Time of Reporting – Timeliness of reporting shall be as directed by existing CMS

Time of Reporting – Timeliness of reporting shall be as directed by existing CMS /NHSN reporting requirements. Source: Miss.Code Ann. §41-3-17 Appendices to the Rules and Regulations Governing Reportable Diseases and Conditions Appendix A List of Reportable Diseases and Conditions Appendix A. List of officially reportable diseases and conditions The following diseases or conditions are hereby declared to be reportable. Class 1A: Diseases of major public health importance which shall be reported directly to the Department of Health by telephone within 24 hours of first knowledge or suspicion. Class 1A diseases and conditions are dictated by requiring an immediate public health response. Laboratory directors have an obligation to report laboratory findings for selected diseases (Refer to Appendix B). Any Suspected Outbreak (including foodborne and waterborne outbreaks) (Possible biological weapon agents appear in bold italics) Anthrax Pertussis Botulism (includes foodborne, infant or wound) Plague Escherichia coli O157:H7 and any shiga Poliomyelitis toxin-producing E. coli (STEC) Rabies (human or animal) Glanders Ricin intoxication (castor beans) Haemophilus influenzae Invasive Disease†‡ Smallpox Hemolytic Uremic Syndrome- Tuberculosis post-diarrheal (HUS) Viral hemorrhagic fevers (filoviruses Hepatitis A [e.g., Ebola, Marburg] and arena Measles viruses [e.g., Lassa, Machupo]) Neisseria meningitidis Invasive Disease†‡ Any unusual disease or manifestation of illness, including but not limited to the appearance of a novel or previously controlled or eradicated infectious agent, or biological or chemical toxin. †Usually presents as meningitis or septicemia, or less commonly as cellulitis, epiglottitis, osteomyelitis, pericarditis or septic arthritis. ‡Specimen obtained from a normally sterile site. Class 1B: Diseases of major public health importance which shall be reported directly to the Department of Health by telephone on the next business day after first knowledge or suspicion. Class 1B diseases and conditions require individual case investigation, but not an immediate public health response. Laboratory directors have an obligation to report laboratory findings for selected diseases (Refer to Appendix B in the Rules and Regulations Governing Reportable Diseases and Conditions) Arboviral infections Respiratory Syncytial Virus (RSV)- Chikungunya virus, Associated Pediatric Mortality Eastern Equine Encephalitis virus, (<18 years of age) Zika virus (including Congenital Zika virus SARS-CoV-2 Associated Mortality in Infection and Congenital Zika Syndrome) Pregnancy Class 2: Diseases or conditions of public health importance of which individual cases shall be reported by mail, telephone or electronically, within 1 week of diagnosis. In outbreaks or other unusual circumstances they shall be reported the same as Class 1A. Class 2 diseases and conditions are those for which an immediate public health response is not needed for individual cases. Anaplasmosis Lyme disease Arboviral infection including but not limited to Malaria California group, Meningitis other than Meningococcal or Dengue, Haemophilus influenzae LaCrosse virus, Mumps St. Louis encephalitis virus, M. tuberculosis Infection (positive TST West Nile virus or positive IGRA*) Western Equine Encephalitis virus Poisonings**(including elevated blood Chlamydia trachomatis, genital infection lead levels***) Creutzfeldt-Jakob Disease, including new variant Rocky Mountain spotted fever Ehrlichiosis Rubella (including congenital) Enterococcus, invasive infection‡, vancomycin Spinal Cord Injuries resistant Streptococcus pneumoniae, invasive Gonorrhea infection‡ Hepatitis (acute, viral only) Tetanus Note-Hepatitis A requires Class 1A Report Trichinosis Hepatitis B infection in pregnancy Typhus Fever HIV Infection in pregnancy Viral Encephalitis in horses and Listeriosis ratities**** ‡Specimen obtained from a normally sterile site. *TST-tuberculin skin test; IGRA-Interferon-Gamma Release Assay (to include size of TST in millimeters and numerical results of IGRA testing). Brucellosis SARS-CoV-2 Associated Multisystem Chancroid Inflammatory Syndrome in Children Cholera (MIS-C) <21 years of age Diphtheria SARS-CoV-2 Associated Pediatric Encephalitis (human) Mortality (<18 years of age) HIV infection-including AIDS Staphylococcus aureus, Influenza-Associated Pediatric Mortality vancomycin resistant (VRSA) or (<18 years of age) vancomycin intermediate (VISA) Legionellosis Syphilis (including congenital) Melioidosis