Epidemiology & Disease Surveillance
Disease Reporting - 24 hours a day, 7 days a week
(210) 207-8876 or 207-5777 (evenings and weekends)
Fax: (210) 207-8807
What to Report
REPORTABLE CONDITIONS IN SAN ANTONIO & BEXAR COUNTY
Several Texas laws require specific information regarding reportable conditions to be provided to the local health department. 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 patient examined who is suspected of having a reportable disease. Also required to report are certain individuals from hospitals, laboratories and schools. Detailed rules on the reporting of notifiable diseases and conditions and the 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.
CONDITIONS REPORTABLE TO:
San Antonio Metropolitan Health District
Phone (210) 207-8876 / Fax (210) 207-8807
or the Texas Department of Health in Austin 1-800-252-8239
Notifiable Diseases Report form (pdf)
REPORT IMMEDIATELY
Anthrax
Botulism, foodborne
Diphtheria
Haemophilus influenzae, type b infections, invasive1
Lead, adult blood, any level4
Lead, child blood, any level5
Measles (rubeola)
Meningococcal infections, invasive1
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
Chancroid2
Chickenpox (varicella)
Chlamydia trachomatis infection2
Creutzfeldt-Jakob disease (CJD)
Cryptosporidiosis
Cyclosporiasis
Dengue
Ehrlichiosis
Encephalitis (specify etiology)
Escherichia coli, enterhemorrhagic
Gonorrhea2
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 ) infection2
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),
invasive1
Syphilis2
Tetanus
Trichinosis
Typhus
West Nile Fever
Yersiniosis
REPORT WITHIN 10 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.
For more information, contact an epidemiologist at (210) 207-8876 or (210) 207-5777.
For more information about TB or STDs, including HIV/AIDS, contact an epidemiologist at (210)-207-8838.
To report a Public Health Emergency please contact us at:
(210) 207-8752 Office
(210) 219-7396 Cell
(210) 205-3653 Pager
