Susie Knox at  or 937-642-2053. 
  2. If you are employed with health benefits, you are encouraged to seek cessation services through your employer (Affordable Care Act mandates cessation services be offered and covered through insurance.).
  3. If you are uninsured, please contact the Ohio Quitline at 1-800-QUIT NOW.
  4. Memorial Hospital (Marysville, Oh) provides community cessation group classes at least three times per year for a minimal fee. Please contact Rebecca Wilder at or via phone at 937-578-2755.