Investigation Guidance
Emerging and Acute Infectious Disease Guidelines (EAIDG)
- EAID Guidelines 2023 (PDF, 5.6 MB) **UPDATED 2023**
The purpose of this handbook is to provide a centralized resource for outbreak and reportable disease investigations to local and regional health departments in Texas. This handbook is intended as a tool to help local and regional public health staff with their surveillance activities and investigations. Our hope is that this handbook will continue to grow over the years and highlight some of the best investigation practices in the state. Information covers control measures, case definitions, case statuses, laboratory collection/shipping procedures and more.
List of Individual Chapters:
Acute Flaccid Myelitis (PDF, 229 KB)
Amebiasis (PDF, 412 KB)
Amebic Meningitis/Encephalitis (PDF, 185 KB)
Ascariasis (PDF, 170 KB)
Botulism (PDF, 174 KB)
Campylobacteriosis (PDF, 177 KB)
C. auris (Candida auris) (PDF, 178 KB)
Coronavirus (COVID-19) (PDF, 362)
CRE (Carbapenem-resistant Enterobacterales) (PDF, 147 KB)
CRS (Congenital Rubella Syndrome) (PDF, 154 KB)
Cryptosporidiosis (PDF, 156 KB)
Cyclosporiasis (PDF, 151 KB)
Diphtheria (PDF, 252 KB)
Ebola (PDF, 173 KB)
Fascioliasis (PDF, 152 KB)
GAS (Streptococcus pyogenes, Invasive) (PDF, 342 KB)
Gastroenteritis Outbreaks (PDF, 182 KB)
GBS (Group A Streptococcus agalactiae, Invasive) (PDF, 317 KB)
Haemophilus influenzae (PDF, 989 KB)
Hemolytic Uremic Syndrome, post-diarrheal (PDF, 184 KB)
HAV (Hepatitis A virus) (PDF, 216 KB)
HBV (Hepatitis B virus, Acute and Perinatal) (PDF, 280 KB)
HCV (Hepatitis C virus) (PDF, 136 KB)
HEV (Hepatitis E virus) (PDF, 143 KB)
Hookworm (PDF, 151 KB)
Influenza A Novel Variant (PDF, 443 KB)
Influenza Associated Pediatric Mortality (PDF, 244 KB)
Legionellosis (PDF, 296 KB)
Listeriosis (PDF, 175 KB)
MDR-A (Multidrug-resistant Acinetobacter) (PDF, 411 KB)
Measles (PDF, 898 KB)
Meningococcal Infection, Invasive (PDF, 493 KB)
Mpox (PDF, 195 KB)
Mumps (PDF, 488 KB)
Norovirus Outbreaks (PDF, 140 KB)
Novel Coronavirus Other (PDF, 465 KB) For current 2019 novel coronavirus (2019-nCoV) guidance documents and information please see the DSHS Novel Coronavirus website: /coronavirus/.
Novel Flu (PDF, 478 KB)
Paragonimiasis (PDF, 157 KB)
Pediatric Flu Death (PDF, 436 KB)
Pertussis (PDF, 599 KB)
Polio (PDF, 155 KB)
Rubella (PDF, 179 KB)
Salmonella Paratyphi (PDF, 156 KB)
Salmonellosis (Non-Paratyphi,Non-Typhi) (PDF, 177 KB)
STEC (Shiga toxin-producing Escherichia coli) (PDF, 215 KB)
Shigellosis (PDF, 183 KB)
Streptococcus pneumoniae (PDF, 998 KB)
Tetanus (PDF, 164 KB)
Tick-borne Relapsing Fever (PDF, 145 KB)
Trichuriasis (PDF, 148 KB)
Typhoid Fever (PDF, 198 KB)
Varicella (PDF, 504 KB)
Vibrio Infections including Cholera (PDF, 200 KB)
Viral Hemorrhagic Fever (Non-Ebola) (PDF, 141 KB)
VISA/VRSA (Vancomycin Intermediate Staphylococcus aureus/Vancomycin Resistant Staphylococcus aureus) (PDF, 182 KB)
Yersiniosis (PDF, 175 KB)
Appendix A: Additional Flowcharts and Tables (PDF, 377 KB)
Appendix B: Out of State Exposure Notifications (PDF, 181 KB)
Appendix C: DSHS Laboratory Resources (PDF, 443 KB)
Appendix D: Summary of Updates (PDF, 179 KB)
Appendix E: Additional Resources (PDF, 128 KB)
Appendix F: Acronyms and Abbreviations (PDF, 87 KB)
Book traversal links for Investigation Guidance
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- Menard County Disease Reporting Contacts
- Midland County Disease Reporting Contacts
- Anderson County Disease Reporting Contacts
- Andrews County Disease Reporting Contacts
- Angelina County Disease Reporting Contacts
- Aransas County Disease Reporting Contacts
- Archer County Disease Reporting Contacts
- Atascosa County Disease Reporting Contacts
