reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-1 - NOTIFICATION OF DISEASE › Rule 511-2-1-.02 - Duty to Report Notifiable Diseases and Conditions

Current through Rules and Regulations filed through June 27, 2024
(1) It shall be the duty of every reporter to
				promptly notify the Department upon discovering an actual or suspected case of
				a notifiable disease. Reports may be made through the State Electronic
				Notifiable Disease Surveillance System (SendSS), by telephone, by letter, or by
				completing and transmitting forms provided by the Department.
(2) Outbreaks or unusual clusters of disease,
				whether infectious or noninfectious, must be reported promptly to the local
				county health department or to the Department.
(3) The Department shall determine which
				diseases and conditions require notice, and shall publish an official roster of
				said notifiable diseases and conditions on its website. The official roster of
				notifiable diseases and conditions may contain instructions requiring a
				reporter to forward to the Department any clinical materials found to contain
				an agent of a notifiable disease. Each county health department shall be
				responsible for making the current notifiable disease roster available to local
				reporters, and for providing guidance and assistance on their reporting
				duties.
(4) Upon special request by
				the Department, a reporter shall provide information or clinical materials
				which indicate the presence of diseases or conditions of public health
				significance, such as newly recognized infectious agents, antimicrobial
				resistant infections such as those caused by carbapenem resistant
				enterobacteriacae, deaths or critical illness from suspected infectious agents,
				alcohol/drug abuse, birth defects, cancer, heart attack, stroke, injuries,
				poisonings and occupational diseases.
(5) Upon special request by the Department, a
				reporter shall provide additional information to the Department concerning
				patients for whom they have submitted clinical materials, and to provide
				additional clinical materials when so requested for the purpose of providing
				complete laboratory confirmation of cases having public health importance, if
				the condition and circumstances of the patient permit.
(6) Clinical laboratories shall retain all
				reports of notifiable disease for two years from the date of the report.
				Clinical laboratories shall retain clinical materials containing an agent of a
				notifiable disease for at least one week from the date of the report, and shall
				send said materials to the Department for further testing upon request or as
				directed in the official roster of notifiable diseases and
				conditions.
(7) Information
				concerning the occurrence or probable occurrence of any notifiable disease and
				condition which comes to the attention of any county health department shall be
				promptly transmitted to the Department.
O.C.G.A. §§
											31-2A-6,  31-12-2,  31-17-2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-1 - NOTIFICATION OF DISEASE › Rule 511-2-1-.03 - Confidentiality

Current through Rules and Regulations filed through June 27, 2024
(a)
				The following records shall be deemed confidential and shall not be subject to
				public inspection: all reports submitted to a county health department or to
				the Department pursuant to this Chapter; all information requested or collected
				as part of an outbreak or cluster investigation, subject to the exceptions
				described in subparagraph (b) of this Rule; all identifiable Georgia Discharge
				Data System data; and all information identified as "non-public" and received
				from the U. S. Food and Drug Administration.
(b) When an outbreak or cluster investigation
				is concluded, the Department's Final Report may be made public, provided that
				it contains no personally identifiable data. When an outbreak or cluster
				investigation is expected to last more than ninety days, the Department may
				prepare one or more Interim Reports. Such Interim Reports may be made public,
				provided that they contain no personally identifiable data.
O.C.G.A. §§
											31-2A-6,  31-5-5,  31-12-2,  31-17-2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-1 - NOTIFICATION OF DISEASE › Rule 511-2-1-.04 - Liability

Current through Rules and Regulations filed through June 27, 2024
Any person, including but not limited to practitioners of the
				 healing arts, who in good faith submits reports or data to the Department or to
				 a county health department pursuant to the provisions of this Chapter shall not
				 be liable for any civil damages therefor.
O.C.G.A. §§
											31-2A-6,  31-12-2,  31-17-2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-1 - NOTIFICATION OF DISEASE › Rule 511-2-1-.05 - Reporting of Pediatric Asthma Deaths

Current through Rules and Regulations filed through June 27, 2024
(a)
				It shall be the duty of every physician, coroner, and medical examiner that
				attends or examines the remains of a patient under the age of 18 years old in
				circumstances indicating that asthma was or may have been the cause of or a
				contributing factor to death to report that death to the Department. It is the
				intent of this Rule that only one report shall be made for a particular
				patient, and there shall be no duty to report if a complete and accurate report
				has already been made by another physician, coroner, or medical examiner who
				has examined the patient.
(b)
				Reports shall be made to the Department within ten days of death or
				examination, through an online portal set up for that purpose.
O.C.G.A. §§
											31-2A-6,  31-12-2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-1 - NOTIFICATION OF DISEASE › Rule 511-2-1-.06 - Reports to the Department of Community Health

