Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 97 - COMMUNICABLE DISEASES
Subchapter A - CONTROL OF COMMUNICABLE DISEASES
Section 97.3 - What Condition to Report and What Isolates to Report or Submit
Universal Citation: 25 TX Admin Code ยง 97.3
Current through Reg. 49, No. 38; September 20, 2024
(a) Humans.
(1) Identification of notifiable conditions.
(A) A summary list of notifiable conditions
and reporting time frames is published on the Department of State Health
Services web site at
http://www.dshs.state.tx.us/idcu/investigation/conditions/.
Copies are filed in the Emerging and Acute Infectious Disease Branch,
Department of State Health Services, 1100 West 49th Street, Austin, Texas
78756.
(B) Repetitive test results
from the same patient do not need to be reported except those for mycobacterial
infections.
(2)
Notifiable conditions or isolates.
(A)
Confirmed and suspected human cases of the following diseases/infections are
reportable: acquired immune deficiency syndrome (AIDS); amebic meningitis and
encephalitis; anaplasmosis; ancylostomiasis; anthrax; arboviral infections
including, but not limited to, those caused by California serogroup virus,
chikungunya virus, dengue virus, Eastern equine encephalitis (EEE) virus, St.
Louis encephalitis (SLE) virus, Western equine encephalitis (WEE) virus, yellow
fever virus, West Nile (WN) virus, and Zika virus; ascariasis; babesiosis;
botulism, adult and infant; brucellosis; campylobacteriosis; Candida
auris; carbapenem resistant Enterobacteriaceae (CRE);
Chagas disease; chancroid; chickenpox (varicella); Chlamydia
trachomatis infection; cryptosporidiosis; cyclosporiasis; diphtheria;
echinococcosis; ehrlichiosis; fascioliasis; gonorrhea; Haemophilus
influenzae, invasive; Hansen's disease (leprosy); hantavirus
infection; hemolytic uremic syndrome (HUS); hepatitis A, acute hepatitis B
infection, hepatitis B acquired perinatally (child), any hepatitis B infection
identified prenatally or at delivery (mother), acute hepatitis C infection, and
acute hepatitis E infection; human immunodeficiency virus (HIV) infection;
influenza-associated pediatric mortality; legionellosis; leishmaniasis;
listeriosis; Lyme disease; malaria; measles (rubeola); meningococcal infection,
invasive; mumps; novel coronavirus; novel influenza; paragonimiasis; pertussis;
plague; poliomyelitis, acute paralytic; poliovirus infection, non-paralytic;
prion diseases, such as Creutzfeldt-Jakob disease (CJD); Q fever; rabies;
rubella (including congenital); salmonellosis, including typhoid fever; Shiga
toxin-producing Escherichia coli infection; shigellosis;
smallpox; spotted fever group rickettsioses (such as Rocky Mountain spotted
fever); streptococcal disease: Streptococcus pneumoniae,
invasive; syphilis; Taenia solium and undifferentiated
Taenia infections, including cysticercosis; tetanus;
tick-borne relapsing fever; trichinosis; trichuriasis; tuberculosis
(Mycobacterium tuberculosis complex); tuberculosis infection;
tularemia; typhus; vancomycin-intermediate Staphylococcus
aureus (VISA); vancomycin-resistant Staphylococcus
aureus (VRSA); Vibrio infection, including cholera
(specify species); viral hemorrhagic fever; and yersiniosis.
(B) In addition to individual case reports,
any outbreak, exotic disease, or unusual group expression of disease that may
be of public health concern should be reported by the most expeditious
means.
(3) Minimal
reportable information requirements. The minimal information that shall be
reported for each disease is as follows:
(A)
AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea,
HIV infection, and syphilis shall be reported in accordance with Subchapter F
of this chapter (relating to Sexually Transmitted Diseases Including Acquired
Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus
(HIV));
(B) for tuberculosis
disease - complete name, date of birth, physical address and county of
residence, country of origin, information on which diagnosis was based or
suspected. In addition, if known, radiographic or diagnostic imaging results
and date(s); all information necessary to complete the most recent versions of
department reporting forms: Report of Case and Patient Services, Report of
Follow-up and Treatment for Contacts to TB Cases and Suspects; and Report of
Verified Case of Tuberculosis; laboratory results used to guide prescribing,
monitoring or modifying antibiotic treatment regimens for tuberculosis to
include, but not limited to, liver function studies, renal function studies,
and serum drug levels; pathology reports related to diagnostic evaluations of
tuberculosis; reports of imaging or radiographic studies; records of hospital
or outpatient care to include, but not limited to, histories and physical
examinations, discharge summaries and progress notes; records of medication
administration to include, but not limited to, directly observed therapy (DOT)
records, and drug toxicity and monitoring records; a listing of other patient
medications to evaluate the potential for drug-drug interactions; and copies of
court documents related to court ordered management of tuberculosis.
