reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Section 420-4-1-.10 - Notification of Public Health and Regulatory Authorities of the Presence of Lead

Current through Register Vol. 42, No. 9, June 28, 2024
The State Health Officer, or his or her designee, may, without
				the consent of the patient or parent or guardian, release to the appropriate
				federal or state public health or regulatory authorities or agencies
				environmental investigation data on dwellings or sites wherein the Department
				has received, investigated, and confirmed the presence or absence of lead at
				the address based upon the report of a person with an actionable, elevated
				blood lead level. Such notifications shall not name or in any manner identify
				that affected person. Further, such notifications shall be in conformity with
				federal protected health information release standards established by the
				Health Insurance Portability and Accountability Act.
Rule 420-4-1-.13 was renumbered to .10 as pre certification
				  filed November 25, 2014; effective December 30,
				  2014.
Author:
John R. Wible, J.D.; Charles H. Woernle,
				  M.D., M.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §§22-2-2(6), 22-11A-1, et. seq.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Section 420-4-1-.11 - Testing of Pregnant Women for Sexually Transmitted Diseases

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Practitioners
			 attending a pregnant woman shall test them at the initial prenatal visit for
			 chlamydia, gonorrhea, syphilis, hepatitis B virus (HBV), hepatitis C virus
			 (HCV), and HIV infections unless the pregnant woman has previously been
			 confirmed to have HIV infection.
(2) Practitioners shall test for:
(a) Syphilis during the third trimester,
			 between 28-32 weeks gestation, regardless of risk factors.
(b) HIV infection at 28-32 weeks gestation,
			 regardless of risk factors, unless a pregnant woman is already confirmed to be
			 infected with HIV.
(c) Chlamydia
			 and gonorrhea at 36 weeks of gestation if the initial testing was positive,
			 signs and symptoms are present, or the pregnant woman is at high risk of
			 infection.
(d) A pregnant woman who
			 declined to test earlier in their pregnancy shall again be offered testing for
			 chlamydia, gonorrhea, syphilis, and HIV during the early third
			 trimester.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Section 420-4-1-.12 - Dispensing Of Legend Drugs By Alabama Department Of Public Health Registered Nurses

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Registered
			 nurses in the employment of the State Health Department or a county health
			 department may dispense legend drugs for diseases and programs approved by the
			 State Board of Pharmacy.
(2)
			 Registered nurses may dispense legend drugs for the treatment of tuberculosis,
			 sexually transmitted diseases, family planning, hypertension, meningitis, and
			 pertussis.
(3) Registered nurses
			 may use the Patient Delivered Partner Therapy Program, to dispense legend drugs
			 to the sex partners of patients infected with Chlamydia trachomatis, Neisseria
			 gonorrhoeae, or Trichomonas vaginalis without testing, performing an
			 examination, or establishing a nurse-patient relationship.
(4) When a patient that is diagnosed with
			 chlamydia, gonorrhea, or trichomoniasis indicates that their sex partners are
			 unlikely to seek evaluation and treatment, Alabama Department of Public Health
			 registered nurses may dispense legend drugs for partners by providing the
			 legend drugs to patients for delivery to the patient's sex partners.
(5) Registered nurses may use the Patient
			 Delivered Partner Therapy Program to dispense legend drugs to pregnant women
			 that are appropriate for treatment of a sexually transmitted infection. Legend
			 drugs shall not include drugs known to be contraindicated during pregnancy.
(6) Registered nurses shall not
			 use the Patient Delivered Partner Therapy Program to dispense legend drugs to
			 sex partners that are less than 12 years of age.
Rule 420-4-1-.15 was renumbered to .12 as pre certification
				  filed November 25, 2014; effective December 30,
				  2014.
Author:
Anthony Merriweather, M.S.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §34-23-11.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Appendix III - Submission Of Clinical Materials By Performing Laboratories

