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Implementation of the new 2021 COVID-19 case definition in the National Notifiable Diseases Surveillance System starting September 1, 2021

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    On June 17, 2021, the Council of State and Territorial Epidemiologists (CSTE) approved position statement 21-ID-01 titled “Update to the standardized surveillance case definition and national notification for 2019 novel coronavirus disease (COVID-19).” For cases identified beginning September 1, 2021, jurisdictions should use the case definition approved on June 17, 2021, in position statement 21-ID-01. Jurisdictions should not retroactively change the classification of cases reported prior to September 1, 2021.

    CDC has posted the new 2021 COVID-19 case definition to the National Notifiable Diseases Surveillance System (NNDSS) website. The new 2021 COVID-19 case definition:

    • updates clinical criteria indicative of infection;

    • refines and expands laboratory criteria to include genomic sequencing;

    • updates epidemiologic linkage criteria and the definition of close contact;

    • acknowledges testing performed in non-traditional settings such as work sites, temporary testing sites, and homes;

    • specifies criteria for enumerating new cases in persons previously classified as a probable or confirmed case (i.e., reinfections); and

    • clarifies that a case meeting clinical criteria and epidemiologic linkage with no confirmatory or presumptive laboratory evidence for SARS-CoV-2 is classified as probable.

    The 2021 COVID-19 case definition replaces the previous interim 2020 COVID-19 case definition described in CSTE position statement Interim-20-ID-02, which was approved on August 5, 2020. Current and historical COVID-19 case definitions are available on the NNDSS website.

    As a reminder, the event code for COVID-19 is 11065 and is listed in the 2021 NNDSS event code list. COVID-19 continues to be designated immediately nationally notifiable. When CDC begins publishing COVID-19 data in the NNDSS tables, CDC will include case counts for confirmed and probable cases.

    Jajosky_2021_State_Epi_Letter_New_2021_COVID-19_Case_Definition_for_NNDSS_WebSite_Cleared_08242021.pdf

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    urn:sha256:e534c23d2bbf7cb940eb5c6f7a7a732e8c3685253523c85904b1e22f3ea3b06d
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