(a) Humans.(1) The following notifiable conditions are public health emergencies and suspect cases must be reported immediately by telephone to the local health authority or the appropriate Department of State Health Services regional epidemiology office:(A) anthrax;(B) botulism;(C) diphtheria;(D) measles (rubeola);(E) melioidosis;(F) meningococcal infection, invasive;(G) novel coronavirus;(H) novel influenza;(I) poliomyelitis, acute paralytic;(J) plague;(K) rabies;(L) smallpox;(M) tularemia;(N) vancomycin-intermediate Staphylococcus aureus (VISA);(O) vancomycin-resistant Staphylococcus aureus (VRSA);(P) viral hemorrhagic fever;(Q) yellow fever; and(R) any outbreak, exotic disease, or unusual group expression of disease that may be of public health concern.(2) The following notifiable conditions must be reported by electronic data transmission or telephone within one working day of identification as a suspected case:(A) brucellosis;(B) Candida auris ;(C) carbapenem resistant Enterobacteriaceae (CRE);(D) hepatitis A, acute;(E) hepatitis B, perinatal infection;(F) influenza-associated pediatric mortality;(G) mumps;(H) pertussis;(I) poliovirus infection, non-paralytic;(J) Q fever;(K) rubella (including congenital);(L) syphilis infection in pregnant females;(M) tuberculosis (Mycobacterium tuberculosis complex); and(N) Vibrio infection (including cholera).(3) AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, and syphilis must be reported in accordance with Subchapter F of this chapter (relating to Sexually Transmitted Diseases Including Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV)).(4) Tuberculosis antibiotic susceptibility results must be reported by laboratories no later than one week after they first become available.(5) For all other notifiable conditions not listed in paragraphs (1) - (4) of this subsection, reports of disease must be made no later than one week after a case or suspected case is identified. (A) The preferred option for reporting is electronic data transmission, but reports may be made by telephone or fax. Any electronic data transmission of the report must provide protection against unauthorized disclosure and utilize a format prescribed by the receiving agency.(B) A health information exchange (HIE) organization as defined by Texas Health and Safety Code §182.151, may transmit reports on behalf of providers required to report in §97.2(a) - (d) of this chapter (relating to Who Shall Report) in accordance with Texas Health and Safety Code Chapter 182, Subchapter D, Health Information Exchanges, and all other state and federal law as follows.(i) The receiving agency has published message standards.(ii) A method of secure transmission has been established between the HIE and the receiving agency, and transmissions have been tested with the receiving agency and established as meeting the data exchange standards and conveying information accurately.(iii) Reporting by the HIE has been requested and authorized by the appropriate health care provider, practitioner, physician, facility, clinical laboratory, or other person required to report health-related information.(iv) HIE reports may be made in addition to but do not replace reports listed in paragraphs (1) - (2) of this subsection.(6) All diseases requiring submission of cultures in §97.3(a)(4) of this chapter (relating to What Condition to Report and What Isolates to Report or Submit) must be submitted as they become available.(b) Animals. Reportable conditions affecting animals must be reported within one working day following the diagnosis.