Current through Register Vol. 42, No. 9, June 28, 2024
Bacillus anthracis
Botulinum neurotoxin-producing species of
Clostridium
Brucella abortus
Brucella melitensis
Brucella suis
Burkholderia mallei
Burkholderia pseudomallei
Campylobacter
spp.
Candida auris
Carbapenem-resistant Enterobacteriaceae
(CRE)
Carbapenem-resistant
Pseudomonas aeruginosa
(CRPA)
Carbapenem-resistant
Acinetobacter baumannii
(CRAB)
Coxiella burnetii
Cryptosporidium
spp.
E. coli
, shiga-toxin producing
Ebola
Francisella tularensis
Haemophilus influenzae
from a normally sterile
				site
Legionella
spp. from a lower respiratory
				sample
Listeria monocytogenes
Mycobacterium tuberculosis
Naegleria fowleri
Neisseria meningitidis
from a normally sterile
				site Novel Coronaviruses Novel Influenza
Salmonella
serotype Typhi
Salmonella
spp., non-Typhoidal
Shigella
spp.
Streptococcus pneumoniae
from a normally
				sterile site *
Variola (Smallpox virus)
Vibrio
spp.
Yersinia pestis
* Submit all CSF isolates. Other isolates from normally
				sterile sites (e.g., blood, middle ear fluid, joint fluid, or peritoneal fluid)
				must be non-susceptible to any relevant antibiotics according to current
				Clinical Laboratory Standards Institute M100 guidance.
Author:
Sherri L. Davidson, Ph.D, M.P.H., Sharon
				  Massingale, Ph.D, HCLD/CC(ABB)
Statutory Authority:
Code of Ala.
				  1975
, §22-11A-13.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-1 - NOTIFIABLE DISEASES › Appendix IV - Alabama Prenatal STD Testing Summary Table

Current through Register Vol. 42, No. 9, June 28, 2024
Test
Initial Prenatal
							 Visit
Third
							 Trimester
Labor and
							 Delivery
Chlamydia
All pregnant women
All pregnant women at 36 weeks gestation if:
* The initial test was positive,
* Signs or symptoms present, or
* At high risk of infections
Only if no prenatal care
Gonorrhea
All pregnant women
All pregnant women at 36 weeks gestation if:
* The initial test was positive,
* Signs or symptoms present, or
* At high risk of infections
Only if no prenatal care
Hepatitis B
All pregnant women
All pregnant women
Hepatitis C
All pregnant women
Only if no prenatal care
HIV
All pregnant women not previously confirmed as HIV
							 infected
All pregnant women at 28-32 weeks gestation unless
							 previously confirmed as HIV infected
All pregnant women not previously confirmed as HIV
							 infected
Syphilis
All pregnant women
All pregnant women at 28-32 weeks
							 gestation
All pregnant women
Author:
Sherri L. Davidson, Ph.D, M.P.H.;
				  Anthony Merriweather, M.S.P.H.
Statutory Authority:
Code of Ala.
				  1975
, §22-11A-13.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.01 - Responsibility For Rabies Vaccination Verification Program

Current through Register Vol. 42, No. 9, June 28, 2024
The operation of the rabies vaccination verification program
				within a county shall be the responsibility of the appointed rabies officer,
				who shall serve as an agent of the county board of health.
(a) Prior to undertaking a rabies vaccination
			 verification program in a county, the county rabies officer shall notify the
			 State Health Officer and the board of health for the affected county, the
			 sheriff of the affected county, the chief of police and the mayor of each city
			 in which the program will be undertaken, the probate judge of the county, other
			 veterinarians practicing in the county and such other officials as are
			 recommended by the county board of health, including the local health officer
			 or administrator. In addition, notification of the pending program shall be
			 announced in the local paper for a minimum of two weeks prior to the starting
			 date for the program.
(b) Neither
			 the rabies officer, deputy rabies officer or contractor thereof nor inspectors
			 shall represent themselves as employees of the county health department or
			 county board of health or state health department or state board of
			 health.
(c) Forms and
			 correspondence used by the rabies officer shall not bear the seal or logo of
			 the county or state health department or state board of health. (Exceptions:
			 certificate of rabies vaccination.)
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.02 - Terms Defined

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Rabies officer
means a licensed veterinarian as defined in
Code of Ala. 1975
, §
								3-7A-1, duly appointed by the
			 county board of health and approved by the State Health Officer and State
			 Veterinarian.
(2)
Deputyrabiesofficer
means a licensed veterinarian appointed by the
			 rabies officer.
(3)
Rabies
			 inspector
means a nonprofessional employed for the purpose of
			 determining the rabies immunization status of animals as defined in
Code of Ala. 1975
, §3-7A-l. Such person may be an
			 employee or contractor of the rabies officer or deputy rabies officer.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.03 - Training And Evaluation Of Rabies Inspectors

