reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.08-2 - Cholera (Vibrio cholera 01 or 0139)

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a Case.
(1) For a case with diarrhea due to or
				  presumed due to cholera, a health officer shall restrict or exclude a case
				  from:
(a) Attending a child care facility;
				  or
(b) Participating in an
				  occupation involving;
(i) Food
				  handling;
(ii) Patient care; or
(iii) Care of young children or the
				  elderly.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.08-3 - Escherichia coli O157:H7 and Other Shiga-Like Toxin Producing Escherichia coli (STEC)

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) A case may not attend a child care
				  facility until:
(a) The case's fecal cultures
				  or stool Shiga-like toxin tests are free of E. coli 0157:H7 and other
				  Shiga-Like Toxin Producing Escherichia coli (STEC) on two consecutive specimens
				  collected not less than 24 hours apart and not sooner than 48 hours following
				  discontinuation of antibiotics, if antibiotics have been given; or
(b) A health officer approves readmission
				  based on the low likelihood of disease transmission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.09 - Foodborne and Waterborne Diseases

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a Case or Contacts. If one of
				  the following diseases is identified, a health officer shall follow the
				  procedures detailed in this chapter for the specific disease:
(1) Campylobacteriosis;
(2) Cholera;
(3) Escherichia coli 0157:117 and other
				  Shiga-Like Toxin Producing Escherichia coli (STEC);
(4) Hepatitis, viral type A;
(5) Salmonellosis;
(6) Shigellosis; and
(7) Typhoid fever (Salmonella Typhi) or paratyphoid
				  fever (Salmonella Paratyphi A, Salmonella Paratyphi B tartrate negative, and
				  Salmonella Paratyphi C).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.10 - Hepatitis, Viral Type A

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control
				  of a Case. A case may not participate in an occupation involving food handling,
				  patient care, or care of young children or the elderly for 1 week after onset
				  of jaundice, or for 2 weeks after the onset of illness, if not
				  jaundiced.
B. Control of Contacts.
				  For an individual who previously has not received hepatitis A vaccine, the
				  physician in attendance or a health officer shall offer a single dose of single
				  antigen hepatitis A vaccine or immune globulin to contacts for prophylaxis:
(1) As soon as possible, but within 2 weeks
				  of exposure to household, sexual, child care, or other contacts as determined
				  by a health officer; and
(2)
				  According to the following recommendations:
(a) For a previously unvaccinated healthy
				  individual 12 months old to 40 years old, single antigen hepatitis A vaccine at
				  the age appropriate dose is recommended;
(b) For a previously unvaccinated individual
				  older than 40 years old, immune globulin is recommended and single antigen
				  hepatitis A vaccine may be used if:
(i) Immune
				  globulin is not available; and
(ii)
				  The individual is healthy; or
(c) For a previously unvaccinated child
				  younger than 12 months old, an immunocompromised individual, an individual with
				  chronic liver disease, or an individual for whom vaccine is contraindicated,
				  immune globulin is recommended.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.11 - Hepatitis, Viral Type B

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control
				  of a Case. A physician in attendance upo n a case having viral hepatitis type B
				  shall educate that case on the:
(1) Risks of
				  sexual transmission, household contact transmission, maternal-infant
				  transmission, and transmission by the sharing of hypodermic needles and other
				  drug paraphernalia;
(2)
				  Availability of hepatitis B vaccine and hepatitis B immune globulin for
				  contacts who have had sexual contact with a case of hepatitis B within the
				  preceding 14 days, contacts who have percutaneous exposures to hepatitis B, and
				  infants born to case mothers who carry hepatitis B virus at delivery, and the
				  need for referring those contacts to health care providers for preventive
				  treatment;
(3) Importance of
				  vaccination for viral hepatitis type A if the case is not already immune by
				  reason of prior infection or prior vaccination; and
(4) Importance of testing pregnant women for
				  hepatitis B surface antigen at each pregnancy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.11-1 - Hepatitis, Viral Type C