Tularemia Non-cholera Vibrio disease Typhoid Fever Psittacosis Varicella infection, Primary, in Q Fever >15 years of age Yellow Fever **Reports for poisonings shall be made to Mississippi Poison Control Center, UMMC 1-800- 222-1222 ***Elevated Blood Levels should be reported to the MSDH Lead Program at 601-576-7447. Blood lead levels (venous) ≥3.5µg/dL in patients less than or equal to 6 years of age. ****Except for rabies, and equine encephalitis, diseases occurring in animals are not required to be reported to the MSDH. Class 3: Laboratory based surveillance. To be reported by laboratory only. Diseases or conditions of public health importance of which individual laboratory findings shall be reported by mail, telephone, or electronically within one week of completion of laboratory test (refer to Appendix B). All blood lead test results in patients ≤6 years of CD4 count and HIV Viral Load* age Chagas Disease (American trypanosomiasis) Campylobacteriosis Cryptosporidiosis Candida auris Hansen Disease (Leprosy) Carbapenem-resistant Acinetobacter Hepatitis C infection baumannii (CRAB) Hepatitis C RNA results** Carbapenem-resistant Enterobacteriaceae (CRE) Nontuberculous Mycobacterial Disease Carbapenem-resistant Pseudomonas aeruginosa Salmonellosis (CRPA) Shigellosis *HIV associated CD4 (T4) lymphocyte results of any value and HIV viral load results, both detectable and undetectable **All positive AND negative Hepatitis C RNA results Class 4: Diseases of public health importance for which immediate reporting is not necessary for surveillance or control efforts. Diseases and conditions in this category shall be reported to the Mississippi Cancer Registry within six months of the date of first contact for the reportable condition. The National Program of Cancer Registries at the Centers for Disease Control and Prevention requires the collection of certain diseases and conditions. A comprehensive reportable list including ICD9CM/ICD10CM codes is available on the Mississippi Cancer Registry website, https://www.umc.edu/cancerinstitute/Cancer-Research/Cancer- Registries/Mississippi%20Cancer%20Registry/Resources1/Overview.html. Each record shall provide a minimum set of data items which meets the uniform standards required by the National Program of Cancer Registries and documented in the North American Association of Central Cancer Registries (NAACCR) Appendix B Laboratory Results That Must be Reported to the Mississippi State Department of Health Laboratory Results That Must be Reported to the Mississippi State Department of Health Laboratories shall report these findings to the Mississippi State Department of Health at least WEEKLY. Diseases in bold type Are Class 1A disease and shall be reported immediately by telephone. Isolates of organisms marked with a dagger (†) shall be sent to the Mississippi State Department of Health Public Health Laboratory. All referring laboratories should call the Public Health Laboratory at (601) 576-7582 prior to shipping any isolate. Confirmatory tests for some of these results may be obtained by special arrangement through the Epidemiology Program at (601) 576-7725. Positive Bacterial Cultures or Direct Examinations Result Reportable Disease Anaplasmosis phagocytophilum Anaplasmosis Any bacterial agent in CSF Bacterial meningitis Bacillus anthracis† Anthrax Bordetella pertussis Pertussis Borrelia burgdorferi† Lyme disease Brucella species† Brucellosis Burkholderia mallei† Glanders Burkholderia pseudomallei† Melioidosis Campylobacter species Campylobacteriosis Carbapenem-resistant Acinetobacter baumannii† Carbapenem-resistant Acinetobacter baumannii (CRAB) Carbapenem-resistant Enterobacteriaceae Carbapenem-resistant Enterobacteriaceae (CRE) Carbapenem-resistant Pseudomonas aeruginosa† Carbapenem-resistant Pseudomonas aeruginosa (CRPA) Chlamydia psittaci Psittacosis Chlamydia trachomatis Chlamydia trachomatis genital infection Clostridium botulinum†** Botulism Clostridium tetani Tetanus Corynebacterium diphtheriae† Diphtheria Coxiella burnetii† Q fever Ehrlichia species Ehrlichiosis Enterococcus species*, vancomycin resistant Enterococcus infection, invasive vancomycin resistant Escherichia coli O157:H7 and any shiga toxin-producing Escherichia coli O157:H7 and any shiga toxin- E. coli (STEC)† producing E. coli (STEC) Francisella tularensis† Tularemia Grimontia hollisae† Noncholera Vibrio disease Haemophilus ducreyi Chancroid Haemophilus influenza †*(not from throat, sputum) Haemophilus influenzae infection, invasive Legionella species Legionellosis Listeria monocytogenes† Listeriosis Mycobacterium