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The rabies officer shall himself or
			 herself or by and through deputy rabies officers or contractors, provide
			 adequate training for rabies inspectors which shall include at a minimum: the
			 etiology and public health aspects of rabies and procedures for the control of
			 rabies, the Alabama rabies law, these rules, due process requirements,
			 statutory limitations on authority, proper inspection procedures, authority to
			 enter private lands, procedures of issuing citation including disposition of
			 funds and proper conduct of rabies inspectors and other employees.
(2) The rabies officer shall evaluate the
			 inspection program in the field to determine compliance with program
			 requirements.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.04 - Conduct Of Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
The rabies officer, deputy rabies officers, rabies inspectors
				and contractors and employees of same shall conduct themselves in a
				professional and courteous manner at all times.
(a) The rabies officer and deputy rabies
			 officers are clothed with limited police power to the extent necessary to
			 accomplish the rabies vaccination verification program. Neither they nor any
			 rabies inspector or employees or contractors of them shall represent themselves
			 to be a peace officer, wear a peace officer-type shield, or bear a
			 firearm.
(b) While conducting
			 verification activities, personnel shall wear badges or other identification
			 which include their name and clearly identify the inspector as an employee of
			 the rabies officer or deputy rabies officer.
(c) Personnel entering private property shall
			 enter only those areas to which the public would be invited such as passage or
			 sidewalk to the front door of dwellings. Inspectors shall not enter onto
			 non-public area of private property, and shall not enter dwellings, side or
			 backyards, or "posted" or "no trespassing areas," whether fenced or not, unless
			 invited.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-11,
				  3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.05 - Issuance Of Citations

Current through Register Vol. 42, No. 9, June 28, 2024
The rabies officer or deputy rabies officer shall issue, and
				the rabies inspectors may deliver citations for violation of the rabies control
				law and shall pursue same to resolution. Neither the rabies officer nor his
				deputies nor rabies inspectors nor employees or contractors of same have the
				authority to waive or cancel a properly issued citation except for proof shown
				that no violation has taken place. Under no circumstances shall more than two
				(2) penalties be levied against an individual for the same violation within a
				twelve (12) month period.
(a)
			 Citations shall be issued based upon observed circumstances which lead to a
			 conclusion that there is a violation of the law. Such circumstances shall be
			 deemed to exist as follows, among other circumstances.
1. Rabies officer, deputy rabies officer or
			 rabies inspector observes a dog or cat of appropriate age on or within the
			 property of the supposed owner.
2.
			 Where the dog or cat is behaving in a manner giving indication that the said
			 dog or cat resides or is fed at the property.
3. Such dog or cat is not wearing a properly
			 shaped and color-coded tag giving evidence of appropriate vaccination or
			 properly issued rabies tag.
4.
			 Where the supposed owner has failed to present evidence of possession of a
			 certificate of vaccination or properly issued rabies tag.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.06 - Notice Of Program Compliance

Current through Register Vol. 42, No. 9, June 28, 2024
When the rabies officer, deputy rabies officer or rabies
				inspector cannot establish the ownership of a dog or cat and cannot determine
				whether the animal is wearing a proper rabies tag, a notice of program
				compliance shall be left at the property.
(a) The said notice of program compliance is
			 not a citation and does not invoke the application of the state's police power.
			 The notice of program compliance requests the property owner to, within a
			 reasonable time, present to the rabies officer or inspector proof of compliance
			 with the rabies control law.
(b)
			 Notices of program compliance shall be followed up by the rabies officer,
			 deputy rabies officer or inspectors to determine if a violation has occurred,
			 and if so, the rabies officer or deputy rabies officer shall issue a citation
			 if the violation is still outstanding.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.07 - Contracting Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
Any rabies officer entering into a contract with another
				person, partnership, corporation or other legal entity to conduct the rabies
				vaccination verification program in the county shall ensure that the following
				procedures are followed before the contract is effective.
(a) Contracts for program enforcement may
			 only be entered into with licensed veterinarians or legal entities in which
			 licensed veterinarians are principals.
(b) Contracts must contain certain language
			 deputizing, by name, the licensed veterinarians who are principals in the
			 entity as "deputy rabies officers."
(c) Contracts must contain language that the
			 contractor agrees to operate the program in accordance with state law and these
			 rules.
(d) Contracts may not be for
			 a longer duration than one year or the expiration of the rabies officer's term
			 of office.
(e) Contracts must not
			 attempt to bind the county government or state or county health officers or
			 departments or successor rabies officers, and must terminate at the expiration
			 of the rabies officer's term or otherwise leaving office.
(f) Contracts must make provision for fixing
			 liability for acts or omissions of the contractor and his or its officers,
			 agents, servants, and employees and must evince liability insurance coverage
			 for such.
(g) Contracts must make
			 provision that all funds collected by operation of the program whether by
			 payment of citations or penalties or otherwise must be paid directly over to
			 the rabies officer for proper distribution thereof.
(h) Contracts must be first approved by the
			 county board of health prior to becoming effective.
(i) Notice of all such contracts must be
			 given to the State Health Officer and to the presiding officer of the county
			 commission prior to becoming effective.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.08 - Accounting Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
The rabies officer, deputy rabies officer or contractor thereof
				shall establish and follow standard accounting procedures for handling all
				moneys resulting from the operation of the rabies verification program. Such
				procedures shall include standard methods for recording the names and addresses
				of persons paying fines, the date and amount of payment and the serial number
				of the citation issued. Serial numbered receipts shall be issued for all funds
				collected.
(a) All documents shall be
			 preserved in a manner so as to be available to the examiners of public accounts
			 for a period of three (3) years.
(b) Salaries of inspectors and other
			 employees involved in the program and all expenses of the verification program
			 shall be paid for by the rabies officer, deputy rabies officer or contractor
			 thereof as appropriate, and shall be appropriately documented.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.09 - Complaint Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
The rabies officer and deputy rabies officer shall establish a
				procedure for the courteous and expeditious processing of complaints lodged
				against the program or any inspector or employee. Personnel in public contact
				positions shall be trained in complaint handling procedures and shall be
				provided with adequate and current information to respond to complaints.
(a) Telephone lines shall be established for
			 complaints or information and shall be maintained at all times during business
			 hours or shall be provided with electronic answering devices or connected to
			 private answering services. Valid complaints shall be reported to the rabies
			 officer who shall take appropriate action to correct inequities.
(b) All complaints shall be documented
			 including:
1. The name, address and telephone
			 number of the complainant.
2. The
			 date and time of the complaint.
3.
			 The names, address, and telephone numbers of witnesses, to the extent
			 known.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.10 - Reports

