Mammalian animal bites are a Category I(A) condition and shall be reported to the local health authority or to the Missouri Department of Health and Senior Services (DHSS) within 24 hours of first knowledge or suspicion by telephone, facsimile or other rapid communication.

1. For all bites, complete a “Disease Case Report” (CD -1) and send the completed form to the DHSS Regional Health Office.
2. For all bites, complete an “Animal Bite/Injury – Supplemental Case Report.”
3. Entry of the completed CD-1 into the MOHSIS database negates the need for the paper CD -1 to be forwarded to the Regional Health Office.
4. Send the completed secondary investigation form to the Regional Health Office.
5. All outbreaks or "suspected" outbreaks of zoonotic disease must be reported as soon as possible (by phone, fax or e-mail) to the Regional Communicable Disease Coordinator. This can be accomplished by completing the Missouri Outbreak Surveillance Report (CD-51).
6. Within 90 days of the conclusion of an outbreak, submit the final outbreak report to the Regional Communicable Disease Coordinator.