Public Health Alerts, Advisories and Updates
Advisories
Public health information that is specific to an incident or situation. Information contains recommendations or actionable items. Advisory information may not require immediate attention.
10.1.25 NC Division of Public Health New World Screwworm Myiasis – Recommendations for Clinicians
The purpose of this memo, in light of the ongoing outbreak of New World screwworm (NWS) in Central America and Mexico and risk of introduction into the U.S., is to increase awareness and understanding of NWS myiasis among NC clinicians. It provides guidance for the diagnosis and management of suspect cases.
9.18.25 NC Division of Public Health 2025-2026 Interim Guidance for the Management of Healthcare Personnel with Acute Respiratory Viral Infections
The NC Division of Public Health provides interim guidance for the upcoming respiratory season concerning the management of healthcare personnel with acute respiratory viral infections.
6.26.25 NC Division of Public Health First 2025 Measles Case in North Carolina
Prompt recognition, reporting, and investigation of measles cases is important because spread of the disease can be limited with early case identification and vaccination or quarantine of susceptible contacts. This memo intends to provide reminders to NC clinicians about measles reporting, testing, and vaccination.
Alerts
Public health information that is vital, time sensitive and specific to an incident or situation. Information posted here warrants immediate action or attention.
Updates
Updated public health information specific to an incident or situation. Information posted here is unlikely to require immediate action.
Below are links to additional public health alerts, advisories and updates as well communicable disease prevention information and resources you need.
CDC Health Alert Network (HAN)
NC Division of Public Health Program Alerts and Provider Memos
Communicable Disease Resources
Communicable Disease Reporting
- What communicable diseases must be reported?
- Who must report communicable diseases?
- Physicians, school administrators and child care operators, medical facilities and operators of restaurants and other food or drink establishments (G.S. § 130A-135 through 130A-139) must report cases or suspected cases of reportable diseases to their local health department.
- How do you report communicable diseases in Wake County?
- Report communicable diseases to Wake County Public Health Communicable Disease Surveillance Team
Call: 919-250-4462
Fax: 919-743-4905-
Non-urgent reports. Non urgent reports can be made outside of normal business hours, on weekends or holidays by leaving a message on the Communicable Disease Line, 919-250-4462. Please provide a contact name and number for the CD Nurse to call you back the following business day. This number is checked during weekends and holidays at 9 a.m., 1 p.m. and 5 p.m.
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Urgent reports. Should you need to alert us of an immediate Public Health threat, specifically as it relates to suspicion or confirmation of the conditions or events noted below, the Emergency CD Line 919-250-1217 will be answered immediately or will return your call within 15 minutes:
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Novel and/or highly infectious diseases (measles, mumps, Ebola, Middle Eastern Respiratory Syndrome)
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Biologic toxins, hazardous chemicals or mass casualties
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- Report communicable diseases to Wake County Public Health Communicable Disease Surveillance Team
Confidential Communicable Disease Report Form - Part 1 (fillable form and instructions)
North Carolina Communicable Disease Report Forms
NC Communicable Disease Manual. North Carolina Reportable Diseases and Conditions, Reporting Forms, Case Definitions and more.
Resources by Topic
Animal Bites/Human Rabies Exposure Resources
- Rabies Resources for the Medical Professional
- Wake County Animal and Rabies Control Ordinances
- Educational Materials
- Stop Rabies (English)
- Stop Rabies (Spanish)
- Be Safe Around Dogs ( A coloring book for children and parents; English and Spanish)
Candida auris
Candida auris
Centers for Disease Control and Prevention
Candida auris: Information for Laboratorians and Health Professionals
Centers for Disease Control and Prevention
Emerging Infectious Diseases: Candida auris
Webinar, Statewide Program for Infection Control & Epidemiology
COVID-19
HIV/AIDS/STDs
STD Assessment, Prevention and Treatment Protocols – NC DHHS
HIV and STD Community Program – Wake County Health & Human Services
HIV Clinic – Wake County Health & Human Services
STD and HIV Testing
Wake County Health & Human Services
HIV/AIDS/STD Program contact information:
Call: 919-250-4717
Fax: 919-212-7400
Immunizations
Immunizations and Foreign Travel
Call: 919-250-3900
Immunization Outreach & NC Immunization Registry
Call: 919-250-4518
Influenza
Influenza information, surveillance data, information for health care providers (NC DHHS)
Social media resources:
What to do about the flu social posts (English)
What to do about the flu social posts (en español)
Measles
CDC Clinical Overview of Measles
NCDHHS Measles Resources for Healthcare Providers
Wake County HHS Measles Guide 2025
Monkeypox
Norovirus
Long Term Care Facilities
- Gastrointestinal/Norovirus Letter for Long Term Care and Independent Living Facilities
- Gastrointestinal Illness in Long Term Care Facilities Checklist
- More resources:
- Contact Precautions (CDC)
- Control Measures for Suspected Norovirus Outbreaks NC Public Health Recommendations for Long Term Care Facilities NC DHHS, Division of Public Health
- EPA: Selected EPA-Registered Disinfectants
- HSP Employee Illness Action Chart Wake County Environmental Health and Safety
- Line List Template-Wake County Communicable Disease Program
- Norovirus Illness General Information and Clean-Up and Disinfection for Norovirus ("Stomach Bug") NC DHHS, Division of Public Health
- Norovirus Outbreak Management in Food Service Establishments NC DHHS, Division of Public Health
- Outbreak Notification Sign (fillable form)
- Regional Infection Prevention Support Team NCDHHS Division of Public Health
- Stop the Spread of Foodborne Illness (English) (Spanish) Wake County Environmental Safety and Health
- Vomit and Diarrhea Clean-up Plan (English) (Spanish) NCDHHS, Division of Public Health, Food Protection and Facilities
- Wake County Communicable Disease Nurse Long Term Care Facility Assignments Wake County Communicable Disease Program
Training
Opioid/Drug Overdose
- Opioid Crisis (NCDHHS)
- Wake County Drug Overdose Prevention Coalition (WCHHS)
- Know What's In Your Drugs: TRANQ/Xylazine (NCDHHS). Flyer includes tips for healthcare providers.
Refugee Health
Call: 919-250-3894
Syphilis
Tickborne Illness
Tuberculosis
- Frequently Asked Questions about TB Skin Testing and Reporting (WCHHS)
- TB Skin Testing Guidelines (NC TB Policy Manual)
- NC TB Statistics (NC DHHS)
- CDC TB Statistics (Centers for Disease Control and Prevention)
- Educational Materials for Patients (NC DHHS)
- Educational Materials for Patients (WCHHS)
- Wake County Tuberculosis Control team contact information: Call: 919-250-1228 or 919-212-9508
Zika Virus
- Arboviruses: Information for Health Care Providers (NC DPH)
- Zika Virus (NCDPH)
- Zika Virus Fact Sheet (WCHHS) - English
- Zika Virus Fact Sheet (WCHHS) - en Español