Kentucky Administrative Regulations › Title 902 - CABINET FOR HEALTH AND FAMILY SERVICES - DEPARTMENT FOR PUBLIC HEALTH › Chapter 2 - Communicable Diseases › Section 902 KAR 2:020 - Reportable disease surveillance

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				214.645,
				214.625(5)(c)
				5, 214.990(1), 215.520, 216B.015, 258.065, 258.990, 311.282, 311.571, 315.010,
				321.181(4), 333.020, 333.130
NECESSITY, FUNCTION, AND CONFORMITY:
				KRS
				211.180(1)(a) authorizes the
				cabinet to implement a statewide program for the detection, prevention, and
				control of communicable diseases, chronic and degenerative diseases, dental
				diseases and abnormalities, occupational diseases and health hazards peculiar
				to industry, home accidents and health hazards, animal diseases that are
				transmissible to man, and other diseases and health hazards that can be
				controlled. KRS
				214.010 requires every physician, advanced
				practice registered nurse, and every head of family to notify the local health
				department of the existence of diseases and conditions designated by
				administrative regulation of the cabinet. This administrative regulation
				establishes notification standards and specifies the diseases requiring
				immediate, urgent, priority, routine, or general notification, in order to
				facilitate rapid public health action to control diseases and to permit an
				accurate assessment of the health status of the commonwealth.
Section 1. Definitions.
(1) "Acid fast bacilli" or "AFB" means the
			 mycobacteria that, if stained, retains color even after having been washed in
			 an acid solution and can be detected under a microscope in a stained
			 smear.
(2) "Health facility" is
			 defined by KRS
			 216B.015(13).
(3) "Health professional" means a
			 professional licensed under KRS Chapters 311 through 314.
(4) "Healthcare-associated infection" or
			 "HAI" means an infection acquired by a person while receiving treatment for a
			 separate condition in a health care setting.
(5) "Kentucky public health advisory" means a
			 notification to health professionals, health facilities, and laboratories
			 subject to this administrative regulation identifying a new health threat that
			 warrants reporting through the procedures of this administrative
			 regulation.
(6)
			 "Laboratory-confirmed influenza" means influenza diagnosed through testing
			 performed using:
(a) Reverse transcriptase
			 polymerase chain reaction (RT PCR);
(b) Nucleic acid detection; or
(c) Viral culture.
(7) "Medical laboratory" is defined by
			 KRS
			 333.020(3).
(8) "National Healthcare Safety Network" or
			 "NHSN" means the nation's most widely used healthcare-associated infection
			 (HAI) tracking system as provided to medical facilities by the Centers for
			 Disease Control and Prevention (CDC).
(9) "National reference laboratory" means a
			 laboratory located outside of Kentucky that is contracted by a Kentucky health
			 professional, laboratory, or health facility to provide laboratory
			 testing.
(10) "Novel influenza A
			 virus" means an influenza virus that causes human infection but is different
			 from the seasonal human influenza A virus subtypes and includes viruses
			 predominately of avian and swine origin.
(11) "Nucleic acid amplification test" or
			 "NAAT" means the laboratory test used to target and amplify a single
			 deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) sequence, usually for
			 detecting a microorganism.
(12)
			 "Outbreak" means:
(a) Two (2) or more cases,
			 including HAIs, that are epidemiologically linked or connected by person,
			 place, or time; or
(b) A single
			 case of an HAI not commonly diagnosed.
(13) "Pharmacist" is defined by
			 KRS
			 315.010(17).
(14) "Post-exposure prophylaxis" or "PEP"
			 means taking an antiretroviral medicine after being potentially exposed to HIV
			 to prevent becoming infected.
(15)
			 "Pre-exposure prophylaxis" or "PrEP" means daily medicine intended to reduce
			 the chance of getting HIV.
(16)
			 "Select agent" means a biological agent or toxin that could pose a severe
			 threat to public health, plant health, animal product, or plant product as
			 determined by the National Select Agent Registry (NSAR) at
www.selectagents.gov
.
(17) "Veterinarian" is defined by
			 KRS
			 321.181(4).