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RULE §97.4When to Report a Condition or Isolate

(a) Humans.

  (1) The following notifiable conditions are public health emergencies and suspect cases shall be reported immediately by phone to the local health authority or the regional director of the Department of State Health Services (department): anthrax; botulism; carbapenem resistant Enterobacteriaceae (CRE); diphtheria; measles (rubeola); meningococcal infection, invasive; multi-drug resistant (MDR) Acinetobacter -MDR; novel coronavirus causing severe acute respiratory disease; poliomyelitis, acute paralytic; plague; novel influenza; rabies; smallpox; tularemia; viral hemorrhagic fevers; yellow fever; and any outbreak, exotic disease, or unusual group expression of disease that may be of public health concern. Vancomycin-intermediate resistant Staphylococcus aureus (VISA) and vancomycin-resistant Staphylococcus aureus (VRSA) shall be reported immediately by phone to the Emerging and Acute Infectious Disease Branch, Department of State Health Services, Austin at (800) 252-8239.

  (2) The following notifiable conditions shall be reported within one working day of identification as a suspected case: brucellosis, hepatitis A (acute), influenza-associated pediatric mortality, perinatal hepatitis B, pertussis, Q fever, poliovirus infection, non-paralytic, rubella (including congenital), tuberculosis, Vibrio infection (including cholera).

  (3) AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, and syphilis shall be reported in accordance with §§97.132 - 97.134 of this title (relating to Sexually Transmitted Diseases Including Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV)).

  (4) Tuberculosis antibiotic susceptibility results should be reported by laboratories no later than one week after they first become available.

  (5) For all other notifiable conditions not listed in paragraphs (1) - (3) of this subsection, reports of disease shall be made no later than one week after a case or suspected case is identified.

  (6) All anthrax (Bacillus anthracis), botulism-adult and infant (Clostridium botulinum), brucellosis (Brucella species), E.coli 0157:H7 or other Shiga-toxin producing E. coli, isolates or specimens from cases where Shiga-toxin activity is demonstrated, Listeria monocytogenes, meningococcal infection, invasive (Neisseria meningitides) from normally sterile sites or purpuric lesions, plague (Yersinia pestis), tuberculosis (Mycobacterium tuberculosis complex), tularemia (Francisella tularensis), VISA, VRSA and Vibrio species shall be submitted as pure cultures to the Department of State Health Services, Laboratory Services Section, 1100 West 49th Street, Austin, Texas 78756-3199 as they become available.

(b) Animals. Reportable conditions affecting animals shall be reported within one working day following the diagnosis.

Source Note: The provisions of this §97.4 adopted to be effective March 16, 1994, 19 TexReg 1453; amended to be effective July 26, 1996, 21 TexReg 6622; amended to be effective March 5, 1998, 23 TexReg 1954; amended to be effective January 1, 1999, 23 TexReg 12663; amended to be effective December 20, 2000, 25 TexReg 12426; amended to be effective August 5, 2001, 26 TexReg 5658; amended to be effective December 12, 2002, 27 TexReg 11547; amended to be effective June 5, 2007, 32 TexReg 2997; amended to be effective December 20, 2012, 37 TexReg 9777; amended to be effective April 20, 2014, 39 TexReg 2853

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