Current through Rules and Regulations filed through June 27, 2024
(a)
				When the Department receives a report of a notifiable disease or an outbreak or
				cluster of disease identified in a health care facility licensed or permitted
				by the Department of Community Health ("DCH"), it shall be the duty of the
				Department to notify DCH if the disease is clinically severe or is typically
				associated with high morbidity or mortality.
(b) The Department shall further notify DCH
				if a health care facility licensed or permitted by DCH fails or refuses to
				comply with the Department's public health recommendations.
O.C.G.A. §§
											31-2A-4,  31-2A-6,  31-8-82.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.01 - Definitions

Current through Rules and Regulations filed through June 27, 2024
(a) "Childcare
				facility" means any public or private day center or nursery intended for the
				care, supervision, or instruction of children, including pre-kindergarten
				programs;
(b) "County Board of
				Health" means a county board of health organized pursuant to O.C.G.A. Section
				 31-3-1
et
				seq.
;
(c) "Department"
				means the Georgia Department of Public Health;
(d) "Epidemic" means an outbreak, or rise in
				incidence rate, or spread of incidence of a contagious or infectious disease so
				as to constitute a clear and present risk of infection to the public at large
				or to congregated groups thereof;
(e) "Physician" means a practitioner of the
				healing arts licensed in accord with O.C.G.A. Section
				 43-34-20
et
				seq.
or the equivalent laws of the practitioner's jurisdiction if
				outside Georgia;
(f) "School" means
				any public or private educational program or institution instructing children
				at any level or levels, kindergarten through twelfth grade, or children of ages
				five through nineteen if grade divisions are not used;
(g) "Tdap vaccine" means a single vaccine
				that protects against tetanus, diphtheria, and pertussis.
O.C.G.A. Secs.
				  31-2A-6,  20-2-771,  31-12-3,  49-5-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.02 - Immunization Required

Current through Rules and Regulations filed through June 27, 2024
(a)
				Except as otherwise provided, immunization against the following diseases shall
				be required of all children entering a school or childcare facility operating
				in the state:
(1) Diphtheria;
(2) Haemophilus influenzae type B (not
				required on or after the fifth birthday);
(3) Hepatitis A;
(4) Hepatitis B;
(5) Measles;
(6) Meningitis;
(7) Mumps;
(8) Pertussis;
(9) Pneumococcal disease (not required on or
				after the fifth birthday);
(10)
				Poliomyelitis;
(11) Rubella (German
				measles);
(12) Tetanus;
				and
(13) Varicella
				(chickenpox).
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.03 - Official Immunization Schedules

Current through Rules and Regulations filed through June 27, 2024
(1) An immunization regimen equivalent to the
				current immunization schedule developed by the Advisory Committee on
				Immunization Practices (ACIP), adopted by the Department and published in the
				official state immunization program manual, shall be deemed the minimum regimen
				of immunization which satisfies the requirements of this Chapter. Immunization
				certified by County Boards of Health shall be accomplished in accord with the
				departmental immunization schedule.
(2) Any other immunization schedule which
				includes the immunizations itemized in Rule
				 511-2-2-.02, Immunizations Required,
				and equals or exceeds the minimum requirements of the Departmental Immunization
				Schedule shall be deemed to satisfy the requirement for issuance of a
				Certificate of Immunization.
(3)
				Copies of the Departmental Immunization Schedule may be obtained from the
				Department or County Board of Health.
O.C.G.A. Secs.
				  31-2A-6,  20-2-771,  31-12-3,  49-5-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.04 - Certificate of Immunization