Current through Register Vol. 42, No. 9, June 28, 2024
The rabies officer, himself or herself or by and through deputy
				rabies officers or contractors, shall periodically report to the State Health
				Officer on the progress of the rabies verification program and shall issue a
				final report on the program no later than three (3) months following the
				completion of activity within a specific county.
(a) The report shall present current
			 information related to compliance with the rabies control law, the number of
			 inspectors utilized by the rabies officer, deputy rabies officer and
			 contractors, the number of citations issued since the last report, the
			 follow-up of such by the rabies officer, deputy rabies officer or contractor,
			 the amount of all fines assessed, the amount of all outstanding fines unpaid,
			 the amount spent by the rabies officer, deputy rabies officers and contractors
			 in the administration of the program, the number of complaints lodged against
			 the program and the disposition of such complaints.
(b) The State Health Officer shall review
			 such reports and shall forward copies to the county board of health.
Authors:
Wallace E. Birch, D.V.M.; John R.
				Wible.
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-2 - RABIES VACCINATION VERIFICATION PROGRAM › Section 420-4-2-.11 - Rabies Vaccination Verification Program

Current through Register Vol. 42, No. 9, June 28, 2024
County Health Department Administered Program. The County
				Boards of Health may directly administer a rabies vaccination verification
				program in conjunction with the County Rabies Officer, and, in so doing, are
				not bound by the provisions of Chapter
				420-4-2-.01
et
seq
., provided, however,
				that prior to instituting such program, the county board of health shall submit
				and have approved by the State Health Officer a plan for execution of said
				program.
Author:
William B. Johnston, D.V.M., John R.
				Wible
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										3-7A-15,
				  22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.01 - Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
The purpose of the Chapter is to provide for administration and
				implementation of the "Infected Health Care Worker Management Act (IHCWMA) to
				prevent transmission of Human Immunodeficiency Virus (HIV), Hepatitis B Virus
				(HBV), and Hepatitis C Virus (HCV), or other disease designated by the State
				Board of Health to patients during invasive procedures.
Authors:
Charlotte E. Crysel, Director, Division
				  of Infection Control, Alabama Department of Public Health, Mary G. Mclntyre,
				  MD, Assistant State Health Officer for Disease Control and Prevention
Statutory Authority:
Code of Ala.
				  1975
, §§ 22-11 A-2, 22-11A-7, 22-11A-13, 22-11A-14(g),
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.03 - Implementation Of PL 102-141, Sec. 633, And CDC Recommendations; Assistance To Licensing Boards; Provision Of Records

Current through Register Vol. 42, No. 9, June 28, 2024
(a) The Department is authorized to enforce
			 compliance and oversee the implementation of the Public Law and applicable CDC
			 recommendations and any appropriate supplements and revisions to the CDC
			 recommendations which apply to HCWs.
(b) The Department shall provide consultation
			 and assistance to licensing boards, as appropriate, to ensure compliance with
			 CDC recommendations.
(c) Any IHCW
			 shall make available to the Department all records requested by the Department
			 and shall cooperate fully with the Department in the investigation.
(d) Any person having knowledge of an IHCW,
			 the administrator of any health care facility having knowledge of any IHCW, any
			 person serving as guardian of or the conservator, administrator or executor of
			 the estate or agent or representative of any IHCW or any person serving as the
			 custodian of records of the patients of any IHCW or facility employing such
			 worker shall provide in the manner requested by the State Health Officer (SHO)
			 to the Department all requested documents and information and shall cooperate
			 fully with the Department in any investigation.
Authors:
Charlotte E. Crysel, Director, Division
				  of Infection Control, Alabama Department of Public Health, Mary G. Mclntyre,
				  MD, Assistant State Health Officer for Disease Control and Prevention
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2 (6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g),
				  22-11A-70
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.04 - Reporting

