An official website of the State of Louisiana.

Official Louisiana State Websites use .la.gov A .la.gov website belongs to an official
government organization in Louisiana.

Secure .gov websites use HTTPS A lock () or https:// means you've safely
connected to the official .gov website.

Reporting a Potential Water-Borne Outbreak

Name

City

Parish

Phone Number Please enter in XXX-XXX-XXXX format.

Email

Date you attended water related event

If you do not remember the exact date, how long ago did you notice the situation?

Approximate timeframe Example: 2 days, one week, etc.

Was incident associated with specific event Yes
No

If you answered Yes, please identify event

Approximate number of people In attendance

Are YOU experiencing sickness Yes
No

If Yes, please indicate symptoms vomiting
rash
diarrhea
fever
respiratory illness
other
Select all that apply

If selected Other, please specify

When did the symptoms first occur

If exact date is not known, about how long ago Example: 2 days, a week, etc.

Are OTHERS experiencing sickness Yes
No

If Yes, please indicate their symptoms vomiting
rash
diarrhea
fever
respiratory illness
other
don't know
Select all that apply

If selected Other, please specify

When did their symptoms first occur

If exact date is not known, about how long ago

Questions/Comments

To report a suspect outbreak within Louisiana and/ or among Louisiana residents, by phone, call the Infectious Disease Epidemiology Section:

During daytime hours of 8:00 AM through 4:30 PM, Monday through Friday (except holidays), call (504) 568-8313.

After normal work hours, on weekends and holidays, call 1-800-256-2748. The 800 number is also staffed by an epidemiologist 24 hours, 7 days of the week.

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

Powered by Cicero Government