Current through Rules and Regulations filed through June 27, 2024
(1) A Certificate of Immunization may be
				issued by a physician, physician's assistant, advanced practice registered
				nurse, or qualified employee of a County Board of Health or the State
				Immunization Program, on a form provided by or approved by the Department, for
				any person that has been vaccinated against a specific disease in compliance
				with this Chapter.
(2) A
				Certificate of Immunization may be issued for a child who has not received all
				required immunizations with the conditions that the child is in the process of
				completing required immunizations and that immunizations are being scheduled
				with the shortest intervals recommended in the current Official Immunization
				Schedules. Such a certificate must be retained and monitored for currency by
				the school or childcare facility while the child continues in attendance and
				must be made available for inspection during normal business hours by
				authorized officials of the Department or County Board of Health.
(3) A certificate for a child who is in the
				process of receiving all required vaccines must show a date of expiration,
				which shall be the date on which the next required immunization is due or the
				date on which a medical exemption must be reviewed. A new certificate must then
				be obtained and submitted to the school or childcare facility within thirty
				days after the expiration date.
Children whose parents fail to renew said certificates within
				 the time allotted shall not be permitted to continue in attendance.
(4) If a child transfers to
				another school or childcare facility, then the certificate of immunization
				shall be transferred to the new school or childcare facility. If a child ceases
				to attend without transfer, then the certificate shall be returned to the
				parent or guardian.
31-2A-6,
				 20-2-771, 31-12-3, 49-5-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.05 - Certificate of Immunization Issued for Child with Physical Disability

Current through Rules and Regulations filed through June 27, 2024
If a child has a physical disability, condition, or
				 physiological idiosyncrasy which might cause a specific immunization to
				 endanger life or health, then a physician may issue a Certificate of
				 Immunization indicating "medical exemption." A Certificate of Immunization
				 indicating medical exemption shall be valid for one year, and may be reissued
				 from year to year until the physician determines that immunization or a
				 specific immunization may finally be accomplished without danger to the child's
				 health.
O.C.G.A. Secs.
				  31-2A-6,  20-2-771,  31-12-3,  49-5-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-2 - IMMUNIZATION OF SCHOOL CHILDREN › Rule 511-2-2-.06 - Certificate of Immunization for a Child Immunized Outside of Georgia

Current through Rules and Regulations filed through June 27, 2024
A County Board of Health or physician may issue a Certificate
				 of Immunization as provided by Rule
				  511-2-2-.04  upon receiving written
				 proof attested to by a physician licensed by Georgia, a physician licensed in
				 another state, or an authorized representative of a public health authority of
				 another state or nation, that all required immunizations have been accomplished
				 for the child. Such proof shall indicate each vaccine type administered and the
				 date of each dose. A County Board of Health or physician may issue a
				 Certificate of Immunization indicating medical exemption as provided by Rule
				  511-2-2-.05  upon receiving written
				 proof attested to by a physician licensed by Georgia or another state that the
				 child has a physical disability, condition, or physiological idiosyncrasy which
				 might cause a specific immunization to endanger life or
				 health.
O.C.G.A. Secs.
				  31-2A-6,  31-14-1,  31-14-10,  31-14-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.01 - Purpose

Current through Rules and Regulations filed through June 27, 2024
(1) The purpose of
				this chapter is to prevent spread of tuberculosis and to prevent the
				development of new cases.
(2) The
				Georgia Department of Public Health or its designee (Department) has the
				responsibility of developing procedures to ensure that persons with suspected
				cases of tuberculosis receive prompt diagnostic tests and persons with
				confirmed cases are given written treatment plans and an adequate oral
				explanation thereof which, if observed, can prevent the disease from spreading
				and lead to the recovery of the patient.
(3) A person with pulmonary tuberculosis, and
				positive sputum, who refuses to take prescribed chemotherapy is a threat to the
				health of the community. Each time this individual coughs or sneezes, living
				virulent tubercle bacilli are dispersed on droplet nuclei into the area. By
				inhaling these virulent bacilli, any individual living or being in close
				contact with this diseased person over a period of time may become infected
				with the disease. Furthermore, any person with tuberculosis who refuses to take
				the full recommended course of therapy is a threat to the community due to the
				possibility of that person developing drug resistant tuberculosis.
O.C.G.A. Secs.
				  31-2A-6,  31-14-1,  31-14-10,  31-14-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.02 - Reporting