Current through Register Vol. 42, No. 9, June 28, 2024
(a) Any IHCW who
			 performs invasive procedures as defined herein shall notify the designee of the
			 SHO by sending a letter marked "Personal and Confidential" to the Director of
			 the Bureau of Communicable Disease, Alabama Department of Public Health, 201
			 Monroe Street, Suite 1400, P.O. Box 303017, Montgomery, Alabama 36130-3017,
			 within 30 days of the time he or she is aware of his or her infection. The
			 letter shall include at a minimum the IHCW's name and diagnosis and information
			 as to how he or she can be contacted. The IHCW shall subsequently make
			 available to the Department all requested documents or records three years old
			 or less and shall cooperate fully with the Department in the investigation. It
			 shall be grounds for revocation, suspension, or restriction of the professional
			 license of any licensed IHCW who shall be found to perform invasive procedures
			 and shall have failed to notify the SHO.
(b) Any physician providing care to any IHCW
			 shall notify the SHO of the infected status of his patient within seven (7)
			 days of the time he or she diagnoses or provides such care. Such notification
			 shall be on forms as designated by the Department and sent to the designee of
			 the SHO by marking the envelope "Personal and Confidential" and sending it to
			 the Director of the Bureau of Communicable Disease. (See report form, Appendix
			 1, which is attached.) Further, the physician shall make available to the
			 Department all requested documents or records three years old or less and shall
			 cooperate fully with the Department in the investigation.
(c) After reporting to the SHO, no IHCW shall
			 perform or assist in performance of an invasive procedure, as defined in (1)
			 above, until after an internal Department review by Department staff and
			 written notification from the SHO regarding any necessary practice
			 modification.
Authors:
Charlotte E. Crysel, Director, Division
				  of Infection Control, Alabama Department of Public Health, Mary G. Mclntyre,
				  MD, Assistant State Health Officer for Disease Control and Prevention
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2 (6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g),
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.05 - Internal Department Review

Current through Register Vol. 42, No. 9, June 28, 2024
The internal Department review will confirm the diagnosis and
				determine if invasive procedures are being performed.
(a) If the IHCW is determined NOT to perform
			 invasive procedures, a letter will be sent to him or her stating the following
			 information:
(1) No review panel shall be
			 established.
(2) No restrictions
			 shall be placed on his or her practice.
(3) All information obtained in the
			 investigation shall be confidential as provided for in Section 10 of the
			 IHCWMA.
(4) Should his or her job
			 duties change at any time requiring invasive procedures to be performed, he or
			 she shall by law (Sections 3 and 13 of the IHCWMA) notify the SHO prior to
			 performing or assisting in the performance of an invasive procedure.
(5) Upon notification by the HCW of job duty
			 changes, a new internal review will be conducted and actions taken according to
			 new findings. The IHCW shall agree to cooperate with any investigation
			 authorized in Section 4 of the IHCWMA and any necessary practice
			 modification.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.06 - Expert Review Panel (ERP)

Current through Register Vol. 42, No. 9, June 28, 2024
(a) The SHO shall cause an ERP to be formed
			 within 60 days if the IHCW is determined by internal Department review to
			 perform invasive procedures.
(b)
			 The ERP may include the physician of the IHCW and shall include the following
			 by appointment of the SHO:
(1) One Alabama
			 licensed physician with expertise in infectious diseases other than the one
			 providing care to the IHCW.
(2) One
			 additional Alabama licensed public health physician.
(3) Two representatives of the relevant
			 licensing board.
(4) One HCW with
			 expertise in procedures performed by the IHCW, selected by the licensing board
			 of the HCW, if licensed.
(5) One
			 representative of each affected institution(s) appointed by the affected
			 institution(s), if applicable. This (these) representative (s) must comply with
			 the confidentiality provisions of this Act but is (are) otherwise permitted to
			 issue a report to the Chief Exectutive Officer/Administrator of the affected
			 institution (s).
(6) Other
			 individuals as deemed necessary by the SHO.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.07 - Review Practice And Procedure And Subpoena Forms

Current through Register Vol. 42, No. 9, June 28, 2024
(a) The ERP shall review the overall practice
			 and procedures performed by the IHCW by considering:
1. the procedures performed by the
			 IHCW;
2. the adherence to universal
			 precautions by the IHCW;
3. the
			 past history of the HCW of occupational injury while performing the invasive
			 procedures;
4. any prior evidence
			 of the HCW related to patient transmission of HIV, HBV, HCV or other disease
			 designated by the State Board of Health;
5. the presence of conditions such as
			 dermatitis, dementia, neuropathy, or other conditions that may increase the
			 risk of transmission of HIV, HBV, HCV or other disease designated by the State
			 Board of Health; and
6. current CDC
			 guidelines on the management of IHCWs.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.08 - Final Order Of The State Health Officer; Notification Of Individuals And Institutions Or Licensing Boards

