Ala. Admin. Code r. II - FORMS ASSOCIATED WITH THESE RULES AND REGULATIONS

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Ala. Admin. Code r. II

New Rule: Filed July 20, 2001; effective August 24, 2001. Amended: Filed May 7, 2002; effective June 11, 2002.

Author:Larry Ready

Statutory Authority: Code of Ala. 1975, §34-14C1 thru §34-14C8, Act #2000-739, HB 419 of the 2000 Regular Session.

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.

Note: Positive results only, unless otherwise specified.

Immediate, Extremely Urgent - Report to the County or State Health Department by telephone within 4 hours of laboratory result, as well as submit electronically within 24 hours

* Bacillus anthracis

* Brucella species

* Burkholderia mallei

* Burkholderia pseudomallei

* Clostridium botulinum or botulinum toxin in food, wound, unspecified source, or an infant (<12 months old)

* crimean-congo hemorrhagic fever virus

* Francisella tularensis

* ebola virus

* lassa virus

* lujo virus

* marburg virus

* new world arenavirus - chapare virus

* new world arenavirus - guanarito virus

* new world arenavirus - junin virus

* new world arenavirus - machupo virus

* new world arenavirus - sabia virus

* poliovirus

* variola virus (orthopox virus)

* vaccinia virus

* Yersinia pestis

Standard Reporting by Laboratories - Report electronically within 24 hours

* Anaplasma species

* Babesia species

* Bordetella pertussis

* Borrelia burgdorferi

* california serogroup virus diseases (all results)

* Campylobacter species

* chikungunya virus disease (all results)

* Chlamydia trachomatis

* Clostridium tetani

* Coccidioides species

* Corynebacterium diphtheriae

* Coxiella burnetii

* Cryptosporidium species

* Cyclospora cayetanensis

* cytomegalovirus (if age <21 days old)

* dengue virus (all results)

* eastern equine encephalitis virus disease (all results)

* Ehrlichia species

* Escherichia coli, shiga toxin-producing

* Grimontia hollisae

* Haemophilus ducreyi

* Haemophilus influenzae isolated from a normally sterile site

* hepatitis a (igm positives and genotyping results)

* hepatitis b, c, and d (all results to include surface antigens, antibody, genotyping, viral load/RNA/DNA, and associated ALTs)

* hiv, all test results (e.g., positive and negative immunoassay, positive and negative virologic tests, and associated CD4 counts) for children < 18 months old

* human immunodeficiency virus (hiv), repeatedly reactive enzyme immunoassay followed by a positive confirmatory test (e.g., Western blot, IFA, or HIV differentiation). Positive result on any HIV virologic test (e.g., p24 AG, nucleic acid test (NAT/NAAT), viral culture). All viral load (detectable and undetectable) test results and associated CD4 counts.

* influenza virus (molecular positive test results only)

* lead, all blood results

* Legionella species

* Listeria monocytogenes from a normally sterile site

* mantoux tuberculin skin test (tst) and interferon gamma release assay (igra) blood test, positives

* measles (rubeola) virus

* mumps virus

* Mycobacterium leprae

* Mycobacterium tuberculosis complex, culture, or naat (including pcr)

* Naegleria fowleri

* Neisseria gonorrhoeae

* Neisseria meningitidis isolated from a normally sterile site

* Photobacterium damselae

* Plasmodium species

* powassan virus disease (all results)

* rabies virus in animal or human

* rapid plasma reagin (rpr), positive results

* Rickettsia rickettsii and other spotted fever rickettsia species

* rubella virus

* Salmonella species

* sars-cov-2

* shigella species

* st. louis encephalitis virus disease (all results)

* Staphylococcus aureus, intermediate or full resistance to vancomycin (visa, vrsa)

* Streptococcus pneumoniae isolated from a normally sterile site

* Treponema pallidum

* Trichinella species

* varicella virus

* venereal disease research laboratory (vdrl) test, positive results

* Vibrio cholerae type o1 and o139

* Vibrio species

* west nile virus disease (all results)

* western equine encephalitis virus disease (all results)

* yellow fever virus (all results)

* zika virus (all results)

* detection or isolation of one or more specimens of etiological agents of a disease or condition not listed that is of urgent public health significance

* agents suspected to be the cause of a cluster or outbreak

State Health Department Telephone Number:

Bureau of Clinical Laboratories 334-290-6130 (24-hour coverage)

Infectious Diseases & Outbreaks Division 334-206-5971 or 1-800-338-8374 (24-hour coverage)

Office of HIV Prevention & Care 334-206-5364 or 1-800-344-1153

Division of Immunization 334-206-5023 or 1-800-469-4599

Division of Sexually Transmitted Diseases 334-206-5350

Division of Tuberculosis Control 334-206-5330

Notes

Ala. Admin. Code r. II

Repealed by Alabama Administrative Monthly Volume XXXIII, Issue No. 03, December 31, 2014, eff. 12/30/2014. Adopted by Alabama Administrative Monthly Volume XLII, Issue No. 05, February 29, 2024, eff. 4/14/2024.

Author: Sherri L. Davidson, Ph.D, M.P.H.

Statutory Authority: Code of Ala. 1975, §22-11A-1.