Current through Rules and Regulations filed through June 27, 2024
(1) In-patient or
				out-patient treatment of a case of active tuberculosis and treatment of a
				suspected case with two or more anti-tuberculosis drugs shall be reported to
				the Epidemiology and Prevention Branch of the Department through the local
				county health department or its designee (LCHD). The report shall state whether
				the case is still under treatment, the address of the case, the clinical
				status, treatment of the disease, the dates and results of sputum examinations
				and x-rays, instances of patient noncompliance with the treatment plan and any
				other information required by the Department. Said reporting should be done
				either by the attending physician or by the designated person at a treating
				hospital or clinic, if any. Also laboratories shall report to the Epidemiology
				and Prevention Branch of the Department and the LCHD all confirmed cultures of
				mycobacterium tuberculosis.
(2) A
				physician who attends a case of active tuberculosis shall examine or cause to
				be examined all persons working or living in close proximity to the patient who
				have a significant risk of infection, and shall forward the results of said
				examinations to the Epidemiology and Prevention Branch of the Department and
				the LCHD. In the alternative, such physician may refer such persons to the LCHD
				for examination. An examination required by this section shall include such
				tests as may be necessary to diagnose the presence of tuberculosis.
O.C.G.A. Secs.
				  31-2A-6,  31-14-1,  31-14-10,  31-14-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.03 - Duties and Responsibilities of the County Health Departments

Current through Rules and Regulations filed through June 27, 2024
(1) It is the
				general responsibility of the LCHD to see that proper and reasonable measures
				are put into effect to prevent the spread of tuberculosis from any person
				capable of spreading it. In order to fulfill its responsibility the LCHD shall:
(a) ensure that all available tuberculosis
				control services are accessible to all residents;
(b) secure the prompt reporting of all
				diagnosed or suspected cases of tuberculosis;
(c) ensure effective treatment and continuing
				medical supervision of suspected and diagnosed cases of tuberculosis;
(d) ensure that contacts are identified and
				brought to examination, diagnostic conclusion and appropriate treatment if
				needed;
(e) provide for the
				discharge from supervision of patients whose treatment has been successfully
				completed; and
(f) keep each
				referring physician or institution informed as to the treatment of each
				referred patient.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.04 - Hospitalization of Committed Patients

Current through Rules and Regulations filed through June 27, 2024
(1) Upon commitment by court order of the
				superior court, individuals with tuberculosis are to be admitted to a facility
				approved by the Department for the treatment of tuberculosis patients (approved
				TB facility).
(2) At the approved
				TB facility, each patient shall receive the following:
(a) a complete medical and laboratory
				evaluation upon admission by a licensed physician;
(b) monthly x-rays as ordered;
(c) monthly observed sputum examinations with
				cultures and sensitivity studies as required;
(d) orders for prescribed drug regimens in
				the patient's chart and signed by a licensed physician;
(e) a medical evaluation at least once a
				month on the need for further commitment.
1.
				A copy of the monthly evaluation shall be forwarded to the committing
				LCHD.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.05 - Discharge of Committed Patients

Current through Rules and Regulations filed through June 27, 2024
(1) The physical status of a patient shall be
				reviewed by the medical staff on no less than a monthly basis. If no review has
				taken place within the past month, the patient or his representative may
				request such a review. If, after such review, it is determined by the
				designated responsible physician at the approved TB facility or the
				Tuberculosis Control Program that a committed patient no longer has contagious
				tuberculosis or his/her discharge will not endanger the public health, he/she
				shall be discharged if consistent with the order of commitment.
(2) At least fifteen days prior to discharge,
				the LCHD or its designee must approve a suitable living environment in the
				community to which the patient is to be discharged.
(3) Upon discharge, the LCHD shall assume
				responsibility for directly observed therapy, certified sputum collections,
				chest x-rays and other clinical evaluations. If discharged patients are found
				to be noncompliant after discharge they are eligible for re-admission either as
				voluntary or recommitted patients.
(4) The discharging physician must notify and
				file notice of intent to discharge a committed person from the hospital fifteen
				days prior to granting a discharge with each of the following:
(a) Director of Tuberculosis Control Program,
				Department of Human Resources; and
(b) Responsible LCHD from which the
				individual was committed.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-3 - TUBERCULOSIS CONTROL › Rule 511-2-3-.06 - Judicial Petitions

