Current through Register Vol. 39, No. 6, September 16, 2024
(a) When a report
of a disease or condition is required to be made pursuant to
G.S.
130A-135 through 139 and
10A NCAC
41A .0101, with the exception of
laboratories, which shall proceed as in Subparagraph (d), the report shall be
made to the local health director as follows:
(1) For diseases and conditions required to
be reported within 24 hours, the initial report shall be made by telephone, and
the report required by Subparagraph (2) of this Paragraph shall be made within
seven days.
(2) In addition to the
requirements of Subparagraph (1) of this Paragraph, the report shall be made on
the communicable disease report card or in an electronic format provided by the
Division of Public Health and shall include the name and address of the
patient, the name and address of the parent or guardian if the patient is a
minor, and epidemiologic information.
(3) In addition to the requirements of
Subparagraphs (1) and (2) of this Paragraph, forms or electronic formats
provided by the Division of Public Health for collection of information
necessary for disease control and documentation of clinical and epidemiologic
information about the cases shall be completed and submitted for the following
reportable diseases and conditions identified in
10A NCAC
41A .0101(a):
(A) acquired immune deficiency syndrome
(AIDS);
(B) brucellosis;
(C) cholera;
(D) cryptosporidiosis;
(E) cyclosporiasis;
(F) E. coli 0157:H7 infection;
(G) ehrlichiosis;
(H) Haemophilus influenzae, invasive
disease;
(I) Hemolytic-uremic
syndrome/thrombotic thrombocytopenic purpura;
(J) hepatitis A;
(K) hepatitis B;
(L) hepatitis B carriage;
(M) hepatitis C;
(N) human immunodeficiency virus (HIV)
confirmed;
(O)
legionellosis;
(P)
leptospirosis;
(Q) Lyme
disease;
(R) malaria;
(S) measles (rubeola);
(T) meningitis, pneumococcal;
(U) meningococcal disease;
(V) mumps;
(W) paralytic poliomyelitis;
(X) psittacosis;
(Y) Rocky Mountain spotted fever;
(Z) rubella;
(AA) rubella congenital syndrome;
(BB) tetanus;
(CC) toxic shock syndrome;
(DD) trichinosis;
(EE) tuberculosis;
(FF) tularemia;
(GG) typhoid;
(HH) typhoid carriage (Salmonella
typhi);
(II) vibrio infection
(other than cholera); and
(JJ)
whooping cough.
Communicable disease report cards, surveillance forms, and
electronic formats are available from the Division of Public Health, 1915 Mail
Service Center, Raleigh, North Carolina 27699-1915, and from local health
departments.
(b) Notwithstanding the time frames
established in
10A NCAC
41A .0101, a restaurant or other food or
drink establishment shall report all outbreaks or suspected outbreaks of
foodborne illness in its customers or employees and all suspected cases of
foodborne disease or foodborne condition in food-handlers at the establishment
by telephone to the local health department within 24 hours in accordance with
Subparagraph (a)(1) of this Rule. However, the establishment is not required to
submit a report card or surveillance form pursuant to Subparagraph (a)(2) of
this Rule.
(c) For the purposes of
reporting by restaurants and other food or drink establishments pursuant to
G.S.130A-138, the following
diseases and conditions listed in
10A NCAC
41A .0101(a) shall be
reported:
(1) anthrax;
(2) botulism;
(3) brucellosis;
(4) campylobacter infection;
(5) cholera;
(6) cryptosporidiosis;
(7) cyclosporiasis;
(8) E. coli 0157:H7 infection;
(9) hepatitis A;
(10) salmonellosis;
(11) shigellosis;
(12) streptococcal infection, Group A,
invasive disease;
(13)
trichinosis;
(14)
tularemia;
(15) typhoid;
(16) typhoid carriage (Salmonella typhi);
and
(17) vibrio infection (other
than cholera).
(d)
Laboratories required to report test results pursuant to
G.S.
130A-139 and
10A NCAC
41A .0101(c) shall report as
follows:
(1) The results of the specified
tests for syphilis, chlamydia and gonorrhea shall be reported to the local
health department by the first and fifteenth of each month. Reports of the
results of the specified tests for gonorrhea, chlamydia and syphilis shall
include the specimen collection date, the patient's age, race, and sex, and the
submitting physician's name, address, and telephone numbers.
(2) Positive darkfield examinations for
syphilis, all reactive prenatal and delivery STS titers, all reactive STS
titers on infants less than one year old and STS titers of 1:8 and above shall
be reported within 24 hours by telephone to the HIV/STD Prevention and Care
Branch at (919) 733-7301, or the HIV/STD Prevention and Care Branch Regional
Office where the laboratory is located.
(3) With the exception of positive laboratory
tests for human immunodeficiency virus, positive laboratory tests as defined in
G.S.
130A-139(1) and
10A NCAC
41A .0101(c) shall be
reported to the Division of Public Health electronically, by mail, by secure
telefax or by telephone within the time periods specified for each reportable
disease or condition in
10A NCAC
41A .0101(a). Confirmed
positive laboratory tests for human immunodeficiency virus as defined in
10A NCAC
41A .0101(b) and for CD4
results defined in
10A NCAC
41A .0101(c)(4) shall be
reported to the HIV/STD Prevention and Care Branch within 24 hours of obtaining
reportable test results. Reports shall include as much of the following
information as the laboratory possesses:
(A)
the specific name of the test performed;
(B) the source of the specimen;
(C) the collection date(s);
(D) the patient's name, age, race, sex,
address, and county; and
(E) the
submitting physician's name, address, and telephone number.
Authority
G.S.
130A-134;
130A-135;
130A-138;
130A-139;
130A-141;
Temporary
Rule Eff. February 1, 1988, for a period of 180 days to expire on July 29,
1988;
Eff. March 1, 1988;
Amended Eff. October 1, 1994;
February 3, 1992; December 1, 1991; May 1, 1991;
Temporary
Amendment Eff. December 16, 1994, for a period of 180 days or until the
permanent rule becomes effective, whichever is sooner;
Temporary
Amendment Expired June 16, 1995;
Amended Eff. December 1, 2007;
November 1, 2007; August 1, 2005, April 1, 2003; August 1, 1998;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. January 9,
2018.
