Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 164.2 - TUBERCULOSIS › Section 11-164.2-2 - Definitions

Current through June, 2024
As used in this chapter:
"Annually" means within the range of three hundred
				  thirty-five to three hundred ninety-six days.
"Child care facility" has the same meaning as defined in
				  section
				  346-151, Hawaii
				  Revised Statutes (HRS) and includes child care facilities licensed by the
				  Department of Human Services, day care centers, day nurseries, and group child
				  care homes.
"Child care facility personnel" means adults who work or live
				  in a child care facility, including but not limited to operators, caregivers,
				  providers, household members, volunteers, and staff members such as child care
				  and maintenance workers.
"Communicable TB disease" means TB disease caused by
				  Mycobacterium tuberculosis which may spread from person to person through
				  airborne contact. It generally includes pulmonary or laryngeal TB disease. It
				  may also include other specific conditions determined by the department to
				  represent a risk of transmission to other persons.
"Congregate setting" means any place where a number of
				  persons meet, gather, reside, or share the same enclosed area.
"Course of study" means a sequence of classes leading to a
				  certificate, diploma, degree, or other recognition of educational
				  accomplishment.
"Department" means the department of health of the State of
				  Hawaii, or an authorized officer or agent of the department.
"Director" means the director of health of the State of
				  Hawaii or the director's duly authorized agent.
"Food establishment" means a place where food or beverages
				  are prepared, packaged, served, sold, or otherwise provided for human
				  consumption, but excludes establishments that offer only prepackaged foods,
				  produce stands that only offer unprocessed fresh fruits and vegetables, or
				  kitchens in private homes.
"Food handler" means any person who prepares, packages,
				  serves, sells, or otherwise provides food or beverages for human
				  consumption.
"Food handling" means engaging in the activities of a food
				  handler in a food establishment.
"Hawaii TB Control Branch" means the department's
				  Tuberculosis Control Branch.
"Health care facility" means a place licensed or certified by
				  the department, including but not limited to hospitals, at which health care is
				  provided.
"Hospital" means any institution currently licensed as such
				  by the department, pursuant to section
				  321-14.5,
				  HRS.
"Infection control officer" means an individual designated by
				  a health care facility to provide surveillance, detection, prevention, or
				  control of infectious agents.
"Initial TB evaluation" means the first evaluation for TB
				  disease required for persons subject to TB clearance evaluation procedures as
				  set forth in this chapter.
"Laryngeal TB" means TB disease involving the larynx.
"Latent TB infection" means Mycobacterium tuberculosis is
				  present inside the body of a person and is not actively replicating or causing
				  TB symptoms and is not communicable.
"Mycobacterium tuberculosis" means the bacterial species that
				  causes latent TB infection or TB disease in humans.
"Notifiable Disease Report for Tuberculosis" means a
				  department-approved form for reporting a person who is diagnosed with TB
				  disease or suspected of having TB disease to the department. The "Notifiable
				  Disease Report for Tuberculosis" form is included in the DOH TB Clearance
				  Manual, referenced in section 11-164.2-13.
"Person suspected of having TB disease" means a person with
				  laboratory, radiological, epidemiological, or clinical findings indicative of
				  TB disease until a diagnostic evaluation is completed to rule out or confirm TB
				  disease.
"Physician" means a person licensed to practice allopathic,
				  osteopathic, or naturopathic medicine in any of the states or territories of
				  the United States. A person who has a license or is accredited in chiropractic,
				  homeopathy, acupuncture, or herbal healing does not qualify as a physician
				  under this chapter.
"Post-secondary school" means an adult education school,
				  business school, trade school, community college, college, or university
				  enrolling students above the age of compulsory school attendance.
"Practitioner", for the purposes of this chapter, means an
				  allopathic, osteopathic, or naturopathic physician, a physician assistant, or
				  an advanced practice registered nurse authorized by the State of Hawaii to
				  practice within the State.
"Pulmonary TB" means TB disease involving the lungs.
"Residential care setting" means a place licensed or
				  certified by the department where people live, and medical care, therapeutic
				  care, or other services are provided.
"Risk factor" means a variable associated with an increased
				  risk of or susceptibility to latent TB infection or TB disease.
"School" means a congregate setting for educational purposes,
				  including Head Start, preschools, kindergarten, elementary, intermediate,
				  middle, or secondary schools, but excludes parent cooperatives, play groups,
				  respite programs, and summer recreation programs.
"School personnel" means personnel employed by a school,
				  including bus drivers and volunteers, or other persons anticipated to have
				  contact with students for more than thirty days cumulatively within a
				  twelvemonth period.
"TB" or "tuberculosis" means infection or disease caused by
				  Mycobacterium tuberculosis. It presents in two forms, "Latent TB infection" and
				  "TB disease".
"TB clearance" means a department-approved form that provides
				  documentation that a person has been evaluated by a practitioner and found to
				  be free of communicable TB. The TB clearance provides a reasonable assurance
				  that the individual is free from communicable TB at the time of the evaluation.
				  The TB clearance form does not imply any guarantee of protection from future
				  tuberculosis risk for the individual listed. The department may require
				  additional evaluation or testing of any person known, reported, or suspected to
				  have TB disease, pursuant to section 11-164.2-11. The TB clearance form is
				  included in the DOH TB Clearance Manual, referenced in section
				  11-164.2-13.
"TB disease" or "active TB" means Mycobacterium tuberculosis
				  is active and multiplying in any part of the body of a person. TB disease can
				  be either communicable or non-communicable.
"TB infection" means Mycobacterium tuberculosis is present
				  inside the body of a person and may be latent TB infection or TB
				  disease.
"TB risk assessment" means a department-approved evaluation
				  tool to assess and document whether a person has TB symptoms or a risk factor
				  for latent TB infection or TB disease. TB risk assessment tools for adults and
				  children are available in the DOH TB Clearance Manual, referenced in section
				  11-164.2-13.
"TB symptoms" means findings, including cough, fever, weight
				  loss, or night sweats, which suggest the possible existence of TB
				  disease.
"Test for TB infection" means a department-approved test that
				  is approved by the U.S. Food and Drug Administration and recommended by the
				  Centers for Disease Control and Prevention for determining the presence of
				  Mycobacterium tuberculosis in the body of a person. The results of the test may
				  detect latent TB infection or TB disease. A list of department-approved tests
				  for TB infection and guidelines for the interpretation of test results is
				  included in the DOH TB Clearance Manual, referenced in section
				  11-164.2-13.
"Treatment for TB disease" means medication or medical
				  therapy prescribed by a practitioner to cure a person of TB disease.
"Tuberculosis Case Follow-Up Report" means a
				  department-approved form for reporting follow-up information on a person who is
				  undergoing treatment for TB disease. The Tuberculosis Case Follow-Up Report
				  form is included in the DOH TB Clearance Manual, referenced in section
				  11-164.2-13.