Current through Rules and Regulations filed through June 27, 2024
(1)
				The Department has concurrent authority with LCHD to file judicial petitions
				for commitment, orders of compliance, or contempt.
(2) When filing a petition for commitment
				which asks that the person be taken into custody by the sheriff or his/her
				deputies prior to the judicial hearing, the LCHD, the Department or their
				designees shall attach to the petition either an affidavit signed by an agent
				which alleges that person named in the petition may abscond or conceal
				himself/herself and the factual basis thereof or an affidavit signed by a
				physician which alleges that such person is an imminent danger to the public
				health and the factual basis thereof.
O.C.G.A. Secs.
				  31-2A-6,  31-14-1,  31-14-10,  31-14-12.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-4 - REPORTING OF VENEREAL DISEASES › Rule 511-2-4-.01 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a different meaning is required by the context, the
				 following terms as used in these Rules shall have the meaning hereinafter
				 respectively ascribed to same:
(a)
				"Department" means the Georgia Department of Public Health.
(b) "Venereal Disease" is any case of
				syphilis, gonorrhea or chancroid.
(c) "Case of Venereal Disease" is any person
				diagnosed as having a venereal disease.
(d) "Test" is any laboratory procedure
				conducted for the purpose of aiding in the discovery or diagnosis of a venereal
				disease.
(e) "Reactive or Positive
				Test" means any laboratory result suggesting the presence of venereal
				disease.
O.C.G.A. Secs.
				  31-2A-6,  31-12-2,  31-17-2,  31-17-4,  31-17-4.1,  31-17-4.2,  31-17-5,  31-17-6.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-4 - REPORTING OF VENEREAL DISEASES › Rule 511-2-4-.02 - Reporting of Venereal Disease

Current through Rules and Regulations filed through June 27, 2024
(1) Any physician or other person who makes a
				diagnosis of or treats a case of venereal disease, any superintendent or
				manager of a hospital, dispensary, or charitable or penal institution in which
				there is discovered a case of venereal disease shall report it immediately to
				the Department. Each such venereal disease case shall be reported to the
				Department by giving name, address, color, age, sex, and a diagnosis on forms
				furnished by the Department.
(2)
				All laboratories conducting tests for venereal disease shall report to the
				Department daily, as they occur, all reactive or positive tests for venereal
				disease by giving name, address, color, age and sex of patient on forms
				furnished by the Department.
(3)
				Information reported on these forms shall be kept confidential by the
				Department.
O.C.G.A. Secs.
				  31-2A-6,  31-12-2,  31-17-2,  31-17-4,  31-17-4.1,  31-17-4.2,  31-17-5,  31-17-6.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.01 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a different meaning is required by the Context, the
				 following terms as used in this Chapter shall have the meaning hereinafter
				 respectively ascribed to them:
(a)
				"Acquired Immunodeficiency Syndrome" (AIDS) is an illness characterized by one
				or more of the opportunistic diseases diagnosed by methods considered reliable,
				which are at least moderately indicative of underlying cellular
				immunodeficiency, and the absence of all known underlying causes of cellular
				immunodeficiency (other than HIV infection) and absence of all other causes of
				reduced resistance reported to be associated with at least one of those
				opportunistic diseases; or any current scientifically accepted definition as
				approved by the Director, Division of Public Health.
(b) "Ancillary services" means services
				provided after test results are given to the individual, including counseling
				and, if needed, repeat testing and referral to other medical support
				services.
(c) "Approved laboratory"
				means a laboratory that has been designated by the Department as an approved
				facility to conduct HIV testing.
(d) "Convicted of prostitution" means an
				individual, male or female, within the bounds of this State who has pled nolo
				contendere to, has pled guilty to, or has been found guilty of, prostitution in
				a court of this State, or in a court outside this State.
(e) "Department" means the Georgia Department
				of Public Health.
(f) "Health care
				provider" includes, but is not limited to, clinics (public and private),
				hospitals, or physicians.
(g)
				"Human Immunodeficiency Virus", hereinafter referred to as HIV, means the
				agents which cause AIDS.
(h)
				"Person" means any individual, partnership, corporation, or association and may
				extend and be applied to bodies politic or corporate.
(i) "Prostitute" means an individual, male or
				female, who performs or offers or consents to perform an act of sexual
				intercourse for money.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.02 - Preamble

