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Houston Health Department

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Texas Administrative Code

Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter A provides direct legal guidance regarding communicable diseases in relation to who should report, what to report, when to report, how to report, where to report all confirmed and suspected TB Cases and contact to a case with TB disease, and more.

Please review the TB Case/Suspected TB Case Reporting Letter.

Who Should Report

All health professionals and designated reporting officers are required by law to report tuberculosis (TB)-related information.

Note: The release of medical or epidemiological information to medical personnel, appropriate state agencies or county and district courts to comply with rules relating to the control and treatment of communicable diseases and health conditions is allowed under Texas Health & Safety Code Subtitle D. Prevention, Control, and Reports of Disease, Chapter 81.

Communicable Diseases, Subchapter A. General Provisions § 81.001. (Communicable Disease Prevention and Control Act. Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989).

When to Report

We care. It is required by the state of Texas that individuals deemed cases of Tuberculosis disease must be reported within one business day to the local health authority. Reporting patients with Latent Tuberculosis infection to the local health authority is also required and must be done within one business week.

The Texas Administrative Code states under Title 25, Part 1, Chapter 97, Subchapter A, Rule §97.3, Section (a), Subsection (3) B-D) that:

(B) for tuberculosis disease - complete name, date of birth, physical address and county of residence, country of origin, information on which diagnosis was based or suspected. In addition, if known, radiographic or diagnostic imaging results and date(s); all information necessary to complete the most recent versions of department reporting forms: Report of Case and Patient Services, Report of Follow-up and Treatment for Contacts to TB Cases and Suspects; and Report of Verified Case of Tuberculosis; laboratory results used to guide prescribing, monitoring or modifying antibiotic treatment regimens for tuberculosis to include, but not limited to, liver function studies, renal function studies, and serum drug levels; pathology reports related to diagnostic evaluations of tuberculosis; reports of imaging or radiographic studies; records of hospital or outpatient care to include, but not limited to, histories and physical examinations, discharge summaries and progress notes; records of medication administration to include, but not limited to, directly observed therapy (DOT) records, and drug toxicity and monitoring records; a listing of other patient medications to evaluate the potential for drug-drug interactions; and copies of court documents related to court ordered management of tuberculosis.

(We care.C) for contacts to a known case of tuberculosis - complete name; date of birth; physical address; county of residence; evaluation and disposition; and all information necessary to complete the most recent versions of department reporting forms: Report of Follow-up and Treatment for Contacts to TB Cases and Suspects; and Report of Case and Patient Services;

(D) for other persons identified with TB infection - complete name; date of birth; physical address and county of residence; country of origin; diagnostic information; treatment information; medical and population risks; and all information necessary to complete the most recent versions of department reporting form: Report of Case and Patient Services.

How to Report

To coordinate timely and efficient services to TB patients, the following forms need to be completed as accurately as possible:

TB Case/Suspected TB Case reporting documents:
  • TB-400A (PDF)
  • TB-400B (PDF)
  • TB Case/Suspected TB Case Reporting Worksheet (PDF)

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Latent TB reporting documents:

Once completed, send these respective TB-related documents, along with appropriate medical records to the secured fax number below within the (aforementioned reporting time).

Where to report

  • Fax all TB forms, reports, and related information to our secure TB fax line: 832-393-5247 including provider contact information for potential follow-up.
  • Please contact our Case Registry at 832-393-4799. Calls will be returned within 24 business hours.

Diagnosing and Treating TB

Please refer to the following resources for assistance in diagnosing and treating TB:

For further assistance, please contact our nurse at:
Phone: 832-393-4771
Email: barbarah.martinez@houstontx.gov

Professional Education and Training

For further assistance, please contact our nurse at:
Phone: 832-393-4771
Email: barbarah.martinez@houstontx.gov