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control
				  of a Case. A physician in attendance upon a case of viral hepatitis type C
				  shall educate that case on:
(1) The risks of
				  transmission of viral hepatitis type C by:
(a) Sharing hypodermic needles and other
				  injecting drug paraphernalia;
(b)
				  Sexual transmission;
(c)
				  Maternal-child transmission;
(d)
				  Parenteral or permucosal exposure to blood or other infectious body
				  fluids;
(e) Chronic
				  hemodialysis;
(f) Transfusion;
				  and
(g)
				  Transplantation;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.12 - Measles (Rubeola)

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control
				  of a Case. A health officer or health care provider shall recommend that a case
				  may not attend a school, workplace, or child care facility from the onset of
				  the illness at least through the 4th day after the rash appears.
B. Control of Contacts.
(1) Nonimmune Contacts.
(a) Nonimmune individuals for measles, in
				  general, are people who:
(i) Have not received
				  two doses of measles containing vaccine on or after the first
				  birthday;
(ii) Have no
				  documentation of immunity or disease; or
(iii) Were born in or after 1957.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.12-1 - Mumps

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case. A health officer or health care provider shall recommend that a case may
				  not attend a school, workplace, or child care facility from the onset of
				  illness through the 5th day after onset of parotitis.
B. Control of Contacts.
(1) Nonimmune Individuals.
(a) Nonimmune individuals for mumps, in
				  general, are people who:
(i) Have not received
				  two doses of mumps containing vaccine on or after the first birthday;
(ii) Have no documentation of immunity or
				  disease; or
(iii) Were born in or
				  after 1957.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.12-2 - Pertussis

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) A health officer or health care
				  provider shall recommend that a case may not attend school, a workplace, or a
				  child care facility until the patient has received at least 5 days of
				  appropriate antibiotics.
(2) If a
				  case does not receive antibiotics, a health officer shall restrict or exclude
				  the case from attending a school, health care facility, child care facility, or
				  workplace for 3 weeks after onset of cough.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.13 - Psittacosis

Current through Register Vol. 51, No. 14, July 12, 2024
A. There is no
				  control of a human case or contacts.
B. Infection Control. A health care provider
				  shall practice appropriate disinfection and disposal of respiratory
				  discharges.
C. The sale and
				  distribution of exotic birds and handling of exotic birds which are cases or
				  suspected cases of avian psittacosis are subject to Health-General Article,
				  §§24-101 -24-110, Annotated Code of Maryland.
D. The Department recommends that the
				  Compendium of Measures To Control Chlamydia psittaci Infection Among Humans
				  (Psittacosis) and Pet Birds (Avian Chlamydiosis), 2017, by the National
				  Association of State Public Health Veterinarians, be followed for ill birds and
				  birds that carry psittacosis.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.14 - Rabies

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case (Human). A health care provider shall apply contact isolation to the case
				  for the period of communicability.
B. Control of Contacts. A health officer or
				  health care provider shall evaluate individually a close contact or hospital
				  contact to determine the need for post-exposure rabies prophylaxis. A health
				  care provider shall warn an immediate attendant of the hazard of
				  infection.
C. Infection Control. A
				  health care provider shall practice contact isolation.
D. Confinement or Examination of Animals. A
				  health officer or the Maryland Public Health Veterinarian shall direct the
				  quarantine, examination, control, and disposition of any animal that bites or
				  otherwise potentially exposes a human to rabies, according to COMAR
				  10.06.02.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.15 - Rubella (German Measles)

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Control of a Case.
A health officer or health care provider shall recommend
					 that a case :
(1) Be isolated from a
				  woman of childbearing age who is not immune or is of unknown immunity, from the
				  onset of illness through the 7th day after appearance of the rash
(2) May not attend a school, workplace, or
				  child care facility from the onset of the illness through the 7th day after the
				  appearance of the rash.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.16 - Salmonellosis

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) For a case with diarrhea due to or
				  presumed due to salmonellosis, a health officer shall restrict or exclude a
				  case from:
(a) Attending a child care
				  facility; or
(b) Participating in
				  an occupation involving:
(i) Food handling;
(ii) Patient care; or
(iii) Care of young children or the
				  elderly.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.17 - Syphilis and HIV