Current through Rules and Regulations filed through June 27, 2024
(1) Prevention of
				Perinatal Infection. The reason for voluntary HIV testing of high-risk pregnant
				women and women who may become pregnant is to reduce perinatal transmission of
				AIDS and the accompanying human suffering that could result. It is believed
				that HIV infection is transmitted from infected women to their fetuses or
				off-spring during pregnancy, labor and delivery, or perhaps shortly after
				birth.
(2) Mandatory Testing of
				Individuals Convicted of Prostitution. The reason for mandatory testing of
				convicted prostitutes is to develop a surveillance system to utilize this
				epidemiologic instrument to track the spread of HIV infection that is present
				in this high-risk group. Even though HIV transmission through prostitution has
				not been conclusively demonstrated, it is believed that contact between
				bisexual men and prostitutes (male and female) is a probable means of
				transmission of AIDS to the heterosexual population.
(3) Nonanonymous HIV Reporting. The reason
				for nonanonymous reporting of HIV is to describe adequately the epidemic in
				Georgia. Understanding the epidemiology of HIV serves as the cornerstone of
				public health's efforts to prevent transmission of HIV and to provide excellent
				care for those already infected.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.03 - Applicability of Chapter

Current through Rules and Regulations filed through June 27, 2024
These rules establish a uniform statewide procedure for the
				 Department or its authorized agent or agents or health care providers engaged
				 in any of the following: identifying; testing; counseling; and/or providing
				 ancillary services regarding the prevention of the transmission of the HIV
				 agent for the following:
(a) On a
				voluntary basis of high risk pregnant women, and high risk individuals who
				might become pregnant.
(b)
				Mandatory testing of convicted prostitutes.
(c) The date on which the Department shall
				begin requiring non-anonymous confirmed positive HIV reporting.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2,  24-12-21.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.04 - Prevention of Perinatal Infection

Current through Rules and Regulations filed through June 27, 2024
(1) Pregnant women and individuals who may
				become pregnant in the following groups shall be offered counseling, HIV
				testing, and ancillary services:
(a) Those
				who have evidence of HIV infection themselves, or whose offspring have evidence
				of HIV infection;
(b) Those who
				have used any drug intravenously or parenterally for nonmedical purposes since
				1978;
(c) Those who were born in
				areas where heterosexual transmission of HIV is considered by the Department to
				play a major role;
(d) Those who
				are or have engaged in prostitution;
(e) Those who are or have been sex partners
				of men who have evidence of HIV infection, IV drug abusers, bisexual men, men
				with hemophilia, or men who were born in areas where heterosexual transmission
				of HIV is considered by the Department to play a major role;
(f) Those who have received blood or blood
				products after 1978 and prior to April, 1985; and
(g) Those who have received artificial
				insemination after 1978 and prior to January, 1986.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.05 - Testing of Individuals Convicted of Prostitution

Current through Rules and Regulations filed through June 27, 2024
(1) Every prostitute convicted within this
				State after the effective date of this Chapter shall submit to HIV testing as
				prescribed by the Department. Further, every individual convicted of
				prostitution outside this State after the effective date of this Chapter and
				found within this State, shall submit to HIV testing if on probation.
(2) Every clerk of a court of record in this
				State with jurisdiction of the offense of prostitution; every administrative
				head of a probation, parole or similar supervisory agency; and every
				administrative head of a penal institution or other detention facility shall
				promptly report or cause to be reported to the local Board of Health when he or
				she receives custody, supervision or other notice of an individual convicted of
				prostitution. Such report shall identify the individual by name and
				whereabouts, and will be used to facilitate HIV testing of the
				individual.
(3) Before sentencing a
				convicted prostitute, the courts of this State are requested to have a
				designated representative, appointed by the court and approved by the
				Department, contact the Division of Public Health of the Department. The
				purpose of the contact is to ascertain whether or not the prostitute has been
				previously found to be positive by HIV testing and such information may be
				taken into consideration by the judge upon sentencing.
(4) Where permitted by law, every judge
				sentencing a convicted prostitute in this State may include as a condition of
				any probation, suspension of sentence or other leniency, that the convicted
				individual report to the local Board of Health for HIV testing as directed.
				Further, where the convicted individual appears able to do so without undue
				hardship, every such judge is requested to order the individual to reimburse
				the health care provider for the cost of any testing and/or ancillary services
				provides.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.06 - Notification of Test Results

Current through Rules and Regulations filed through June 27, 2024
(1) The approved laboratory for HIV testing
				shall report test results in writing to the Department or its designated
				representative, or both, as required by the Department. The Department or its
				designated representative shall notify the individual of test results in a
				manner prescribed by the Department.
(2) Test results and ancillary services shall
				be provided only upon the individual's presentation of the proper
				identification as prescribed by the Department.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.07 - Laboratories