- Austin County Disease Reporting Contacts
- Bailey County Disease Reporting Contacts
- Bandera County Disease Reporting Contacts
- Bastrop County Disease Reporting Contacts
- Baylor County Disease Reporting Contacts
- Bee County Disease Reporting Contacts
- Bell County Disease Reporting Contacts
- Bexar County Disease Reporting Contacts
- Blanco County Disease Reporting Contacts
- Borden County Disease Reporting Contacts
- Bosque County Disease Reporting Contacts
- Bowie County Disease Reporting Contacts
- Brazoria County Disease Reporting Contacts
- Brazos County Disease Reporting Contacts
- Brewster County Disease Reporting Contacts
- Briscoe County Disease Reporting Contacts
- Brooks County Disease Reporting Contacts
- Brown County Disease Reporting Contacts
- Burleson County Disease Reporting Contacts
- Burnet County Disease Reporting Contacts
- Caldwell County Disease Reporting Contacts
- Calhoun County Disease Reporting Contacts
- Callahan County Disease Reporting Contacts
- Cameron County Disease Reporting Contacts
- Camp County Disease Reporting Contacts
- Carson County Disease Reporting Contacts
- Cass County Disease Reporting Contacts
- Castro County Disease Reporting Contacts
- Chambers County Disease Reporting Contacts
- Cherokee County Disease Reporting Contacts
- Childress County Disease Reporting Contacts
- Clay County Disease Reporting Contacts
- Cochran County Disease Reporting Contacts
- Coke County Disease Reporting Contacts
- Coleman County Disease Reporting Contacts
- Collin County Disease Reporting Contacts
- Collingsworth County Disease Reporting Contacts
- Colorado County Disease Reporting Contacts
- Comal County Disease Reporting Contacts
- Comanche County Disease Reporting Contacts
- Concho County Disease Reporting Contacts
- Cooke County Disease Reporting Contacts
- Coryell County Disease Reporting Contacts
- Cottle County Disease Reporting Contacts
- Crane County Disease Reporting Contacts
- Crockett County Disease Reporting Contacts
- Crosby County Disease Reporting Contacts
- Culberson County Disease Reporting Contacts
- Dallam County Disease Reporting Contacts
- Dallas County Disease Reporting Contacts
- Dawson County Disease Reporting Contacts
- Deaf Smith County Disease Reporting Contacts
- Delta County Disease Reporting Contacts
- Denton County Disease Reporting Contacts
- DeWitt County Disease Reporting Contacts
- Dickens County Disease Reporting Contacts
- Dimmit County Disease Reporting Contacts
- Donley County Disease Reporting Contacts
- Duval County Disease Reporting Contacts
- Milam County Disease Reporting Contacts
- Eastland County Disease Reporting Contacts
- Ector County Disease Reporting Contacts
- Edwards County Disease Reporting Contacts
- Mills County Disease Reporting Contacts
- El Paso County Disease Reporting Contacts
- Ellis County Disease Reporting Contacts
- Erath County Disease Reporting Contacts
- Falls County Disease Reporting Contacts
- Fannin County Disease Reporting Contacts
- Fayette County Disease Reporting Contacts
- Fisher County Disease Reporting Contacts
- Floyd County Disease Reporting Contacts
- Foard County Disease Reporting Contacts
- Fort Bend County Disease Reporting Contacts
- Franklin County Disease Reporting Contacts
- Freestone County Disease Reporting Contacts
- Frio County Disease Reporting Contacts
- Gaines County Disease Reporting Contacts
- Galveston County Disease Reporting Contacts
- Garza County Disease Reporting Contacts
- Gillespie County Disease Reporting Contacts
- Glasscock County Disease Reporting Contacts
- Goliad County Disease Reporting Contacts
- Gonzales County Disease Reporting Contacts
- Gray County Disease Reporting Contacts
- Grayson County Disease Reporting Contacts