(C) for contacts to a known case of
tuberculosis - complete name; date of birth; physical address; county of
residence; evaluation and disposition; and all information necessary to
complete the most recent versions of department reporting forms: Report of
Follow-up and Treatment for Contacts to TB Cases and Suspects; and Report of
Case and Patient Services;
(D) for
other persons identified with tuberculosis infection - complete name; date of
birth; physical address and county of residence; country of origin; diagnostic
information; treatment information; medical and population risks; and all
information necessary to complete the most recent versions of department
reporting form: Report of Case and Patient Services.
(E) for hepatitis B (chronic and acute)
identified prenatally or at delivery - mother's name, address, telephone
number, age, date of birth, sex, race and ethnicity, preferred language,
hepatitis B laboratory test results; estimated delivery date or date and time
of birth; name and phone number of delivery hospital or planned delivery
hospital; name of infant; name, phone number, and address of medical provider
for infant; date, time, formulation, dose, manufacturer, and lot number of
hepatitis B vaccine and hepatitis B immune globulin administered to
infant;
(F) for hepatitis A, B, C,
and E - name, address, telephone number, age, date of birth, sex, race and
ethnicity, disease, diagnostic indicators (diagnostic lab results, including
all positive and negative hepatitis panel results, liver function tests, and
symptoms), date of onset, pregnancy status, and physician or practitioner name,
address, and telephone number;
(G)
for hepatitis B, perinatal infection - name of infant; date of birth; sex;
race; ethnicity; name, phone number and address of medical provider for infant;
date, time, formulation, dose, manufacturer, and lot number of hepatitis B
vaccine and hepatitis B immune globulin administered to infant, hepatitis B
laboratory test results;
(H) for
chickenpox - name, date of birth, sex, race and ethnicity, address, date of
onset, and varicella vaccination history;
(I) for Hansen's disease - name; date of
birth; sex; race and ethnicity; disease type; place of birth; address;
telephone number; date entered Texas; date entered U.S.; education/employment;
insurance status; location and inclusive dates of residence outside U.S.; date
of onset and history prior to diagnosis; date of initial biopsy and result;
disease type i.e., tuberculoid, borderline and lepromatous; date initial drugs
prescribed and name of drugs; name, date of birth and relationship of household
contacts; and name, address, and telephone number of physician or
practitioner;
(J) for novel
influenza investigations occurring during an influenza pandemic--minimal
reportable information on individual cases, a subset of cases or aggregate data
will be specified by the department;
(K) for all other notifiable conditions
listed in paragraph (2)(A) of this subsection - name, address, telephone
number, age, date of birth, sex, race and ethnicity, disease, diagnostic
indicators (diagnostic lab results, specimen source, test type, and clinical
indicators), date of onset, and physician or practitioner name, address, and
telephone number; and
(L) other
information may be required as part of an investigation in accordance with
Texas Health and Safety Code, §
81.061.
(4) Diseases requiring submission
of cultures. For all anthrax (Bacillus anthracis); botulism,
adult and infant (Clostridium botulinum); brucellosis
(Brucella species); Candida auris; diphtheria
(Corynebacteria diphtheria from any site); all
Haemophilus influenzae, invasive, in children under five years
old (Haemophilus influenzae from normally sterile sites);
listeriosis (Listeria monocytogenes); meningococcal infection,
invasive (Neisseria meningitidis from normally sterile sites
or purpuric lesions); plague (Yersinia pestis); salmonellosis,
including typhoid fever (Salmonella species); Shiga
toxin-producing Escherichia coli infection
(E.coli O157:H7, isolates or specimens from cases where Shiga
toxin activity is demonstrated); Staphylococcus aureus with a
vancomycin MIC greater than 2 µg/mL; all Streptococcus
pneumoniae, invasive, in children under five years old
(Streptococcus pneumoniae from normally sterile sites);
tuberculosis (Mycobacterium tuberculosis complex); tularemia
(Francisella tularensis); and vibriosis
(Vibrio species) - pure cultures (or specimens as indicated in
this paragraph) shall be submitted accompanied by a current department Specimen
Submission Form.
(5) Laboratory
reports. Reports from laboratories shall include patient name, identification
number, address, telephone number, age, date of birth, sex, race and ethnicity;
specimen submitter name, address, and phone number; specimen type; date
specimen collected; disease test and test result; normal test range; date of
test report; and physician or practitioner name and telephone number.
(b) Animals.
(1) Clinically diagnosed or
laboratory-confirmed animal cases of the following diseases are reportable:
anthrax, arboviral encephalitis, tuberculosis (Mycobacterium
tuberculosis complex) in animals other than those housed in research
facilities, and plague. Also, all non-negative rabies tests performed on
animals from Texas at laboratories located outside of Texas shall be reported;
all non-negative rabies tests performed in Texas will be reported by the
laboratory conducting the testing. In addition to individual case reports, any
outbreak, exotic disease, or unusual group expression of disease which may be
of public health concern should be reported by the most expeditious
means.
(2) The minimal information
that shall be reported for each disease includes species and number of animals
affected, disease or condition, name and phone number of the veterinarian or
other person in attendance, and the animal(s) owner's name, address, and phone
number. Other information may be required as part of an investigation in
accordance with Texas Health and Safety Code, §
81.061.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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