North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 41 - EPIDEMIOLOGY HEALTH › Subchapter A - COMMUNICABLE DISEASE CONTROL › Section .0100 - COMMUNICABLE DISEASE CONTROL › Section 41A .0103 - DUTIES OF LOCAL HEALTH DIRECTOR: REPORT COMMUNICABLE DISEASES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon receipt of a report of a
				  communicable disease or condition pursuant to
				  10A NCAC
				  41A .0101, the local health director shall:
(1) immediately investigate the circumstances
				  surrounding the occurrence of the disease or condition to determine the
				  authenticity of the report and the identity of all persons for whom control
				  measures are required. This investigation shall include the collection and
				  submission for laboratory examination of specimens necessary to assist in the
				  diagnosis and indicate the duration of control measures;
(2) determine what control measures have been
				  given and ensure that proper control measures as provided in
				  10A NCAC
				  41A .0201 have been given and are being
				  complied with;
(3) forward the
				  report as follows:
(A) The local health
				  director shall forward all authenticated reports made pursuant to
				  G.S.
				  130A-135 to 137 of syphilis, chancroid,
				  granuloma inguinale, and lymphogranuloma venereum within seven days to the
				  regional office of the Division of Public Health. In addition, the local health
				  director shall telephone reports of all cases of primary, secondary, and early
				  latent (under one year's duration) syphilis to the regional office of the
				  HIV/STD Prevention and Care Branch within 24 hours of diagnosis at the health
				  department or report by a physician.
(B) The local health director shall telephone
				  all laboratory reports of reactive syphilis serologies to the regional office
				  of the Division of Public Health within 24 hours of receipt if the person
				  tested is pregnant. This shall also be done for all other persons tested unless
				  the dilution is less than 1:8 and the person is known to be over 25 years of
				  age or has been previously treated. In addition, the written reports shall be
				  sent to the regional office of the Division of Public Health within seven
				  days.
(C) Except as provided in
				  (a)(3)(A) and (B) of this Rule, a local health director who receives a report
				  pursuant to
				  10A NCAC
				  41A .0102 regarding a person residing in that
				  jurisdiction shall forward the authenticated report to the Division of Public
				  Health within seven days.
(D)
				  Except as provided in (a)(3)(A) and (B) of this Rule, a local health director
				  who receives a report pursuant to
				  10A NCAC
				  41A .0102 regarding a person who resides in
				  another jurisdiction in North Carolina shall forward the report to the local
				  health director of that jurisdiction within 24 hours. A duplicate report card
				  marked "copy" shall be forwarded to the Division of Epidemiology within seven
				  days.
(E) A local health director
				  who receives a report pursuant to
				  10A NCAC
				  41A .0102 regarding a person who resided
				  outside of North Carolina at the time of onset of the illness shall forward the
				  report to the Division of Public Health within 24 hours.