Mich. Admin. Code R. 325.173 - Reporting and surveillance requirements

Rule 3.

(1) A physician shall report each case of a serious communicable disease that is listed and maintained by the department as required in, MCL 333.5111(1), except for human immunodeficiency virus infection and acquired immunodeficiency syndrome, within 24 hours of diagnosis or discovery, to the appropriate health department. Reporting requirements for human immunodeficiency virus infection and acquired immunodeficiency syndrome are set out in MCL 333. 5114 and subrules (12) to (14) of this rule.

(2) A physician shall report the unusual occurrence of any disease, infection, or condition that threatens the health of the public, within 24 hours of diagnosis or discovery, to the appropriate local health department.

(3) A physician shall report noncommunicable diseases that are listed and maintained by the department as required in MCL 333.5111(1) within 3 days of diagnosis or discovery, to the appropriate local health department.

(4) A physician may report any disease, infection, or condition that is not included in subrule (1), (2), or (3) of this rule to the appropriate local health department according to the physician's medical judgment.

(5) A laboratory shall report, within 24 hours of discovery, both of the following to the appropriate local health department:

(a) Laboratory evidence of any serious infection that is listed and maintained by the department as required in MCL333.5111(1), except for human immunodeficiency virus which is governed by MCL 333.5114.

(b) Laboratory evidence of any other disease, infection, or condition that is judged by the laboratory director to indicate that the health of the public is threatened. A laboratory in this state that receives or processes specimens to be tested for the listed agents shall report a result confirming presence of a listed agent, even if the testing is not done on-site, for example, the specimen is shipped to an out-of-state reference laboratory for testing.

(6) When a physician or laboratory director suspects the presence of a designated condition, but does not have sufficient information to confirm its presence, the physician or laboratory shall report the designated condition as suspect to the appropriate local health department. Upon confirmation of the designated condition, a physician or laboratory director shall report the condition as confirmed to the appropriate local health department.

(7) A health facility infection control committee shall develop policies and procedures to ensure the appropriate reporting of designated conditions by physicians who treat individuals at that facility and by laboratories at that facility.

(8) All of the following individuals may report to the appropriate local health department any designated condition or any other disease, infection, or condition which comes to their professional attention and which poses a threat to the health of the public:

(a) An administrator, epidemiologist, or infection control professional from a health care facility or other institution.

(b) A dentist.

(c) A nurse.

(d) A pharmacist.

(e) A physician's assistant.

(f) A veterinarian.

(g) Any other health care professional.

(9) A primary or secondary school, child day care center, or camp shall report, within 24 hours of suspecting, both of the following to the appropriate local health department:

(a) The occurrence among those in attendance of any of the serious communicable diseases listed and maintained by the department as required in MCL 333.5111(1), except for human immunodeficiency virus and acquired immunodeficiency syndrome which are governed by MCL 333.5131.

(b) The unusual occurrence, outbreak, or epidemic of any disease, infection, or condition among those in attendance.

(10) A report shall be directed to the appropriate local health department. A report may be written, oral, or transmitted by electronic media. A report shall be transmitted in a manner prescribed or approved by the appropriate local health department.

(11) Except as provided in subrules (13) and (14) of this rule, a required report by a physician shall contain all of the following information:

(a) The patient's full name.

(b) The patient's residential address, including street, city, village or township, county, and zip code.

(c) The patient's telephone number.

(d) The patient's date of birth, age, sex, race, and ethnic origin.

(e) The name of the disease, infection, or condition reported.

(f) The estimated date of the onset of the disease, infection, or condition, where applicable.

(g) The identity of the reporting person.

(h) Pertinent laboratory results.

(i) Any other information considered by the physician to be related to the health of the public.

(12) Acquired immunodeficiency syndrome (AIDS), human immunodeficiency virus (HIV) infection, tuberculosis, and venereal disease shall be reported by completing forms provided by the department.

(13) In addition to reporting requirements under section 5114 of the code for acquired immunodeficiency syndrome (AIDS), human immunodeficiency virus (HIV) infection, a physician shall report, if available, the ethnicity and country of birth, if known, of the test subject.

(14) Nothing in these rules is intended to limit use or disclosure of information needed by the department or local health department to carry out its responsibilities under the code as authorized by, but not limited to, MCL 333.5131.

(15) Viral influenza need only be reported by the number of cases identified during a specified time period or when influenza is suspected to have caused or contributed to mortality in a person aged less than 18 years, or if the infected individual traveled outside of North America within the 2 weeks prior to symptom onset.

(16) A required report by a laboratory shall contain all of the following information, except for human immunodeficiency virus and acquired immunodeficiency syndrome, which are governed by MCL 333.5114:

(a) The patient's full name.

(b) The patient's residential address, including street, city, village or township, county, and zip code.

(c) The patient's telephone number.

(d) The patient's date of birth or age.

(e) The patient's sex.

(f) The specific laboratory test, date performed, and the results.

(g) The name and address of the reporting laboratory.

(h) The name, address, and telephone number of the ordering person.

(17) To the extent that the information is readily available, a report of an unusual occurrence, outbreak, or epidemic of a disease, infection, or other condition shall include all of the following information:

(a) The nature of the confirmed or suspected disease, infection, or condition.

(b) The approximate number of cases.

(c) The approximate illness onset dates.

(d) The location of the outbreak.

(18) Within 24 hours of receiving a report, a local health department shall communicate the report of an individual who has a serious communicable disease listed and maintained by the department as required in MCL 333.5111(1) or a serious infection listed and maintained by the department as required in MCL 333.5111(1) to the department and any other Michigan jurisdiction if the individual resides in that other jurisdiction.

(19) Within 3 days of receiving a report, a local health department shall communicate the report of an individual who has a noncommunicable disease listed and maintained by the department as required in MCL 333.5111(1) to the department and another Michigan jurisdiction if the individual resides in that other jurisdiction.

(20) Within 24 hours of receiving a report that concerns an individual who resides outside of this state, a local health department shall forward the report to the department.

(21) Reports of designated conditions acquired by residents of a local health department's jurisdiction shall be recorded by the local health officer and shall be forwarded to the department in a format specified by the department.

Notes

Mich. Admin. Code R. 325.173

1993 AACS; 2005 AACS; 2009 AACS; 2014 AACS