| (a) Humans.
(1) A physician, dentist, veterinarian, chiropractor,
reporting officer of a hospital, person in charge of a hospital laboratory
(if the laboratory reports independently), person permitted by law
to attend a pregnant woman during gestation or at the delivery of
an infant, or school authority shall report to the local health authority
where the office, clinic, hospital, or school is located. If there
is no local health authority appointed for the jurisdiction where
the office, clinic, hospital, or school is located, the report shall
be made to the Department of State Health Services (department) regional
director. Public health emergencies shall be reported to the department's
central office if the local health authority or the department's regional
director is not immediately accessible.
(2) The administrative officer of a clinical laboratory,
blood bank, mobile unit, or other facility shall report a condition
or submit an isolate as follows.
(A) If the laboratory examination was requested by
a physician, notice shall be sent to the local health authority for
the jurisdiction where the physician's office is located, to the department's
regional director for the jurisdiction where the physician's office
is located if no local health authority exists, or to the department's
central office when the regional director or local health authority
are unknown to the laboratory.
(B) If the laboratory examination was not requested
by a physician, notice shall be sent to the local health authority
for the jurisdiction where the laboratory is located, to the department's
regional director for the jurisdiction where the laboratory is located
if no local health authority has been appointed, or to the department's
central office when the regional director or local health authority
are unknown to the laboratory.
(C) For VISA and VRSA immediately report by phone to
the Infectious Disease Surveillance and Epidemiology Branch at 1-800-252-8239.
(D) 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), all Staphylococcus aureus with
a vancomycin MIC greater than 2 µg/mL, 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.
(3) Sexually transmitted diseases including HIV and
AIDS 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)).
(b) Animals.
(1) Reportable conditions in animals shall be reported
to either the appropriate Department of State Health Services regional
zoonosis control office or the Zoonosis Control Branch office in Austin.
(2) Conditions in animals that are reportable to both
the Department of State Health Services and the Texas Animal Health
Commission can be reported to either one of the agencies, which will
forward the information to the other agency.
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| Source Note: The provisions of this §97.5 adopted to be effective March 16, 1994, 19 TexReg 1453; amended to be effective March 5, 1998, 23 TexReg 1954; amended to be effective March 26, 2000, 25 TexReg 2343; amended to be effective June 5, 2007, 32 TexReg 2997; amended to be effective December 20, 2012, 37 TexReg 9777 |