Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 1 - REPORTING AND CONTROL OF COMMUNICABLE DISEASES › Section 173-1-005 - METHODS OF REPORTING

Current through June 17, 2024
005.01 Healthcare
				Providers
1-005.01A
Immediate
				Reports of Diseases, Poisonings and Organisms: Healthcare
providers must report diseases, poisonings and organisms, listed in 173 NAC
				1-004.01A, by
				telephone, facsimile or other secure electronic mail system within 24 hours of
				diagnosis or detection. Reports must include the information as
specified in
				1-005.01D.
See 173 NAC
				1-006, Where to Report.
1-005.01B
Immediate Reports of
				Clusters, Outbreaks, or Unusual Events, Including Possible Bioterroristic
				Attacks: Healthcare
providers must report by telephone, facsimile,
				or other secure electronic mail system, information relating to confirmed,
				diagnosed, detected, or suspected clusters, outbreaks, or epidemics of any
				health problem, infectious or other,
both in the community and in
				healthcare settings,
including food poisoning, influenza or
				possible bioterroristic attack; increased disease incidence beyond
				expectations; unexplained deaths possibly due to infectious causes; any unusual
				disease or manifestations of illness. Reports must include the
information as specified in
				1-005.01D.
See 173 NAC
				1-006, Where to Report.
1-005.01C
Reports Within Seven
				Days: Healthcare
providers must make reports of diseases,
				poisonings and organisms listed in 173 NAC 1-004.02, within seven days of
				diagnosis or detection.
1-005.01C1
Reports may be made by postal service, telephone, facsimile,
				electronic laboratory report, or other secure electronic mail system and must
				include the information as specified in
				1-005.01D.
1-005.01C2 AIDS and HIV disease reports may
				be made by postal service, telephone, facsimile
, electronic
				laboratory report
, or other secure electronic mail system,
				submitted on or including the same information as Attachment A.
Adult cases of AIDS and HIV disease (patients
>
13 years of age at time of diagnosis) must be
				  submitted on or include the same information
in the Adult HIV
				  Confidential Case Report Form as described in 173 NAC
				  1-002.
Pediatric cases of
				  AIDS and HIV disease (patients < 13 years of age at time of diagnosis) and
				  perinatally exposed HIV cases must be submitted on or include the same
				  information
in the Pediatric HIV Confidential Case Report Form,
				  described in 173 NAC
				  1-002.
AIDS and HIV case
				  reports are required from
healthcare
providers
				  responsible for:
1. Treating or
				diagnosing a person with HIV-1 or HIV-2 disease, based on the laboratory tests
				listed in 173 NAC 1-005.02B3a1 as being definitive for HIV infection, or based
				on clinical criteria, as outlined in the
CDC's
most
				recent case definition for HIV;
2.
				Treating or diagnosing a person with AIDS as outlined in CDC's most recent case
				definition for AIDS;
3. Providing
				medical care to a pregnant woman with HIV disease;
4. Providing medical care to a baby under 19
				months of age born to a woman with HIV disease (perinatally HIV exposed). The
				diagnosis of HIV infection or determination of no infection is determined by
				CDC's most recent case definition for HIV; and
5. Treating or diagnosing potential cases of
				public health importance related to HIV infection including:
a. Unusual strains of HIV (HIV-2 or non-B
				subtype of HIV-1); and
b. Unusual
				modes of transmission (such as, but not limited to transplant or artificial
				insemination; transfusion of blood or blood components, child sexual abuse,
				occupational, household, or other unusual exposure).
1-005.01C3
Reporting
				of Tuberculosis: Healthcare
providers must report positive
tuberculosis
diagnostic tests (culture and nucleic
				acid amplification) or positive histological evidence indicative of
				tuberculosis infection or disease.
1-005.01D
Report Information:
				Reports made under 1-005.01 must contain the following
				information:
1.
Patient first and last name;
2.
Patient address including
				street, city, and zip;
3.
Patient date of
				birth;
4.
Patient gender;
5.
Patient race and ethnicity (if
				available);
6.
Patient occupation (if available);
7.
Patient pregnancy status (if
				available);
8.
Date of report;
9.
Physician
				name;
10.
Physician address and telephone number;
11.
Name of hospital or clinic
				(if any)
12.
Date and time of onset (if available);
13.
Date of diagnosis (if
				available);
14.
Mode of transmission (if available);
15.
Date of specimen
				collection;
16.
Specimen source;
17.
If lead test, whether sample
				is a capillary or venous blood sample;
18.
Ordered
				tests;
19.
Laboratory findings or result;
20.
Other information pertinent
				to the case as requested.
1-005.01E
Reporting to
				Laboratories:
For all laboratory tests which may identify a
				reportable disease (e.g. microbiology tests, hepatitis tests, etc.) and which
				are ordered through submission of an electronic requisition or other automated
				electronic mechanism, providers must include
the information as
				specified in 173 NAC
				1-005.02B4 (except
				laboratory findings or result)
at the time the test order is
				placed to the laboratory so that the laboratory may fulfill reporting
				requirements
.