Community Health Nursing Practice Exam

Which entity must be notified first when identifying a communicable disease for investigation?

1. Centers for Disease Control (CDC)

2. State health department

3. Local health department

4. National Reported Disease list

The correct answer is: Local health department

The local health department is typically the first entity that must be notified when identifying a communicable disease for investigation. Local health departments are responsible for monitoring public health conditions within specific communities and are positioned to respond swiftly to communicable disease reports. They have the authority and resources to initiate investigations, provide guidance, and implement control measures. When a communicable disease is identified, prompt reporting to the local health department ensures that any immediate risks to public health can be addressed. This entity also collates data and coordinates with state health departments and federal agencies, such as the CDC, as necessary, to manage the situation effectively at broader levels. In contrast, while the state health department and CDC play crucial roles in disease control and public health surveillance, their involvement typically follows the initial report to and investigation by the local health department. The National Reported Disease list serves as a reference for which diseases are to be reported but does not itself initiate investigations or responses.