Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.080 - Duties of Laboratories

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment will bring the communicable
				  disease reporting requirements into compliance with the current federal Centers
				  for Disease Control's guidelines as required by section
				  192.139,
				  RSMo 2000.
(1) The director,
				person in charge of any laboratory, or designee of the director or person in
				charge of any laboratory shall report to the local health authority or the
				Missouri Department of Health and Senior Services the result of any test that
				is positive for, or suggestive of, any disease or condition listed in
				19
				CSR 20-20.020. These reports shall be made according
				to the time and manner specified for each disease or condition following
				completion of the test and shall designate the test performed, all results of
				the test, including numeric results, if applicable, units of measure of the
				results, and reference ranges for normal and abnormal results, the name and
				address of the attending physician, the name of the disease or condition
				diagnosed or suspected, the date the test results were obtained, the name and
				home address (with zip code) of the patient and the patient's age, date of
				birth
,
sex, race, and ethnicity.
(2) In reporting findings for diseases or
				conditions listed in
				19
				CSR 20-20.020, laboratories shall report-
Arsenic-results of all biological specimens including time
				  frame of urine specimen collection, if applicable;
Cadmium-results of all biological specimens including time
				  frame of urine specimen collection, if applicable;
Carboxyhemoglobin proportion-all results;
Chemical/pesticide (blood or serum)-all results, including if
				  none detected;
Lead level-results of all biological specimens;
Mercury-results of all biological specimens including time
				  frame of urine specimen collection, if applicable; and
Methemoglobin proportion-all results.
(3) Isolates or specimens positive for the
				following reportable diseases or conditions must be submitted to the State
				Public Health Laboratory for epidemiological or confirmation purposes:
Anthrax (Bacillus anthracis)
Cholera (Vibrio cholerae)
Diphtheria (Corynebacterium diphtheriae)
Escherichia coli O157:H7
Glanders (Burkholderia mallei)
Haemophilus influenzae, invasive disease
Influenza Virus-associated mortality
Listeriosis
Malaria (Plasmodium species)
Measles (rubeola)
Melioidosis (Burkholderia pseudomallei)
Mycobacterium tuberculosis
Neisseria meningitidis, invasive disease
Orthopoxvirus (smallpox/cowpox-vaccinia/monkeypox)
Other Shiga Toxin positive organisms
Pertussis (Bordetella pertussis)
Plague (Yersinia pestis)
Salmonella species
Severe Acute Respiratory Syndrome-associated Coronavirus
				  (SARS-CoV) disease
Shigella species
Tularemia (Francisella tularensis)
Potential Vancomycin Resistant Staphylococcus aureus (VRSA),
				  with MIC greater than or equal to eight (>= 8)
(4) Every laboratory performing culture and
				sensitivity testing on human specimens in Missouri for health care facilities
				shall annually report these results to the Missouri Department of Health and
				Senior Services (MDHSS) for each facility provided this service. The data
				submitted should be in the format of antibiograms as defined by the Clinical
				and Laboratory Standards Institute (CLSI), M39-A2, Analysis and Presentation of
				Cumulative Antimicrobial Susceptibility Test Data. Only data from the first
				unique isolate from each patient should be included. Duplicate cultures must be
				excluded when compiling these antibiograms. The antibiograms for the preceding
				year are to be sent to MDHSS by July 1 of the following year
(ex: 2006 data, January 1, 2006-December 31, 2006, will be
				  due on July 1, 2007).
*Original authority: 192.006, RSMo 1993, amended 1995;
					 192.020, RSMo 1939, amended 1945, 1951, 2004; and 192.131, RSMo
					 2004.