DSHS Proposing Changes to HIV/STD Reporting Rules
DSHS is proposing changes to HIV/STD reporting rules to clarify reporting language, align the reporting rules with recent changes in the Centers for Disease Control and Prevention (CDC) HIV surveillance case definition, and update language to reflect changes in HIV testing technology. Specifically, the DSHS TB/HIV/STD/Viral Hepatitis Unit is proposing rule changes to the Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter F, Rule §§97.131 - 97.134 and 97.139.
DSHS is proposing the following rule changes:
- Reporting all supplemental tests for HIV that result from an initial positive screening test regardless of result – Enables the identification of acute HIV infections, the most infectious stage of HIV infection.
- Reporting CD4 results regardless of patient age - The CDC’s revised HIV surveillance case definition has extended the use of CD4 test results for the disease staging of children to better quantify children at high risk for morbidity and mortality.
- Reporting suspected HIV acute cases by health care providers within one day -- Enables more timely public health follow-up on acute HIV infections, the most infectious stage of HIV infection.
DSHS is seeking stakeholder input and encourages you to review the full proposed changes (PDF : 266 kb) and comment on these changes prior to their submission to the DSHS Council for review.
Please submit written comments to Juanita Salinas at firstname.lastname@example.org with “Rule Comments” in the subject line of the e-mail. Written comments will be accepted through October 7, 2014. A second opportunity for review will occur during the formal comment period when the proposed rules are posted for comment in the Texas Register.
DSHS held a series of webinars September 29-30 to review these proposed changes for local health departments, providers, and labs. View the webinar presentation (PDF : 296 kb). Posted 9/19/2014 Updated 10/1/2014
DSHS Releases Texas HIV Plan for 2014-15
DSHS has released the 2014-15 Texas HIV Plan (PDF : 998 kb) which presents a framework and strategies to reduce the number of new HIV infections and provide treatment and care for those living with HIV. This new plan is intended to:
Prioritize actions and coordinate the use of resources across individuals and organizations in communities and groups affected by HIV
Identify common goals
Harmonize strategies and evaluation
Enrich local action rather than direct it
You can view the Texas HIV Plan and read about other HIV planning activities on the HIV and STD Planning page. Posted 5/1/2014
DSHS Releases 2012 Epi Profile
The DSHS TB/HIV/STD/Viral Hepatitis Unit has released the 2012 Texas STD and HIV Integrated Epidemiologic Profile (Epi Profile) (PDF : 2,659 kb), a summary of information on known STD and HIV/AIDS cases in Texas. The Epi Profile was created to assist planners, public health professionals, policy makers and other stakeholders at the local and state level. It is a snapshot of STD and HIV infection as of the end of 2012. You can read the Epi Profile and other reports from the TB/HIV/STD/Viral Hepatitis Unit on the Reports page. Posted 2/27/2014
DSHS Releases 2012 Texas HIV and STD Surveillance Reports
The Texas HIV and STD Surveillance Reports are annual reports generated by the Texas Department of State Health Services, TB/HIV/STD Epidemiology and Surveillance Branch. The 2012 reports describe cases reported to the Texas Department of State Health Services Surveillance Program from January 1 to December 31, 2012, as well as historical data. View the HIV report (PDF : 3,014 kb) and the STD report (PDF : 1,059). Updated 9/30/2013
HIV/AIDS Information for Persons Applying for a Marriage License
During the 83rd regular session, the Texas Legislature passed House Bill 984. This bill amends Texas Family Code Section 2.010 to allow county clerks to provide marriage license applicants with written notice of where to find required HIV/AIDS information on the Department of State Health Services (DSHS) website rather than providing paper copies of this information. This bill took effect September 1, 2013. The required HIV/AIDS information for marriage license applicants can be found on the DSHS website in English and Spanish. Applicants without internet access can call the DSHS HIV/STD Program at 512-533-3000 to request a free print copy of this information. Posted 9/4/2013
New ARIES Case Management Service Categories – Intake and Recertification
The DSHS HIV/STD Care Services team has added 3 new case management service categories to ARIES for contractors to begin using immediately. These secondary service categories can be found under the following Primary Services: “Case Management (non-medical)” and “Medical Case Management.” The 3 new services are: 1) Intake – No CM; 2) Intake – CM; 3) Recertification. For more information about these service categories and how to utilize them, please review the below documents. If you have any questions, please contact your local Administrative Agency.
DSHS Guidance on Meningococcal Meningitis in MSM
DSHS is aware of the clusters of meningococcal meningitis in MSM in both New York and Los Angeles as reported by the CDC. We have not detected any clusters of meningococcal infections in Texas. We routinely look for cases clustered by time/location. Our lab also performs testing (PFGE) on meningococcal isolates to look for related cases. The basic prevention recommendations are:
- Routine hand washing and practicing respiratory etiquette (e.g. covering mouth and nose while sneezing or coughing) is essential to prevent spread of bacteria.
- Limit sharing food, eating utensils, and other personal belongings.
- There is a vaccine that offers protection against 4 out of the 5 most common serogroups of N. meningitidis. The meningococcal conjugate (Menactra® and Menveo®) and polysaccharide (Menomune®) vaccines are available in the USA. For more information about vaccine call the Immunization Division at 1-512-776-7284.
- Anyone experiencing symptoms of meningococcal infection (e.g. severe headache with fever or stiff neck with fever or rash with fever) should consult with their healthcare provider.
Flu Information for Persons with HIV/AIDS
With reports of flu widespread across Texas, state health officials are urging people to get a flu shot now and take other steps to protect themselves from the flu and its possible complications. “Texas, like much of the country, saw an early start to the flu season and continues to experience a high level of flu and flu-like illness,” said DSHS Commissioner Dr. David Lakey. “The best thing people can do to protect themselves is to get a dose of flu vaccine now. There is plenty of vaccine available.” Learn more. Posted 1/11/2013
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HIV and the Workplace
A new social media campaign to break the silence and stigma of HIV
Anti-Retroviral Treatment and Access to Services (ARTAS) Training of Facilitators
Scheduled for November 18-19 in Dallas
DSHS Proposing Changes to HIV/STD Reporting Rules
Comments are being accepted until October 7
(read more about these stories)
Reported cases in Texas 2013
* Primary and Secondary
DSHS estimates that 4,990 people were newly infected with HIV in Texas in 2012, the latest year estimates are available. While the estimated number of new HIV infections has risen since 2007, the growing Texas population has kept the rate of infection relatively level.