• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Division of Outbreak Investigation

    In Maryland, healthcare providers, healthcare institutions, medical laboratories, teachers at schools, child care providers, masters of vessel or aircraft, owners or operators of a food service establishment are required to immediately report outbreaks of infectious diseases to their local health department under Code of Maryland Regulations (COMAR) and Maryland Code Annotated, Health-General (H-G) §§ 18-201, 18-202, and 18-205.

    The Division of Outbreak Investigation provides support for local health departments in outbreak investigations by coordinating clinical and environmental specimen testing at the Laboratories Administration, Maryland Department of Health and Mental Hygiene (DHMH); and managing statewide outbreak related data. DHMH also works closely with the Centers for Disease Control and Prevention (CDC), the Maryland Department of Agriculture, the Food and Drug Administration (FDA) and the US Department of Agriculture (USDA) for support and collaboration on multistate investigations.

    Outbreaks are reportable to DHMH within one working day after a local health department receives a report (COMAR The information provided at time of report includes:

    • Location/setting of outbreak
    • Number of ill cases and susceptible cases
    • Date the outbreak reported to local and state health
    • Infectious disease etiology suspected
    • Contact information

    The goals of outbreak investigation and management in Maryland are to:

    • Decrease the number of outbreaks by improving outbreak response and prevention
    • Identify specific areas of improvement for outbreak investigation and reporting
    • Collate data on all reported outbreaks in a centralized and standardized manner

    What is an Outbreak?

    An outbreak is defined as an increase in cases of disease in time or place that is greater than expected. If a condition is rare (e.g. measles) or has serious public health implications (e.g. bioterrorism agent), an outbreak may involve only one case. When two or more cases in the same outbreak have a laboratory result involving the same etiologic agent, the outbreak is considered to be laboratory confirmed.

    Local and state epidemiologists are responsible for outbreak investigations involving Maryland residents regardless of where they were exposed. Outbreaks involving residents from multiple states are usually coordinated by CDC. Investigations into the source of an outbreak can depend on the etiology involved (viral, bacterial, parasitic or chemical), the mode of transmission (foodborne, waterborne, environmental, person-to-person), or the outbreak setting (restaurant, hospital or assisted living facility, school or community).

    Outbreak Data and Statistics

    These are descriptive reports of the local outbreaks reported to the local health departments and subsequently to the state health department. These reports do not include multi-state outbreaks in which Maryland may have had cases.