A healthcare worker takes the temperature of a female patient wearing a mask

Back to Basics Training Guide

The resources in this guide will help you identity, test for, report, and care for patients with Special Pathogens.

Identifying and Testing for Special Pathogens

What qualifies as a reportable disease or condition?

Not sure if the disease or condition you’re treating must be reported? The resource below lists the nearly 100 mandated reportable diseases and conditions for Los Angeles County, as well as required forms, and instructions on where, how, and what to report.

Every health care provider is responsible for reporting suspected cases of certain diseases to certain health authorities, depending on the suspected pathogen involved and the circumstances. 

Required reporting methods also vary by disease, but usually include some combination of:

  • Immediate telephone call
  • Within 1 day by email
  • Within 7 days by fax, email, phone, or mail

Different pathogens have different protocols.

In addition to reporting methods and requirements, the testing and patient care requirements for suspected cases also vary by pathogen. 

Guidance for clinical laboratories on testing needed for assessment and care of patients at risk of Ebola Virus Disease

Overview of molecular and serology tests for Middle East Respiratory Syndrome Coronavirus (MERS)

General information on monkeypox disease including signs and symptoms, transmission, prevention, and treatment; testing; and how to receive the vaccine

Overview of the viral tests for SARS-CoV-2 and their intended uses

If you need to send samples to the Public Health department in LA County, use this form.

Guidance for PPE in the Workplace

If your employees wear PPE in the workplace, California requires you to have a respiratory program in place. Starting and Managing a Respiratory Program in California

California has also adopted standards (the Cal/OSHA ATD standard) to help protect employees from certain airborne infections due to their work activities.

Transporting Special Pathogen Patients in Emergency Medical Services

Screening Calls

This screening tool for medical dispatch centers includes pre-arrival instructions for EMS providers who are responding to patients with a possible emerging infectious disease. It also lists countries under public health surveillance for responders to reference. 

Assessing and Transporting Patients

This easy-to-read flowchart shows the process for determining a patient’s risk level for Ebola Virus Disease during pre-hospital care and gives guidelines on how to transfer them safely to an appropriate facility. 

Preparing for Special Pathogen Cases

Drills and exercises can help ensure that your facility is prepared to respond effectively in the event of a special pathogen outbreak. NETEC has prepared the following exercise templates that follow ASPR guidelines to help with training at your facility.

Handling special pathogen cases requires special attention to waste management. Follow guidelines for safely handling, inactivating, transporting, and disposing of Category A infectious waste.

Related Resources

911 Provider LA County Ebola Patient Assessment Transport Guidance

PDF of an easy-to-read chart with guidelines for assessing and transporting patients with possible Ebola Virus Disease (EVD).
Region: Los Angeles County
Source: LAC EMS Agency
Updated: Oct. 17, 2022

Monkeypox in LA County

What to do if you think you have Monkeypox. How to get tested and vaccinated.
Region: Los Angeles County
Source: LACDPH
Updated: Aug. 02, 2022

Testing Overview for SARS-CoV-2

Regularly updated overview of SARS-CoV-2 tests and their administration in the United States.
Region: United States
Source: CDC
Updated: Jun. 15, 2022

Testing Overview for SARS-CoV-2

Regularly updated overview of SARS-CoV-2 tests and their administration in the United States.
Region: United States
Source: LAC EMS Agency
Updated: Jun. 15, 2022

Planning Guidance for Category A Waste

How to safely handle, inactivate, transport, and dispose of Category A infectious waste.
Region: United States
Source: US DOT
Updated: Jun. 10, 2022

Guidance for collection, transport and submission of specimens for Ebola Virus Disease testing

Information, protocols, and standards from the CDC for the collection, transport, and submission of specimens for Ebola virus testing.
Region: United States
Source: CDC
Updated: Apr. 01, 2022

LA County DPH Reportable Infectious Diseases and Conditions

Chart with of all mandated reportable diseases and conditions for Los Angeles County, required forms, and instructions on where, how, and what to report
Region: Los Angeles County
Source: LACDPH
Updated: Feb. 28, 2022

LA County EID Dispatch Screening Tool

PDF of a flowchart to assist medical dispatch when screening calls.
Region: Los Angeles County
Source: LAC EMS Agency
Updated: Mar. 10, 2021

California Aerosol Transmissible Disease (ATD) Guide

Assists employers with understanding and meeting the requirements of the Cal/OSHA Aerosol Transmissible Diseases standards. Details cover effective written safety plans, personal protective equipment (PPE) and employee training.

Region: California
Source: Cal OSHA
Updated: Apr. 01, 2020

Laboratory Testing for MERS

CDC’s overview of laboratory testing for Middle East Respiratory Syndrome Coronavirus.
Region: United States
Source: CDC
Updated: Aug. 02, 2019

MERS lab specimen guidelines

Guidelines for collecting, handling, and testing clinical specimens from patients under investigation for Middle East Respiratory Syndrome (MERS) coronavirus.
Region: Los Angeles County
Source: CDC
Updated: Jun. 01, 2015

MERS lab specimen guidelines

Guidelines for collecting, handling, and testing clinical specimens from patients under investigation for Middle East Respiratory Syndrome (MERS) coronavirus.
Region: Los Angeles County
Source: LACDPHL
Updated: Jun. 01, 2015

How to send samples to the LA County Department of Public Health Lab

Instructions on how to send specimens to the Los Angeles County Public Health Laboratory.
Region: Los Angeles County
Source: LACDPHL

Exercise Templates

ASPR- and CDC-approved exercise content and material based on the HSEEP model and related to assessing, treating and managing Ebola virus disease and other special pathogen patients.
Region: United States
Source: NETEC