Current through Rules and Regulations filed through June 27, 2024
All laboratories shall comply with Chapter 111-8-10
				 "Licensure of Clinical Laboratories" of the Department of Community Health, and
				 in addition be approved by that Department for HIV testing. The laboratories
				 shall comply with reporting requirements as prescribed by the Department of
				 Public Health.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.08 - Ancillary Services

Current through Rules and Regulations filed through June 27, 2024
(1)
				Post-Test Counseling - The results of the tests shall be discussed with the
				individual in a private setting during a prescheduled return visit. The
				individual shall be advised of the interpretation and implications of the test
				results and, if warranted, the need for repeat testing.
(2) Referral for Other Medical and Support
				Services - An individual whose test results or post-test counseling assessment
				indicate a need for further evaluation or support services shall be referred to
				the appropriate providers of such services.
O.C.G.A. Secs.
				  31-2A-6,  31-17-2,  31-17-3,  31-17-4.2,  31-22-6.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.09 - Confidentiality

Current through Rules and Regulations filed through June 27, 2024
(1) All information
				and records held by the Department and its authorized representatives or any
				other person relating to HIV infection or cases of AIDS shall be strictly
				confidential. Such information shall not be released or made public by the
				Department or its authorized representatives, or by any other person, except
				that release may be made under the following circumstances:
(a) When made with the consent of the
				individual, parent or legal guardian, as appropriate, to which the information
				applies;
(b) When made for
				statistical purposes, if the medical or epidemiologic information is summarized
				so that no names or other individually identifying details are
				revealed;
(c) When made to health
				care personnel, appropriate state or local agencies, or courts of appropriate
				jurisdiction, to carry out or enforce the provisions of this Chapter and
				related rules.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-5 - ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) › Rule 511-2-5-.10 - Non-anonymous HIV Reporting

Current through Rules and Regulations filed through June 27, 2024
Non-anonymous confirmed positive HIV tests shall be reported
				 to the Department.
O.C.G.A. Secs.
				  31-2A-6,  31-12-2,  31-17-2,  31-17-3,  31-17-4.2.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-6 - HANDLING AND DISPOSITION OF HUMAN REMAINS INFECTED WITH A DANGEROUS VIRUS › Rule 511-2-6-.01 - Handling of Infected Human Remains When Death Occurs in a Hospital or Medical Facility

Current through Rules and Regulations filed through June 27, 2024
(1)
				This Chapter 511-2-6 shall govern the handling and disposal of human remains
				which are infected with a dangerous virus. The term "dangerous virus" includes
				Alkhurma, Chapare, Ebola, Marburg, or any other virus specifically designated
				as dangerous by the State Health Officer.
(2) The term "disinfect" as used in this
				Chapter shall mean to clean thoroughly with an EPA-registered hospital
				disinfectant with a label claim for one of the non-enveloped viruses (e.g.,
				norovirus, rotavirus, adenovirus, or poliovirus) or, if that is not available,
				a solution of one part household bleach to nine parts water.
(3) The body shall be prepared for transport
				at the site of death by persons trained in the safe handling of infected
				articles and human remains, wearing appropriate personal protective
				equipment.
(4) After identification
				of the body and collection of information necessary to complete the death
				certificate, the body shall be prepared as follows:
(a) Any medical tubing, intravenous needles,
				or other devices inserted into the body during treatment shall be left in
				place.
(b) The body shall be placed
				into a leakproof body bag of at least 150 microns thickness. If the bag is not
				designed to be sealed through the use of adhesives, then a durable tape shall
				be used to securely cover the zipper. The outside of the bag shall be
				disinfected immediately.
(c) The
				body shall next be placed into a second leakproof body bag of at least 150
				microns thickness. If the bag is not designed to be sealed through the use of
				adhesives, then a durable tape shall be used to securely cover the zipper. The
				outside of the bag shall be disinfected immediately.
(d) The body shall then be placed into a
				zipperless body bag of aluminum-impregnated material, such as the BioSeal
				System 5 or equivalent, which is designed to be hermetically sealed through
				heat-welding. The outside of the bag shall be disinfected
				immediately.
(e) The double-bagged
				body shall then be placed in a transport container suitable for cremation or a
				hermetically metal casket of no less than 20-gauge metal. The placement shall
				occur immediately outside the site of death and the casket taken directly to
				the transport vehicle.
(f) The
				transport vehicle shall take the body directly to the crematorium or burial
				site.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-6 - HANDLING AND DISPOSITION OF HUMAN REMAINS INFECTED WITH A DANGEROUS VIRUS › Rule 511-2-6-.02 - Disposition of Infected Human Remains