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) For an individual who appears to
				  have or who has syphilis in a stage which is or may become communicable, or
				  HIV, a physician shall instruct the individual in the use of any measure and
				  render any treatment which may be necessary to prevent the spread of the
				  disease.
(2) An individual under
				  medical observation for diagnosis of syphilis or HIV shall remain under medical
				  supervision until the:
(a) Observation for
				  diagnosis has been completed;
(b)
				  Syphilis or HIV, if present, has been reported to a health officer;
(c) Individual with syphilis has had the
				  treatment that is necessary for the protection of the public health;
				  and
(d) Individual with HIV has
				  entered into HIV medical care.
(3) A physician shall report to a health
				  officer within 1 working day and in writing the name and address of an
				  individual who is:
(a) Receiving or has
				  received treatment for syphilis; or
(b) Under medical observation for diagnosis
				  or treatment of syphilis in an infectious or potentially infectious stage, who
				  fails to return for observation or treatment within 1 week of the date of a
				  missed appointment, and is not known to the attending physician to be under
				  medical observation or treatment elsewhere for this infection.
(4) A health officer shall:
(a) Investigate an individual reported to the
				  health officer under the provisions of §A(3) of this regulation or
				  Health-General Article, §18-201.1, Annotated Code of Maryland, who is
				  within the health officer's territorial jurisdiction;
(b) Take such measures as may be deemed
				  necessary for the protection of the public health; and
(c) Forward to the Secretary immediately a
				  report of an individual reported under the provisions of §A(3) of this
				  regulation or Health-General Article, § 18-201.1, Annotated Code of
				  Maryland, who is outside the health officer's territorial jurisdiction for
				  referral to the health officer of the proper jurisdiction.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.18 - Other Sexually Transmitted Infections

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a Case.
(1) Hepatitis, viral type B, as discussed in
				  Regulation .11 of this chapter.
(2)
				  A physician in attendance upon a person who appears to have, or who has a
				  sexually transmissible disease in a stage which is or may become communicable,
				  shall:
(a) Instruct the person on the modes
				  of transmission and the prevention of transmission;
(b) Render any necessary treatment to the
				  case; and
(c) Advise the case to
				  inform a sexual partner or partners of exposure and the need for examination
				  and treatment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.19 - Shigellosis

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) A case may not attend a child care
				  facility until :
(a) The case's fecal cultures
				  are Shigella-free on two consecutive specimens collected not less than 24 hours
				  apart and not sooner than 48 hours following discontinuation of antibiotics, if
				  antibiotics have been given; or
(b)
				  A health officer approves readmission based on the low likelihood of disease
				  transmission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.20 - Tuberculosis

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case and Suspected Case.
(1) A health care
				  provider shall immediately send notification that they have a patient who is
				  suspected of being in a communicable stage to the local health officer of the
				  jurisdiction in which the patient is currently located.
(2) A health care provider may not discharge
				  a patient who is suspected of being in a communicable stage until the local
				  health department of the jurisdiction in which the patient is located has been
				  informed of and concurs with the planned discharge or release of the
				  individual.
(3) A health officer
				  or health care provider shall isolate a patient who is in a communicable stage
				  as long as the specific microorganism:
(a) Is
				  excreted by the patient; or
(b) Can
				  be isolated by culture in the case of multidrug resistant tuberculosis (MDR-TB)
				  or extremely drug resistant tuberculosis (XDR-TB).
(4) A patient fulfills the requirements of
				  isolation as long as the patient receives adequate chemotherapy, is under
				  medical supervision, and observes instructions for isolation issued by a health
				  officer.
(5) A health care provider
				  shall place individuals with tuberculosis and suspected tuberculosis on a
				  tuberculosis treatment regimen that is in accordance with current national and
				  State standards of care, and that provide for direct observation by a trained
				  health care worker of ingestion of each dose of medication.
(6) A health officer or health care provider
				  treating an individual with tuberculosis or suspected tuberculosis shall
				  provide human immunodeficiency virus testing and counseling.
(7) A health officer shall monitor the treatment of
				  individuals with tuberculosis and suspected tuberculosis to determine if the
				  treatment is appropriate.
(8) A
				  health officer
(a) Impose limitations on
				  travel; and
(b) Place restrictions
				  on hospital discharge may impose limitations on travel and place restrictions
				  on hospital discharge for an individual with tuberculosis or suspected
				  tuberculosis.
(9) A
				  health officer may remove the limitations and restrictions set forth in
				  §A(8) of this regulation when appropriate and consistent with the
				  individual's tuberculosis treatment plan.
(10) A health officer or the Secretary shall
				  manage tuberculosis patients who are noncompliant with tuberculosis treatment
				  in accordance with Health-General Article, §§18-324 and 18-325,
				  Annotated Code of Maryland.
(11) A
				  health officer may require an individual having tuberculosis in a
				  noncommunicable stage to be under medical supervision, which may include
				  physical isolation from others, if the individual refuses to receive adequate
				  chemotherapy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.21 - Typhoid Fever (Salmonella Typhi) and Paratyphoid Fever (Salmonella Paratyphi A, Salmonella Paratyphi B tartrate negative, and Salmonella Paratyphi C)

