Reporting Diseases - What & Who


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San Antonio, TX 78205

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Who must Report

Reportable Conditions In San Antonio & Bexar County

The Communicable Disease Prevention and Control Act (Health & Safety Code, Chapter 81) requires physicians, dentist, veterinarians and chiropractors to report, after the first professional encounter, each examined patient suspected of having a reportable disease. Some individuals at hospitals, laboratories and schools are also required to report. Details on reporting notifiable diseases and duties of local health authorities may be found in Article 97, Title 25, Texas Administrative Code. Failure to report is a class B misdemeanor.

All disease shall be reported by name, age, sex, race, ethnicity, DOB, address, telephone number, disease, date of onset, method of diagnosis, and name, address and telephone number of physician.


Tuberculosis Reporting • Fax: 210.207.8779 • Questions? Call 210.207.8779
STD/HIV Reporting • Fax: 210.207.2116 • Questions? Call 210.207.8831

For all other disease reporting

Fax: 210.207.8807 • Questions? Call 210.207.8876 (7 days a week & evenings)
Texas Department of State Health Services:  1.800.252.8239
Notifiable Diseases Report Form (PDF)

What to Report

Report Immediately
  • Anthrax
  • Botulism, foodborne
  • Diphtheria
  • Haemophilus influenzae, type b infections, invasive 1
  • Lead, adult blood, any level 4
  • Lead, child blood, any level 5
  • Measles (rubeola)
  • Meningococcal infections, invasive 1
  • Pertussis
  • Plague
  • Poliomyelitis, acute paralytic
  • Rabies, human (guidelines) (bite exposure form)
  • Severe Acute Respiratory Syndrome (SARS)
  • Smallpox
  • Staphylococcus aureus, vancomycin-resistant
  • Staphylococcus aureus, vancomycin-resistant, coagulase negative
  • Viral hemorrhagic fever
  • Yellow Fever

In addition to these conditions, any outbreaks, exotic diseases and unusual group expressions of disease must be reported immediately.

report within one working day
  • Brucellosis
  • Hepatitis A (acute)
  • Q fever
  • Rubella (including congenital)
  • Tuberculosis (TB) 6
  • Tularemia
  • Vibrio infections, including cholera
Report On A Weekly Basis
  • Acquired immune deficiency syndrome (AIDS) 2
  • Amebiasis
  • Asbestosis    
  • Botulism, infant
  • Campylobacteriosis
  • Chancroid 2
  • Chickenpox (varicella)
  • Chlamydia trachomatis infection 2
  • Creutzfeldt-Jakob disease (CJD)
  • Cryptosporidiosis
  • Cyclosporiasis
  • Dengue
  • Ehrlichiosis
  • Encephalitis (specify etiology)
  • Escherichia coli, enterhemorrhagic
  • Gonorrhea 2
  • Hansen’s Disease (leprosy)
  • Hantavirus infection
  • Hemolytic uremic syndrome (HUS)
  • Hepatitis B, D, E and unpecified (acute)
  • Hepatitis B (chronic), identified prenatally or at delivery
  • Hepatitis C (newly diagnosed infection)
  • Human immunodeficiency virus (HIV ) infection 2
  • Legionellosis
  • Listeriosis
  • Lyme Disease
  • Malaria
  • Meningitis (specify type) 3
  • Mumps
  • Pesticide poisoning, acute occupational
  • Relapsing fever
  • Salmonellosis, including typhoid fever
  • Shigellosis
  • Silicosis
  • Spotted fever group rickettsioses
  • Streptococcal disease, (Group A, B, S. pneumo), invasive 1
  • Syphilis 2
  • Tetanus
  • Trichinosis
  • Typhus
  • West Nile Fever
  • Yersiniosis
Report Within Ten Working Days (unless otherwise specified)
  • Drowning/near drowning
  • Contaminated sharps injury (reportable within 1 month)
  • Spinal cord injury
  • Traumatic brain injury
  1. Includes meningitis, septicemia, cellulitis, epiglottitis, osteomyelitis, pericarditis, septic arthritis and necrotizing fasciitis. Laboratories should submit all Neisseria meningitidis from normally sterile sites to the Texas Department of Health, Bureau of Laboratories, 1100 W. 49th Street, Austin, TX 78756-3199.
  2. See “Reporting STD-HIV-AIDS in San Antonio/Bexar County” for detailed information, including rules for reporting HIV/AIDS.
  3. Includes aseptic/viral, bacterial (specify etiology), fungal, parasitic and other.
  4. Levels of 40μg/dl or greater shall be reported immediately. Specify whether capillary or venous.
  5. All blood levels of children 14 years or younger are reportable. Levels of 40μg/dl or greater shall be reported immediately. Specify whether capillary or venous.
  6. See “Reporting TB in San Antonio/Bexar County” for detailed information.
Disease Reporting - 24 hours a day, 7 days a week

Tuberculosis Reporting - Fax: 210.207.8779 • Questions? Call 210.207.8779
STD/HIV Reporting - Fax: 210.207.2116 • Questions? Call 210.207.8831

For all other disease reporting

Fax: 210.207.8807 • Questions? Call 210.207.8876 (7 days a week & evenings)