High Consequence Infectious Disease Surge - Minnesota Dept. of Health

High Consequence Infectious Disease Surge


Over the last twenty years the world has faced many High Consequence Infectious Disease (HCID) outbreaks that have traveled from country to country. Recent outbreaks such as Middle East Respiratory Syndrome Coronavirus (MERS_CoV) in Saudi Arabia (2018); ongoing Ebola Virus Disease (EVD) Outbreak in Democratic Republic of Congo (DRC) since 2018; Lassa Fever in Nigeria (2018); and Nipah Virus in India (2018) serve as a reminder that there are many HCIDs circulating at any given time. These outbreaks generate substantial public health, security, and economic consequences.

Although HCIDs are uncommon in our state, they remain a serious threat to the health of Minnesotans. Planning for these HCID is very important.

On this page:
Tools and Resources
Plans and Guidance Documents
Additional Resources


A High Consequence Infectious Disease (HCID) is defined by the Minnesota HCID Collaborative (MDH, Mayo Clinic, UMMC, Minnesota Hospital Association, Minnesota Health Care Coalitions, Minnesota HCID-Ready EMS services) as a disease that include any confirmed or suspected infection with a pathogen that meets either of the following criteria:

  • Pathogens for which all forms of medical waste (including patient excreta, secreta, blood, tissue, tissue swabs, and specimens in transport media) are classified as category A infectious substances (UN2814) by the U.S. Department of transportation;


  • A pathogen with the potential to cause a high mortality rate among otherwise healthy people and
    • At least some types of direct clinical specimens pose generalized risks to laboratory personnel
    • Known risk of secondary airborne spread within health care settings or unknown mode of transmission
    • No  routine vaccine exists

Tools and Resources

Plans and Guidance Documents

Ebola Concept of Operations

Transportation of Patients with HCIDs

Additional Resources

Capacity Building Resources

You can receive technical assistance related to the delivery of care for patients with Ebola or other special pathogens.

Educational Resources

Updated Wednesday, 03-Aug-2022 11:44:05 CDT