- Gregg County Disease Reporting Contacts
- Grimes County Disease Reporting Contacts
- Guadalupe County Disease Reporting Contacts
- Hale County Disease Reporting Contacts
- Hall County Disease Reporting Contacts
- Hamilton County Disease Reporting Contacts
- Hansford County Disease Reporting Contacts
- Hardeman County Disease Reporting Contacts
- Hardin County Disease Reporting Contacts
- Harris County Disease Reporting Contacts
- Harrison County Disease Reporting Contacts
- Hartley County Disease Reporting Contacts
- Haskell County Disease Reporting Contacts
- Hays County Disease Reporting Contacts
- Hemphill County Disease Reporting Contacts
- Henderson County Disease Reporting Contacts
- Hidalgo County Disease Reporting Contacts
- Hill County Disease Reporting Contacts
- Hockley County Disease Reporting Contacts
- Hood County Disease Reporting Contacts
- Hopkins County Disease Reporting Contacts
- Houston County Disease Reporting Contacts
- Harris County - Houston Disease Reporting Contacts
- Howard County Disease Reporting Contacts
- Hudspeth County Disease Reporting Contacts
- Hunt County Disease Reporting Contacts
- Mitchell County Disease Reporting Contacts
- Montague County Disease Reporting Contacts
- Montgomery County Disease Reporting Contacts
- Moore County Disease Reporting Contacts
- Morris County Disease Reporting Contacts
- Motley County Disease Reporting Contacts
- Nacogdoches County Disease Reporting Contacts
- Navarro County Disease Reporting Contacts
- Newton County Disease Reporting Contacts
- Nolan County Disease Reporting Contacts
- Nueces County Disease Reporting Contacts
- Ochiltree County Disease Reporting Contacts
- Oldham County Disease Reporting Contacts
- Orange County Disease Reporting Contacts
- Palo Pinto County Disease Reporting Contacts
- Panola County Disease Reporting Contacts
- Parker County Disease Reporting Contacts
- Hutchinson County Disease Reporting Contacts
- Irion County Disease Reporting Contacts
- Parmer County Disease Reporting Contacts
- Jack County Disease Reporting Contacts
- Jackson County Disease Reporting Contacts
- Pecos County Disease Reporting Contacts
- Jasper County Disease Reporting Contacts
- Jeff Davis County Disease Reporting Contacts
- Polk County Disease Reporting Contacts
- Jefferson County Disease Reporting Contacts
- Jefferson County - Port Arthur Disease Reporting Contacts
- Jim Hogg County Disease Reporting Contacts
- Potter County Disease Reporting Contacts
- Jim Wells County Disease Reporting Contacts
- Presidio County Disease Reporting Contacts
- Johnson County Disease Reporting Contacts
- Rains County Disease Reporting Contacts
- Randall County Disease Reporting Contacts
- Reagan County Disease Reporting Contacts
- Jones County Disease Reporting Contacts
- Real County Disease Reporting Contacts
- Karnes County Disease Reporting Contacts
- Red River County Disease Reporting Contacts
- Kaufman County Disease Reporting Contacts
- Reeves County Disease Reporting Contacts
- Kendall County Disease Reporting Contacts
- Refugio County Disease Reporting Contacts
- Roberts County Disease Reporting Contacts
- Rockwall County Disease Reporting Contacts
- Runnels County Disease Reporting Contacts
- Rusk County Disease Reporting Contacts
- Sabine County Disease Reporting Contacts
- San Augustine County Disease Reporting Contacts
- San Jacinto County Disease Reporting Contacts
- San Patricio County Disease Reporting Contacts
- San Saba County Disease Reporting Contacts
- Schleicher County Disease Reporting Contacts
- Scurry County Disease Reporting Contacts
- Shackelford County Disease Reporting Contacts
- Shelby County Disease Reporting Contacts
- Sherman County Disease Reporting Contacts