Current through Register Vol. 42, No. 9, June 28, 2024
After receiving recommendations from the ERP, the SHO shall
				make a determination and will provide written notification specifying
				restrictions, limitations, conditions, or prohibitions on the practice of the
				IHCW to:
(a) the IHCW;
(b) the administrator of the affected
			 institutions;
(c) the employers of
			 the IHCW; and
(d) the appropriate
			 licensing board.
Author:
Charlotte E. Crysel, Director, Division of
				Infection Control, Alabama Department of Public Health
Statutory Authority:
Code of Ala.
				  1975
, Sections
				  22-2-2(6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g), and
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.09 - Appeal Process, Procedure And Forms

Current through Register Vol. 42, No. 9, June 28, 2024
(a) An IHCW may appeal the final order of the
			 SHO to the State Committee of Public Health (SCPH) by delivery of written
			 notice of appeal to the SHO not more than 30 days after the date of the SHO's
			 final order. Absent a showing of good cause, the final order of the SHO is not
			 stayed during the pendency of the appeal. The appeal shall be heard by an
			 administrative law judge or hearing officer, appointed by the SHO, for trial
			 and recommended decision. All such hearings shall be conducted in accordance
			 with Alabama Administrative Code, Chapter 420-1-3,
et
seq
.
(b)
			 The Hearing Officer shall make Findings of Fact, Conclusions of Law, and
			 Recommendations to the SCPH which shall review same en banc along with the
			 record and shall issue a final order signed by the Chairman.
(c) An IHCW or any party as defined by
			 Alabama Administrative Code, Chapter 420-1-3 who is aggrieved by the outcome of
			 appeal to the SCPH may file notice of further appeal in accordance with the
			 "Alabama Administrative Procedures Act" in the circuit court of his or her
			 county of residence or in the Circuit Court of Montgomery County within 30 days
			 of issuance of final decision of the SCPH.
Author:
John Wible, General Counsel, Alabama
				Department of Public Health
Statutory Authority:
Code of Ala.
				  1975
, Sections
				  22-2-2(6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g), and
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.10 - Verification And Documentation Of IHCW Compliance with Restrictions, Limitations Or Conditions Of Practice Of IHCW

Current through Register Vol. 42, No. 9, June 28, 2024
(a) If no limitations were imposed, the
			 practice of the IHCW will be reviewed annually by internal Department review.
			 If the review determines that practice restrictions may be necessary for an
			 IHCW for whom practice restrictions were initially not necessary, the SHO shall
			 convene an ERP.
(b) If limitations
			 were previously determined to be necessary, the practice of the IHCW will be
			 reviewed annually by internal Department review.
(1) If review determines noncompliance of
			 practice restrictions, the SHO shall forward evidence of such noncompliance to
			 the appropriate licensing board or to the employer of the IHCW if he or she
			 does not have a professional license.
(2) If review determines that practice
			 restrictions may be necessary for whom practice restrictions had not been
			 previously necessary, the SHO shall convene an ERP.
Author:
Charlotte E. Crysel, Director, Division of
				Infection Control, Alabama Department of Public Health
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.11 - Disciplinary Action For Violation Of ERP Recommendations Or Related Rule

Current through Register Vol. 42, No. 9, June 28, 2024
An IHCW who violates a recommendation of the ERP as set forth
				herein the related rules is subject to disciplinary action by the appropriate
				licensing board.
Author:
Charlotte E. Crysel, Director, Division of
				Infection
Control, Alabama Department of Public Health
Statutory Authority:
Code of Ala.
				  1975
, Sections
				  22-2-2(6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g),
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.12 - Liability

Current through Register Vol. 42, No. 9, June 28, 2024
(a) Members and
			 staff of the State Board of Health, the State Committee of Public Health, the
			 Board of Medical Examiners, the Medical Licensure Commission, the Board of
			 Nursing, the Board of Dental Examiners, the Board of Podiatry, physicians,
			 hospitals, other health care facilities, and other entities and persons
			 required to report or furnish information under this Act and any expert review
			 panels, consultants to any expert review panel, and agents and employees of the
			 Alabama Department of Public Health shall not be subject to civil or criminal
			 liability for making reports or furnishing any information required by this
			 article or for actions taken in the line and scope of official or required
			 duties during their investigations, hearings, rulings, and decisions.
Authors:
Charlotte E. Crysel, Director, Division
				  of Infection Control, Alabama Department of Public Health, Mary G. Mclntyre,
				  MD, Assistant State Health Officer for Disease Control and Prevention
Statutory Authority:
Code of Ala.
				  1975
,
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Section 420-4-3-.13 - Confidentiality

