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Notification Forms

Notification Form

This is the form to be used by a medical practitioner when notifying an infectious disease to a Medical Officer of Health. This is a writable form.

Infectious disease outbreak reporting form

File Size: (861kB)

Core dataset for Sexually Transmitted Infections (STIs) notification by clinicans

File Size: (95kB)
Publication Date: 9th July 2014

Enhanced Surveillance and Investigative Forms

These surveillance forms are for use by Health Care Professionals and relate to specific infectious diseases where enhanced surveillance is undertaken.

  • Acute Flaccid Paralysis (AFP)
  • Avian Influenza
  • Bacterial Meningitis / Meningococcal Disease
  • Chickenpox (Varicella)
  • COVID-19
  • Cryptosporidiosis
  • EARS-Net Enhanced Bacteraemia Surveillance

  • Gastroenteritis
  • Gonorrhoea
  • Haemophilus influenzae
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • HIV
  • Humanitarian Aid Workers going to VHF-affected areas
  • Infectious intestinal disease (IID)
  • Influenza
  • Legionellosis
  • Leptospirosis
  • Listeriosis
  • Lymphogranuloma Venereum
  • Malaria
  • Measles
  • Mpox
  • Mumps 
  • Outbreaks
  • Pertussis
  • Plague
  • Pneumococcal Disease (invasive)
  • Rubella
  • Salmonellosis
  • Shigella
  • Streptococcus group A (invasive)
  • Syphilis
  • Tetanus
  • Tuberculosis
  • Varicella (Chickenpox)
  • Verotoxigenic Escherichia coli (VTEC)
  • Zika virus infection

Last updated: 22 January 2024

Notifiable Diseases

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  • Who to notify
  • List of Notifiable Diseases
  • Disease Data
  • Weekly ID Reports
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  • Case Definitions
  • How we handle your data
  • Notification Forms
  • Resources

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Publications

  • Weekly Evidence Surveillance Digest May 9 2025 9 May 2025
  • HIV, Mpox & Sexually Transmitted Infections trends in Ireland, 30/12/2024 - 03/05/2025 8 May 2025
  • Integrated Respiratory Virus Bulletin Week 18, 2025 08 May 2025
  • National SARS-CoV-2 Wastewater Surveillance Programme Report - Week 18 2025 08/05/2025

News

  • Health advice and vaccination requirements for Hajj and Umrah pilgrims prior to travel to the Kingdom of Saudi Arabia 6 May 2025
  • Raising tick awareness 1 May 2025
  • Norovirus levels remain high in Ireland 28 April 2025
  • HSE warns of danger of wild birds - Don’t touch sick or dead wild birds 14 April 2025

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