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<baltimore-city-law heading="Subtitle 2 – Reporting Diseases — In General">
  <container prefix="Part" num="I" heading="By Health Care Practitioners">
    <section prefix="§" num="4-201" heading="Physicians.">
      <para num="(a)" heading="Duty to report.">Every physician must report to the Commissioner of Health every confirmed or suspected diagnosis of any disease or condition that, the Commissioner specifies by rule or regulation adopted under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt; for purposes of this section .</para>
      <para num="(b)" heading="When to report.">Unless a different time is set by the Commissioner or by State law, the report must be made within 48 hours of the diagnosis.</para>
      <para num="(c)" heading="Contents of report.">In addition to the information required by &lt;cite data-path="|health|§4-102"&gt;§ 4-102 {“Form and contents of reports”} of this title&lt;/cite&gt;, the report must contain the following information:<para num="(1)">the identity of the disease or condition; and</para>
        <para num="(2)">the date of its onset.</para>
      </para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §187(a)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text of subsection (a) conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-202" heading="Health care facilities.">
      <para num="(a)" heading="Reporting officer.">The chief administrative officer of each hospital, related institution, clinic, pharmacy, or other health care facility must appoint an individual from the facility’s full-time staff to serve as the facility’s reporting officer.</para>
      <para num="(b)" heading="Duty to report.">The reporting officer must report to the Commissioner every confirmed or suspected diagnosis of any disease or condition that the Commissioner specifies by rule or regulation adopted under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt; for purposes of this section.</para>
      <para num="(c)" heading="When to report.">Except for specified diseases or conditions that the Commissioner or State law requires to be reported on a more timely basis, the report must be made within 48 hours for all patients who have been:<para num="(1)">newly admitted to the facility;</para>
        <para num="(2)">admitted to an isolation ward;</para>
        <para num="(3)">treated on an emergency or out-patient basis; or</para>
        <para num="(4)">discharged without having been previously reported.</para>
      </para>
      <para num="(d)" heading="Contents of report.">In addition to the information required by &lt;cite data-path="|health|§4-102"&gt;§ 4-102 {“Form and contents of reports”} of this title&lt;/cite&gt;, the report must contain the following information:<para num="(1)">the identity of the disease or condition; and</para>
        <para num="(2)">the date of its onset.</para>
      </para>
      <para num="(e)" heading="Nature of report.">The reporting of a disease or condition under this section does not absolve the attending physician of the duty to report the same disease or condition under &lt;cite data-path="|health|§4-201"&gt;§ 4-201 {“Physicians”} of this subtitle&lt;/cite&gt;.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §205(a) - (d), (e)(2nd cl.)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text of subsection (b) conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-203" heading="Laboratories — in general.">
      <para num="(a)" heading="Duty to report.">The individual in charge of any public or private medical laboratory must report to the Commissioner  the result of any test of a specimen from a human body that is microscopic cultural, histological, pathological, immunological, serological, or other confirmed or suspected evidence of any disease or condition that the Commissioner specifies by rule or regulation adopted under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt; for purposes of this section.</para>
      <para num="(b)" heading="When to report.">
        <para num="(1)">Unless a different time is set by the Commissioner or by State law, the report must be made within 48 hours of obtaining the test results.</para>
        <para num="(2)">When more than 1 specimen is taken from the same patient during a single disease episode, the individual in charge of the laboratory need not report every test result that shows evidence of the same disease if:<para num="(i)">at least 1 positive test report is reported; and</para>
          <para num="(ii)">the Commissioner approves in writing the reporting of less than all test results.</para>
        </para>
      </para>
      <para num="(c)" heading="Contents of report.">In addition to the information required by &lt;cite data-path="|health|§4-102"&gt;§ 4-102 {“Form and contents of reports”} of this title&lt;/cite&gt;, the report must contain the following information:<para num="(1)">the date and type of test performed;</para>
        <para num="(2)">the results of the test;</para>
        <para num="(3)">the name and address of the physician for whom the examination was performed; and</para>
        <para num="(4)">if applicable, an enumeration of colonies of acid-fast bacilli, according to Diagnostic Standards of the American Thoracic Society.</para>
      </para>
      <para num="(d)" heading="Test result not final diagnosis.">The result of a laboratory test:<para num="(1)">is not to be considered a final diagnosis; and</para>
        <para num="(2)">does not absolve the attending physician of the duty to report her or his diagnosis of the case under &lt;cite data-path="|health|§4-201"&gt;§ 4-201 {“Physicians”} of this subtitle&lt;/cite&gt;.</para>
      </para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §206(a) - (d)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text of subsection (a) conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-204" heading="Laboratories — referral of cultures.">
      <para num="(a)" heading="When referral required.">The Commissioner may require that cultures containing acid-fast bacilli be referred to the Maryland State Laboratory unless they have been identified in accordance with standards set by the Commissioner.</para>
      <para num="(b)" heading="Effect of referral.">The referral of cultures does not:<para num="(1)">satisfy the reporting requirements of &lt;cite data-path="|health|§4-203"&gt;§ 4-203 {“Laboratories — in general”} of this subtitle&lt;/cite&gt;; or</para>
        <para num="(2)">excuse delay in transmitting a presumptive culture result to the attending physician.</para>
      </para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §206(e)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§§" num="4-205 to 4-206" reserved="true" />
  </container>
  <container prefix="Part" num="II" heading="By Others">
    <section prefix="§" num="4-207" heading="Lodging facilities.">
      <para num="(a)" heading="“Lodging facility” defined.">In this section, “lodging facility” means any:<para num="(1)">hotel or motel;</para>
        <para num="(2)">rooming house;</para>
        <para num="(3)">apartment house;</para>
        <para num="(4)">dwelling house; or</para>
        <para num="(5)">public or private institution in which individuals abide temporarily or permanently.</para>
      </para>
      <para num="(b)" heading="Duty to report.">The individual in charge of a lodging facility must report to the Commissioner anyone in the lodging facility who is suffering from any disease or condition that the Commissioner specifies by rule or regulation adopted under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt; for purposes of this section.</para>
      <para num="(c)" heading="When to report.">Unless a different time is set by the Commissioner or by State law, the report must be made within 24 hours of the individual’s being told or otherwise becoming aware of the disease or condition.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §§188, 189</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text of subsection (b) conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-208" heading="Vessels in harbor.">
      <para num="(a)" heading="Scope of section.">This section does not apply to a vessel that is in medical isolation.</para>
      <para num="(b)" heading="Duty to report.">The master, chief officer, or consignee of a vessel must report to the Commissioner anyone on board who is suspected of suffering from a communicable disease.</para>
      <para num="(c)" heading="When to report.">The report must be made immediately on the vessel’s coming within ¼ mile of any dock, wharf, or building in the City.</para>
      <para num="(d)" heading="Contents of report.">In addition to the information required by &lt;cite data-path="|health|§4-102"&gt;§ 4-102 {“Form and contents of reports”} of this title&lt;/cite&gt;, the report must contain the following information:<para num="(1)">the name and location of the vessel;</para>
        <para num="(2)">the name of the suspected communicable disease; and</para>
        <para num="(3)">the name and condition of all individuals on board suffering from the disease.</para>
      </para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §190</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
  </container>
</baltimore-city-law>