Current through Register Vol. 42, No. 9, June 28, 2024
The records, proceedings, deliberations, and documents related
				to the investigation and review of any IHCW are confidential and shall be used
				by committees, licensing boards of licensed HCWs, panels, and individuals only
				in the exercise of their official duties and shall not be public records except
				as provided by law.
Author:
Charlotte E. Crysel, Director, Division of
				Infection Control, Alabama Department of Public Health.
Statutory Authority:
Code of Ala.
				  1975
, Sections
				  22-2-2(6),
				  22-11A-2,
				  22-11A-7,
				  22-11A-13,
				  22-11A-14(g),
				  22-11A-70.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-3 - INFECTED HEALTH CARE WORKERS › Appendix I › Attachment to Rule 420-4-3-.04 - ALABAMA DEPARTMENT OF PUBLIC HEALTH PHYSICIAN'S NOTIFICATION OF HIV AND/OR HBV INFECTED HEALTH CARE WORKER

Current through Register Vol. 42, No. 9, June 28, 2024
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				  to view image
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				  to view image
INSTRUCTIONS:
This form is to be completed and
				  returned within seven (7) days of the time a diagnosis is made or provision of
				  care of such. Completed forms are to be sent to the designee of the State
				  Health Officer by marking the envelope "Personal and Confidential" and sending
				  it to:
Director, Bureau of Communicable Disease
Alabama Department of Public Health
201 Monroe Street, Suite 1400
P. O. Box 303017
Montgomery, Alabama 36130-3017
Invasive Procedures as defined in the Infected Health
				  Care Worker Management Act are
:
(1) Those medical or surgical procedures
				characterized by the digital palpation of a needle tip in a body cavity or by
				the simultaneous presence of the health care worker's fingers and a needle or
				other sharp instrument or object in a poorly visualized or highly confined
				anatomic site.
(2) Invasive dental
				procedures shall include those that provide the opportunity for an intraoral
				percutaneous injury to the dental health care worker and could result in blood
				of the health care worker coming in contact with the blood or mucous membrane
				of the patient as adopted by the Board of Dental Examiners in rules developed
				pursuant to Section 11.
(3) These
				procedures shall not include physical examinations; blood pressure checks; eye
				examinations; phlebotomy; administering intramuscular, intradermal, or
				subcutaneous injections; needle aspirations; lumbar punctures; angiographic
				procedures; vaginal, oral, or rectal exams; endoscopic or bronchoscopic
				procedures; or placing and maintaining peripheral and central intravascular
				lines, nasogastric tubes, endotrachael tubes, rectal tubes, and urinary
				catheters.
ALABAMA PROCEDURES FOR ASSESSMENT AND PRACTICE
				  MANAGEMENT OF HBV-, HCV-, AND HIV-, OR OTHER DISEASE SPECIFIED BY THE STATE
				  BOARD OF HEALTH, INFECTED HEALTH CARE WORKERS (HCWs) FLOW CHART OF
				  PROCEDURES
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				  to view image
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) "Animal" means
			 any non-human mammal of the Kingdom
Animalia.
(2) "Cat" means all members of the
			 domesticated feline
(Felis catus)
family.
(3) "Dog" means all members of the
			 domesticated canine
(Canis familiaris)
family.
(4) "Ferret" means all members of the ferret
(Mustela putorius furo)
family.
(5) "Department" means the Alabama Department
			 of Public Health.
(6) "Domestic
			 animal" means animals which, through association with people, have been bred to
			 a degree which has resulted in genetic changes affecting the temperament,
			 color, conformation, or other attributes of the species to an extent that make
			 them unique and distinguishable from wild animals of their species.
(7) "Exposure" or "Exposes" means an incident
			 resulting in contact of saliva or neural tissue with a break or abrasion of the
			 skin or with any mucous membrane. The term includes a bite or
			 scratch.
(8) "Extra-label use of
			 vaccine" means the use of an animal vaccine in a species that is not specified
			 on the product label or product insert.
(9) "Health Officer" means the State Health
			 Officer or any county health officer as defined in §
								22-3-2,
Ala. Code
			 1975,
or his or her designee.
(10) "Hybrid-cross" means an animal resulting
			 from the crossbreeding between two different species or types of animals.
			 Crosses between wild animal species and domestic animals are considered to be
			 wild animals.
(11) "NASPHV" means
			 the National Association of State Public Health Veterinarians, Inc.
(12) "Wildlife" means native or exotic
			 animals normally living in the wild, other than those defined as domestic,
			 including mammals, birds, reptiles, amphibians, and fresh water fish.
Rule .01, Purpose, was repealed and .02 was renumbered to .01
				  as per certification filed November 18,
				  2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
., 22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.02 - Nuisance Menacing Public Health

