I mean seriously? Do you not have a mandated system of reporting super bugs, infectious disease breakouts, and other nasties?
This is the United States of America, and I'm sure there are tons of congressmen who have taken lots of money from the health care industry to block any such regulation. The same congressmen who push laws that investigate women who've had miscarriages because of the possibility that they were really self-induced abortions.
Here in Texas, there's a woman doing 20 years for aborting her own baby. We're a nation governed by savages who wrap themselves in "God's Will". Here in Texas, it's easier to open a gun superstore than it is to open a free clinic for women.