Current through Register Vol. 51, No. 14, July 12, 2024
A. Control of a
				  Case.
(1) A case may not attend a child care
				  facility until fecal specimens are Salmonella-free on three consecutive
				  specimens collected not less than 24 hours apart and not sooner than 48 hours
				  following discontinuation of antibiotics, or until a health officer approves
				  readmission based on the low likelihood of transmission.
(2) A case may not participate in occupations
				  involving food handling, patient care, or care of young children or the elderly
				  until fecal specimens are Salmonella-free on three consecutive specimens
				  collected not less than 24 hours apart, and not sooner than 48 hours after
				  discontinuation of antibiotics.
(3)
				  A health officer shall supervise a case and release a case from supervision
				  only after fecal specimens are culture negative for Salmonella Typhi or
				  Paratyphi on three consecutive specimens collected not:
(a) Less than 24 hours apart;
(b) Sooner than 48 hours following
				  discontinuation of antibiotics; and
(c) Earlier than 1 month after onset or date
				  of first positive culture if asymptomatic.
(4) If any one of the specimens required in
				  §A(3) of this regulation is positive, at least three consecutive negative
				  cultures of feces at intervals of 1 month within the 12 months following onset
				  shall be required for release from supervision.
(5) If a person continues to excrete
				  Salmonella Typhi or Paratyphi at 12 months, the requirements of §D of this
				  regulation apply.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.22 - Sale and Distribution of Reptiles

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope.
(1) Pursuant to the authority conferred upon
				  the Secretary by Health-General Article, § 18-219, Annotated Code of
				  Maryland, the Secretary has determined that reptiles and reptile eggs are
				  dangerous to human health and safety in that human contact with reptiles and
				  reptile eggs may spread disease to humans.
(2) The Secretary prohibits the sale or
				  public distribution of turtles with a carapace length of less than 4 inches and
				  viable reptile eggs.
(3) The
				  Secretary may permit the sale and public distribution of reptiles in accordance
				  with specific requirements and conditions as stated in §B of this
				  regulation.
(4) This regulation
				  does not apply to a turtle:
(a) Used for
				  agricultural purposes;
(b) Used for
				  scientific purposes;
(c) Used for
				  educational purposes as certified by a health officer;
(d) Used for public exhibitions; or
(e) That the Secretary determines is not a
				  threat to human health and safety.
(5) The requirements of this regulation are
				  in addition to any requirement imposed by Natural Resources Article, Title 10,
				  Subtitle 9, Annotated Code of Maryland, and regulations adopted under
				  it.
(6) The giving away of reptiles
				  is subject to the crimes and punishments set forth in Criminal Law Article,
				  §
											10-610, Annotated Code
				  of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.23 - Communicable Disease Information Provided With Sale and Distribution of Pet Animals

Current through Register Vol. 51, No. 14, July 12, 2024
To help prevent the spread of a communicable disease, a
					 seller or a group of sellers who prepares or causes to be prepared a pamphlet,
					 flyer, or other printed information on the handling of one or more pet animals
					 and who distributes the pamphlet, flyer, or other printed information, shall
					 ensure that the pamphlet, flyer, or other printed information stresses
					 the:
A. Importance of handwashing
				  after contact with a reptile or other pet animals or its surroundings; and
B. Need to consult a physician if
				  one or more of the following individuals live in the household for which a pet
				  animal is purchased:
(1) A child younger than
				  5 years old;
(2) A pregnant woman;
				  or
(3) An immunocompromised
				  individual.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance › Section 10.06.01.24 - Control of Communicable Diseases in Pet Stores