Current through Register Vol. 42, No. 9, June 28, 2024
All unvaccinated dogs, cats and ferrets of any age that have
				exposed humans are declared to be nuisances menacing public
				health.
Rule .03 was renumbered to .02 as per certification filed
				  November 18, 2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
., 22-2-2(6), 22-10-1(5).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.03 - Reporting Of Exposures

Current through Register Vol. 42, No. 9, June 28, 2024
Suspected exposures to humans by animals capable of
				transmitting the rabies virus shall be reported to the county health
				department.
(a) Who Shall Report. The
			 following individuals shall report exposures:
1. Health care professionals who treat
			 persons with suspected exposures.
2. Veterinarians who have knowledge of
			 suspected exposures.
3. Law
			 enforcement personnel, including animal control officials, who have been
			 informed of or who have investigated suspected exposures.
4. Any person having knowledge that a human
			 has been exposed.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.04 - Investigation of Reports Of Exposures

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Initiation of Investigation. When the
			 county health department receives a report from health care professionals, law
			 enforcement personnel, or other persons concerning a possible animal exposure
			 to a human, an investigation shall promptly be conducted.
(2) Investigation Report. Information from
			 the investigation shall be recorded by the environmental staff of the county
			 health department. Reports shall remain on file in the county health department
			 for a minimum of three years.
(3)
			 Quarantine Orders. Quarantine orders resulting from an investigation may be
			 issued by the Health Officer upon the confirmation of an exposure by a health
			 care professional. Such orders may include home quarantine pursuant to Rule
			 420-4-4-.07.
Rule .05 was renumbered to .04 as per certification filed
				  November 18, 2009.
Authors:
William B. Johnston, D.V.M., Dee Jones,
				  D.V.M.
Statutory Authority:
Code of Ala.
				  1975
, §§
										3-7A-1,
et
				  seq
.; 22-2-2(6).
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-4-4 - RABIES CONTROL PROGRAM › Section 420-4-4-.05 - Exceptions to Veterinary Confinement and Quarantine

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Assistance Animals. Guide, hearing, and
			 service dogs shall be exempt from the quarantine period specified in §
								3-7A-1(10), Code
			 of Ala. 1975, if exposures occur in the line of duty and evidence of
			 immunization against rabies is presented. An assistance animal shall be
			 examined by a licensed veterinarian ten days after it exposes a human. Extended
			 observation periods or additional testing may be required depending upon the
			 animal's species, health status, circumstances of the exposure, and
			 epidemiology of rabies in the area.
(2) Canine Corps Dogs. Canine corps dogs
			 shall be exempt from the quarantine period specified in §
								3-7A-1(10), Code
			 of Ala. 1975, if exposures occur in the line of duty and evidence of
			 immunization against rabies is presented. A canine corps dog shall be examined
			 by a licensed veterinarian ten days after it exposes a human.
(3)Home quarantine may be permitted at the
			 discretion of the Health Officer only if all of the following conditions are
			 met:
(a) The exposure was as a result of a
			 provoked incident. A provoked incident occurs when a person creates a situation
			 such that an expected reaction of the animal is to bite or attack (e.g.,
			 feeding, grabbing, threatening, etc.). An unprovoked incident occurs when an
			 animal bites or attacks for no apparent reason.
(b) The animal is currently vaccinated
			 against rabies.
(c) The owner or
			 person responsible for the animal agrees to have the animal examined by a
			 licensed veterinarian ten days following the exposure. If the bite victim is an
			 owner of the animal or lives in the same household as the animal, the Health
			 Officer may permit home quarantine without requiring an examination by a
			 licensed veterinarian on the tenth day of the quarantine.
(d) The animal is kept in an enclosed area
			 (e.g., house, pen) in a designated confinement area (e.g., one room of house,
			 one run isolated at a kennel facility) to avoid interaction with people and
			 animals other than a single caretaker.
(e) If during the period of home quarantine
			 the animal dies or exhibits clinical signs suggestive of rabies as determined
			 by a licensed veterinarian, the owner or person responsible for the animal
			 shall immediately contact the county health department. The Health Officer
			 shall notify the person exposed and his/her physician so the physician can
			 determine if post-exposure treatment is indicated.
(f) The owner is responsible for securing the
			 animal during the period of home quarantine. Should the animal expose a human
			 or animal and/or if the animal escapes or disappears from home quarantine, the
			 owner or person responsible for the animal shall immediately notify the county
			 health department.