species Nontuberculous mycobacterial disease Mycobacterium tuberculosis† Tuberculosis Neisseria gonorrheae Gonorrhea Neisseria meningitidis †* Neisseria meningitidis infection, invasive Photobacterium damselae† Noncholera Vibrio disease Rickettsia prowazekii Typhus fever Rickettsia rickettsia Rocky Mountain spotted fever Salmonella species, not S. typhi† Salmonellosis Salmonella typhi † Typhoid fever Shigella species† Shigellosis Staphylococcus aureus- vancomycin resistant or Staphylococcus aureus vancomycin resistant (VRSA) or vancomycin intermediate resistant vancomycin intermediate (VISA) Streptococcus pneumoniae*†† Streptococcus pneumoniae, invasive infection Vibrio cholerae 01† Cholera Vibrio species† Noncholera Vibrio disease Yersinia pestis† Plague † Isolates of organism should be sent to the Mississippi State Department of Health Public Health Laboratory. All referring laboratories should call the Public Health Laboratory at (601) 576-7582 prior to shipping any isolate. †† Isolates should be sent to the Mississippi State Department of Health Public Health Laboratory for specimens obtained from a normally sterile site in patients ≤12 years of age. *Specimen obtained from a normally sterile site (usually blood or cerebrospinal fluid, or, less commonly, joint, pleural, or pericardial fluid). Do not report throat or sputum isolates. **Contact the Mississippi State Department of Health, Epidemiology Program at (601) 576-7725 or the Public Health Laboratory (601) 576-7582 for appropriate tests when considering a diagnosis of botulism. Positive Serologic Tests Anaplasmosis Arboviral agents including but not limited to those due to: California encephalitis virus (IgM) Chikungunya virus (IgM) Dengue (IgM) Eastern equine encephalitis virus (IgM) LaCrosse virus (IgM) St. Louis encephalitis virus (IgM) Western equine encephalitis virus (IgM) West Nile virus (IgM) Zika virus Brucellosis Chagas Disease (American trypanosomiasis) Cholera Chlamydia trachomatis genital infection Ehrlichiosis (IgM and IgG) Hepatitis A (anti-HAV IgM) Hepatitis B (anti-HBcIgM) Hepatitis B (HBsAg) in pregnancy Hepatitis C HIV infection Legionellosis§ (including urine Ag) Lyme disease (IgM and IgG, including Western Blot) Malaria Measles (IgM) Mumps (IgM) M. tuberculosis infection (IGRA) Plague Poliomyelitis Psittacosis Rocky Mountain spotted fever (IgM and IgG) Rubella (IgM) Syphilis Smallpox Trichinosis Varicella infection, primary in patients > 15 years of age Yellow fever (IgM) § Serologic confirmation of an acute case of legionellosis cannot be based on a single titer. There must be a four-fold rise in titer to >1:128 between acute and convalescent specimens. Positive Parasitic Cultures or Direct Examinations (including PCR) Result Reportable Disease Condition Any parasite in CSF† Parasitic meningitis Cryptosporidium parvum Cryptosporidiosis Trypanosoma cruzi Chagas disease (American trypanosomiasis) Plasmodium species† Malaria Positive Fungal Cultures or Direct Examinations Result Reportable Disease Condition Any fungus in CSF Fungal meningitis Candida auris† Candida auris Positive Viral Cultures or Direct Examinations (including PCR) Result Reportable Disease Condition Any virus in CSF Viral meningitis Arboviral agents including but not limited to: California encephalitis virus California encephalitis virus Chikungunya virus Chikungunya virus Dengue virus, serotype 1, 2, 3, or 4 Dengue Eastern equine encephalomyelitis virus Eastern equine encephalitis (EEE) virus LaCrosse virus LaCrosse encephalitis virus St. Louis encephalitis virus St. Louis encephalitis (SLE) virus Western equine encephalitis virus Western equine encephalitis (WEE) virus West Nile virus West Nile encephalitis (WNV) virus Zika virus Zika virus Arena viruses Viral hemorrhagic fevers Filoviruses Viral hemorrhagic fevers Hepatitis C RNA (positive and negative Hepatitis C results) Poliovirus, type 1, 2, or 3 Poliomyelitis Varicella virus Varicella in patients > 15 years of age Variola virus Smallpox Yellow fever virus Yellow fever Positive Blood Chemistries ALL blood lead test results in patients less than or equal to 6 years of age are reportable to the MSDH Lead Program at (601) 576-7447. Positive Toxin Identification Ricin toxin from Ricinus communis (castor beans) Shiga toxin (Escherichia coli) Surgical Pathology Results All parasites Creutzfeldt-Jakob Disease, including new variant Hansen disease (Mycobacterium leprae) Human rabies Malignant Neoplasms Mycobacterial disease including Tuberculosis Trichinosis Acid Fast Bacilli Smears Any smear positive for acid-fast bacillus (Tuberculosis)