All laboratories shall submit the following directly to the State Public Health Laboratory for further examination.
Bacillus anthracis isolates and suspect isolates
Brucella sp. isolates and suspect isolates
Burkholderia mallei isolates and suspect isolates
Burkholderia pseudomallei isolates and suspect isolates
Carbapenem-resistant and carbapenemase producing Enterobacteriacea isolates
Campylobacter sp. isolates
Clostridium botulinum isolates and suspect isolates
Specimens obtained from human sources with indication or suspicion of eastern equine encephalitis (EEE) virus infection
Francisella tularensis isolates and suspect isolates
Haemophilus influenzae isolates from a usually sterile site
Influenza viruses diagnostic specimens or isolates known or suspected to contain antiviral resistant virus
Legionella sp., isolates and suspect isolates
Listeria monocytogenes isolates
Specimens with indication or suspicion of measles virus infection
Specimens with indication or suspicion of mumps virus infection
Mycobacterium tuberculosis
Neisseria gonorrhoeae isolates
Neisseria meningitidis isolates from a usually sterile site
Salmonella sp. isolates
SARS-CoV-2 isolates
Shiga toxin producing organism isolates including E. coli O157, and any broths which test positive for shiga toxin producing organisms where the organism has not been isolated
Shigella sp. isolates
Staphylococcus aureus, vancomycin-intermediate and vancomycin-resistant isolates only Streptococcus pneumoniae isolates from a usually sterile site and only from individuals younger than 18 years old
Vibrio sp. isolates
Specimens obtained from human sources with indication or suspicion of West Nile virus infection
Yersinia pestis isolates and suspect isolates
Yersinia sp. (non pestis) isolates
Organisms with antimicrobial resistance of a novel nature
Where necessary for the investigation, monitoring, control and prevention of diseases dangerous to the public health, the Department may require added specimens or isolates from organisms listed in 105 CMR 300.170 be submitted to the State Public Health Laboratory for further examination.
105 CMR, § 300.172