333-019-0010 Disease Related School, Child Care, and Worksite Restrictions: Imposition of Restrictions (1) For purposes of this rule: (a) "Evidence of immunity": (A) To measles, mumps or rubella means meeting the criteria for presumptive evidence of immunity specified in the Morbidity and Mortality Weekly Report (MMWR) volume 64, issue RR04, issued June 14, 2013, available at www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm; (B) To diphtheria or pertussis means having documentation of having been immunized as recommended in the Morbidity and Mortality Weekly Report (MMWR) volume 67, issue 2, dated April 27, 2018, available at www.cdc.gov/mmwr/volumes/67/rr/rr6702a1.htm; (C) To hepatitis A means having documentation of detectable serum antibodies directed against this virus; having laboratory documentation of having had the disease; or having documentation of having been immunized as recommended in the Morbidity and Mortality Weekly Report (MMWR) volume 55, issue RR07, issued May 19, 2006, available at www.cdc.gov/mmwr/preview/mmwrhtml/rr5507a1.htm; (D) To hepatitis B means having documentation of having been immunized as recommended in the Morbidity and Mortality Weekly Report (MMWR) volume 67, issue 1, issued January 12, 2018, available at www.cdc.gov/mmwr/volumes/67/rr/rr6701a1.htm; or having documentation of ever having at least 10 milli-international units per milliliter of serum of antibodies to hepatitis B surface antigen. (b) "Restrictable disease": (A) As applied to food service facilities includes but is not limited to COVID-19, diphtheria, hepatitis A, hepatitis E, measles, Salmonella enterica serotype Typhi infection, Shiga-toxigenic Escherichia coli (STEC) infection, shigellosis, infectious tuberculosis, open or draining skin lesions infected with Staphylococcus aureus or Streptococcus pyogenes, any illness accompanied by diarrhea or vomiting. (B) As applied to schools, children's facilities, and health care facilities, includes but is not limited to chickenpox, COVID-19, diphtheria, hepatitis A, hepatitis E, measles, mumps, pertussis, rubella, Salmonella enterica serotype Typhi infection, scabies, Shiga-toxigenic Escherichia coli (STEC) infection, shigellosis, and infectious tuberculosis and may include a communicable stage of hepatitis B infection in a child, who, in the opinion of the local health officer, poses an unusually high risk to other children (for example, exhibits uncontrollable biting or spitting). (C) Includes any other communicable disease identified in an order issued by the Oregon Health Authority (Authority) or a local public health administrator as posing a danger to the public's health. (c) "Susceptible": (A) For a child, means lacking documentation of immunization required under OAR 333-050-0050, or if immunization is not required, lacking evidence of immunity to the disease. (B) For an employee of a school or child care facility, means lacking evidence of immunity to the disease. (2) To protect the public health, an individual who attends or works at a school or child care facility, or who works at a health care facility or food service facility may not attend or work at a school or facility while in a communicable stage of a restrictable disease, unless otherwise authorized to do so under these rules. (3) A school administrator shall exclude a susceptible child who attends a school or children's facility or a susceptible employee of a school or children’s facility if the administrator has reason to suspect that the child or employee has been exposed to measles, mumps, rubella, diphtheria, pertussis, hepatitis A, or hepatitis B, unless the local health officer determines, in accordance with section (5) of this rule, that exclusion is not necessary to protect the public's health. (4) A school administrator may request that the local health officer determine whether an exclusion under section (3) of this rule is necessary. (5) If a local health officer receives a request from a school administrator to determine whether an exclusion is appropriate under this rule, the local health officer, in consultation as needed with the Authority, may consider the following non-exclusive factors in making the determination: (a) The severity of the disease; (b) The means of transmission of the disease; (c) The intensity of the child's or employee's exposure; and (d) The exposed child's or employee's susceptibility to the disease, including having initiated a vaccination series for the disease. (6) The length of exclusion under this rule for illness or exposure must be consistent with current Oregon Health Authority guidance related to isolation or quarantine, as applicable. Guidance may be found at www.healthoregon.org/iguides. (7) A susceptible child may be excluded under this rule notwithstanding any claim of exemption under ORS 433.267. (8) The infection control committee at each health care facility shall adopt policies to restrict employees with restrictable diseases from work in accordance with recognized principles of infection control. (9) Nothing in these rules prohibits: (a) A school or children's facility from adopting more stringent exclusion standards under ORS 433.284. (b) A health care facility or food service facility from adopting additional or more stringent rules for exclusion of employees. Statutory/Other Authority: ORS 624.005, ORS 413.042, 431.110, 433.004, 433.255, 433.260, 433.284, 433.329, 433.332, 616.750 & 624.495 Statutes/Other Implemented: ORS 433.255, 433.260, 433.407, 433.411 & 433.419 History: PH 51-2023, amend filed 10/26/2023, effective 10/26/2023 PH 171-2022, amend filed 08/09/2022, effective 08/20/2022 PH 22-2022, temporary amend filed 03/03/2022, effective 03/03/2022 through 08/29/2022 PH 90-2021, amend filed 12/23/2021, effective 12/23/2021 PH 27-2021, temporary amend filed 06/29/2021, effective 06/29/2021 through 12/25/2021 PH 60-2020, amend filed 09/04/2020, effective 09/04/2020 PH 17-2020, amend filed 03/26/2020, effective 04/06/2020 PH 21-2017, amend filed 12/21/2017, effective 01/01/2018 PH 24-2016, f. 8-8-16, cert. ef. 8-16-16 PH 10-2015, f. 7-2-15, cert. ef. 7-3-15 PH 1-2015(Temp), f. & cert. ef. 1-7-15 thru 7-5-15 PH 16-2013, f. 12-26-13, cert. ef. 1-1-14 PH 7-2011, f. & cert. ef. 8-19-11 PH 11-2005, f. 6-30-05, cert. ef. 7-5-05 OHD 4-2002, f. & cert. ef. 3-4-02 HD 15-1981, f. 8-13-81, ef. 8-15-81