Current through Register Vol. 51, No. 14, July 12, 2024
A. A pet store shall utilize procedures to
				  ensure prevention and control of diseases common to and shared among humans and
				  animals.
B. To ensure prevention
				  and control of diseases common to and shared among humans and animals, the
				  Department recommends that pet stores utilize the Compendium of Animal Rabies
				  Prevention and Control, the Compendium of Measures To Control Chlamydophila
				  psittaci Infection Among Humans i (Psittacosis) and Pet Birds (Avian
				  Chlamydiosis), and the Compendium of Measures to Prevent Disease Associated
				  with Animals in Public Settings, issued by the National Association of State
				  Public Health Veterinarians.
C. A
				  health officer shall annually inspect a pet store to determine compliance with
				  §A of this regulation.
D. A
				  health officer:
(1) May delegate the
				  authority to conduct annual pet store inspections to another specified agency
				  such as, but not limited to, local animal control; and
(2) Shall execute and keep on file a written
				  agreement with the delegated inspection agency.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter provides for cooperative rabies control
					 efforts by the Department, local health officers, physicians, veterinarians,
					 and other Maryland government agencies as guided by policy statements such as
					 the Compendium of Animal Rabies Prevention and Control, issued annually by the
					 National Association of State Public Health Veterinarians.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated
B. Terms Defined.
(1) "Adequately vaccinated" means a graduate
				  veterinarian at a public antirabies clinic or a licensed veterinarian has:
(a) Immunized an animal against rabies in
				  accordance with the current year's recommendations as circulated by the
				  Department; and
(b) Documented the
				  rabies immunization by issuing a valid rabies certificate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.03 - Human Rabies

Current through Register Vol. 51, No. 14, July 12, 2024
A. Reporting.
(1) A physician, medical authority, or
				  another person having knowledge of or suspicion of a case of human rabies shall
				  immediately report the facts to the local health officer.
(2) A local health officer who has received a
				  report of a case or suspected case of human rabies shall immediately notify, by
				  telephone or other immediate communication medium, the State Epidemiologist or
				  the Public Health Veterinarian of the case or suspected case.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.04 - Animal Rabies

Current through Register Vol. 51, No. 14, July 12, 2024
A. Reporting.
				  An individual shall report immediately by telephone or in person to the local
				  police, sheriff's department, or local animal control authority if they know of
				  an animal that:
(1) Has rabies;
(2) Is suspected of having rabies;
				  or
(3) Has had a bite from or
				  non-bite contact with an animal known to have or suspected of having
				  rabies.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.05 - Reporting Bite or Non-Bite Contacts to Humans

Current through Register Vol. 51, No. 14, July 12, 2024
A. A person having knowledge of an
				  individual's having a bite from or non-bite contact with an animal shall report
				  the facts of the contact immediately by telephone or in person to the local
				  police or sheriff's department, except in Frederick County, where the person
				  shall report the facts to the animal control center of Frederick
				  County.
B. Except as provided at
				  §C of this regulation, upon receipt of a report, the local police or
				  sheriff's department or animal control personnel shall:
(1) Complete the Maryland Animal-Bite Report
				  and Rabies Quarantine Agreement Form supplied by the Department, or an
				  equivalent form developed by the local health department;
(2) Make the report available within 24 hours
				  to the local health officer and, on request, to the Public Health Veterinarian;
				  and
(3) Enforce all orders of the
				  local health officer and the Public Health Veterinarian pursuant to this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.06 - Risk Assessment Following Bite or Non-Bite Contact to Humans

Current through Register Vol. 51, No. 14, July 12, 2024
Following the report of a bite or non-bite contact to a
					 human, the local health officer shall conduct a risk assessment that includes a
					 determination of:
A. The species of
				  animal that made the contact;
B.
				  Whether the animal is apparently healthy;
C. Whether the animal is adequately
				  vaccinated appropriate to its age;
D. The type of contact;
E. Whether the bite or non-bite contact was
				  provoked and what human activity may have provoked the bite or non-bite;
				  and
F. The reasonable likelihood
				  that the contact animal may have rabies or may have been exposed to rabies
				  within the past 6 months, including information about unsupervised out-of-doors
				  escape episodes, injuries, and other potential contacts of the animal to wild
				  animals or bats.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.07 - Disposition of Animals Following Bite or Non-Bite Contact to Humans