Current through Rules and Regulations filed through June 27, 2024
(1) Infected human remains shall be cremated
				using an 8-hour cycle unless cremation is not feasible by reason of obesity,
				medical implants, or objection made on
bona fide
religious
				grounds within 24 hours of death by the person with legal right to control the
				disposition of the body. The cremation authorization may be signed by any
				representative of the Department of Public Health, County Board of Health,
				coroner, or medical examiner.
(2)
				If the body cannot be cremated, then it shall be buried in a hermetically
				sealed casket of no less than 20-gauge metal.
(3) The body shall not be transported out of
				state except with the consent of the chief public health officer of the
				receiving state and in coordination with the Centers for Disease
				Control.
(4) No autopsy or
				embalming shall be performed without the consent of the State Health
				Officer.
O.C.G.A. §§
										31-2A-4(2),  31-2A-6.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-6 - HANDLING AND DISPOSITION OF HUMAN REMAINS INFECTED WITH A DANGEROUS VIRUS › Rule 511-2-6-.03 - Decontamination of Site of Death

Current through Rules and Regulations filed through June 27, 2024
(1) The site of a death by a dangerous virus
				shall be thoroughly decontaminated in accordance with the latest guidance from
				the Centers for Disease Control. Until decontamination is complete, no persons
				shall be allowed at the site of death except persons trained in the safe
				handling of infected articles and human remains, wearing appropriate personal
				protective equipment.
(2) The body
				shall be removed from the site of death as provided in DPH Rule
				 511-2-6-.01  before decontamination
				of the site of death.
(3) Sharps
				waste shall be placed in a sturdy authorized sharps container. The sharps
				container and all clothes, towels, bed linens, paper, fabric, or non-durable
				porous materials that may have come in contact with the deceased during the
				period of illness shall be placed into plastic bags of 150 microns thickness or
				more, and the outside of the bags shall be disinfected immediately. Each bag
				shall then be placed into a second bag of 150 microns thickness or more, and
				the outside of that bag disinfected immediately.
(4) All such bags and their contents shall be
				either disinfected by autoclave or incinerated on the grounds of the hospital
				or healthcare facility, or incinerated offsite at the nearest disposal
				facility. If the bag is to be incinerated offsite, then it shall be secured
				inside a rigid container for transport as a Category A Infectious Substance in
				accordance with the Hazardous Materials Regulations of the U. S. Department of
				Transportation (49 C.F.R. Parts 171- 180.)
(5) All surfaces that may have come in
				contact with the deceased, or with the bodily fluids of the deceased, shall be
				disinfected immediately after removal of the body.
O.C.G.A. §§
										31-2A-4(2),  31-2A-6.
Compilation of Rules and Regulations of the State of Georgia › Department 511 - RULES OF GEORGIA DEPARTMENT OF PUBLIC HEALTH › Chapter 511-2 - DISEASE SURVEILLANCE AND CONTROL › Subject 511-2-6 - HANDLING AND DISPOSITION OF HUMAN REMAINS INFECTED WITH A DANGEROUS VIRUS › Rule 511-2-6-.04 - Handling of Infected Human Remains When Death Occurs Outside of a Hospital or Medical Facility

Current through Rules and Regulations filed through June 27, 2024
(1)
				Any person who becomes aware of a death that occurs outside of a hospital or
				healthcare facility, or otherwise without medical attendance, in circumstances
				where a diagnosis of a dangerous virus disease is possible, shall immediately
				notify the Director of Health Protection of the Georgia Department of Public
				Health or designee and the county coroner or medical examiner. "Circumstances
				where a diagnosis of a dangerous virus disease is possible" exist when the
				following occurred:
(a) the deceased came
				into contact with a person infected with the virus within 35 days prior to
				death, or the deceased visited, within 30 days prior to death, an area of the
				world experiencing an outbreak or epidemic of a dangerous virus disease;
and
(b)
				the deceased experienced any of the following symptoms immediately prior to
				death:
1. fever of 100 degrees Fahrenheit or
				more;
2. diarrhea;
3. vomiting;
4. unexplained bleeding or
				bruising;
5. severe abdominal
				pain;
6. severe muscle pain or
				weakness;
7. severe headache.