- Smith County Disease Reporting Contacts
- Somervell County Disease Reporting Contacts
- Starr County Disease Reporting Contacts
- Stephens County Disease Reporting Contacts
- Sterling County Disease Reporting Contacts
- Stonewall County Disease Reporting Contacts
- Sutton County Disease Reporting Contacts
- Kenedy County Disease Reporting Contacts
- Swisher County Disease Reporting Contacts
- Kent County Disease Reporting Contacts
- Tarrant County Disease Reporting Contacts
- Taylor County Disease Reporting Contacts
- Kerr County Disease Reporting Contacts
- Terrell County Disease Reporting Contacts
- Terry County Disease Reporting Contacts
- Throckmorton County Disease Reporting Contacts
- Titus County Disease Reporting Contacts
- Upshur County Disease Reporting Contacts
- Upton County Disease Reporting Contacts
- Uvalde County Disease Reporting Contacts
- Val Verde County Disease Reporting Contacts
- Van Zandt County Disease Reporting Contacts
- Victoria County Disease Reporting Contacts
- Walker County Disease Reporting Contacts
- Waller County Disease Reporting Contacts
- Ward County Disease Reporting Contacts
- Washington County Disease Reporting Contacts
- Webb County Disease Reporting Contacts
- Wharton County Disease Reporting Contacts
- Wheeler County Disease Reporting Contacts
- Wichita County Disease Reporting Contacts
- Wilson County Disease Reporting Contacts
- Tom Green County Disease Reporting Contacts
- Travis County Disease Reporting Contacts
- Trinity County Disease Reporting Contacts
- Tyler County Disease Reporting Contacts
- Willacy County Disease Reporting Contacts
- Williamson County Disease Reporting Contacts
- Winkler County Disease Reporting Contacts
- Wise County Disease Reporting Contacts
- Wood County Disease Reporting Contacts
- Yoakum County Disease Reporting Contacts
- Young County Disease Reporting Contacts
- Zapata County Disease Reporting Contacts
- Zavala County Disease Reporting Contacts
- Kimble County Disease Reporting Contacts
- King County Disease Reporting Contacts
- Kinney County Disease Reporting Contacts
- Kleberg County Disease Reporting Contacts
- Knox County Disease Reporting Contacts
- La Salle County Disease Reporting Contacts
- Lamar County Disease Reporting Contacts
- Lamb County Disease Reporting Contacts
- Lampasas County Disease Reporting Contacts
- Lavaca County Disease Reporting Contacts
- Lee County Disease Reporting Contacts
- Leon County Disease Reporting Contacts
- Liberty County Disease Reporting Contacts
- Limestone County Disease Reporting Contacts
- Lipscomb County Disease Reporting Contacts
- Live Oak County Disease Reporting Contacts
- Llano County Disease Reporting Contacts
- Loving County Disease Reporting Contacts
- Lubbock County Disease Reporting Contacts
- Lynn County Disease Reporting Contacts
- Madison County Disease Reporting Contacts
- Marion County Disease Reporting Contacts
- Martin County Disease Reporting Contacts
- Mason County Disease Reporting Contacts
- Matagorda County Disease Reporting Contacts
- Maverick County Disease Reporting Contacts
- McCulloch County Disease Reporting Contacts
- McLennan County Disease Reporting Contacts
- McMullen County Disease Reporting Contacts
- Medina County Disease Reporting Contacts
- Robertson County Disease Reporting Contacts
- Wilbarger County Disease Reporting Contacts
- Armstrong County Disease Reporting Contacts
- Disease Surveillance
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Get in Touch
Get in Touch
Infectious Disease Prevention Section
Mail Code: 1927
PO BOX 149347
Austin, TX 78714-9347
United States
Infectious Disease Prevention Section
1100 West 49th Street
Suite G401
Austin, TX 78714
United States