The report describes the efforts of hundreds of public health workers and clinical providers across Texas, at local and state levels. These include epidemiologists and technicians; public health clinicians; food safety, facility safety, and sanitation workers; laboratorians, private and public; providers, also both private and public, who identify and report diseases to public health; providers and entities that participate in ongoing disease surveillance, and the support and auxiliary staff who help keep them all going. It also represents the contributions of members of the public whose cooperation, information, and insight into events make it possible for disease investigations to be successful.