Current through Register Vol. 51, No. 14, July 12, 2024
A. When the local
				  health officer has determined that quarantine of the exposing animal is
				  allowable based on the findings of the risk assessment, the animal shall be
				  quarantined.
B. Quarantine Period.
(1) Dogs, Cats, and Ferrets, Including
				  Unclaimed Stray Animals. Except as provided in §B(3) and (4) of this
				  regulation, the owner or custodian of a dog, cat, or ferret that was involved
				  in bite or non-bite contact with a human shall quarantine the animal in a place
				  and manner approved by the local health officer or the Public Health
				  Veterinarian for at least 10 days after the date of the bite or
				  contact.
(2) Livestock Including
				  Unclaimed Stray Animals. Except as provided in §B(3) and (4) of this
				  regulation, the owner or custodian of livestock that has been involved in bite
				  or non-bite contact with an individual shall quarantine the livestock in a
				  place and manner approved by the Public Health Veterinarian in consultation
				  with the Maryland Department of Agriculture for at least 10 days after the date
				  of the bite or contact or a time period specified by the Public Health
				  Veterinarian.
(3) Wild Animals.
(a) Except in situations in which the local
				  health officer or the Public Health Veterinarian determines that an animal
				  poses an imminent threat to public health or safety and must be killed
				  immediately, the Public Health Veterinarian may order a wild animal involved in
				  bite or non-bite contact with an individual to be placed in quarantine for at
				  least 24 hours.
(b) If the animal
				  is not claimed by an owner or custodian within that 24-hour period, the Public
				  Health Veterinarian may order the animal to be humanely killed and its head
				  submitted to the laboratory designated by the Department for rabies
				  testing.
(c) For unclaimed stray
				  animals, the 24-hour period is included within the period required under
				  Regulation .02B(29) of this chapter.
(4) Wild Animal with a Legal Owner. When a
				  legally owned wild animal has been involved in bite or a non-bite contact with
				  a human, the local health officer, in consultation with the Public Health
				  Veterinarian, shall determine the disposition of the wild animal based on its
				  individual risk assessment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.08 - Area Quarantine

Current through Register Vol. 51, No. 14, July 12, 2024
A. If
				  rabies is known to exist within an area, the Public Health Veterinarian, in
				  conjunction with the Maryland Department of Agriculture, may establish an area
				  quarantine for rabies, define the boundaries of the quarantine area, and
				  specify the species of animal or animals subject to the quarantine.
B. The owner or custodian of an animal
				  subject to the area quarantine shall keep the animal in quarantine on the
				  premises of the owner or custodian at all times until the area quarantine is
				  terminated in writing by the Public Health Veterinarian, in conjunction with
				  the Maryland Department of Agriculture.
C. A person may not bring an animal subject
				  to an area quarantine into or out of the quarantine area without the written
				  permission of the Public Health Veterinarian and the Department of
				  Agriculture.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.09 - Laboratory Testing

Current through Register Vol. 51, No. 14, July 12, 2024
A. A local
				  health officer or local animal control authority shall submit rabies specimens
				  for laboratory testing
.
B. The
				  director of the rabies testing laboratory shall promptly forward a copy of the
				  results of a rabies examination to the:
(1)
				  Local health officer;
(2)
				  Individual that originally submitted the specimen to the laboratory from the
				  local animal control authority; and
(3) Public Health Veterinarian
.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.10 - Vaccination of Animals

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  owner or custodian of a dog, cat, or ferret shall have that animal adequately
				  vaccinated against rabies by the time the dog, cat, or ferret is 4 months
				  old.
B. Vaccination Documentation.
(1) Except for a local animal control
				  authority, an owner or custodian of an animal required to be licensed or
				  registered shall have the animal adequately vaccinated and shall obtain a valid
				  rabies vaccination certificate on the form specified by the Department. The
				  certificate shall be completed and signed by a Maryland-licensed veterinarian
				  or, in the case of public antirabies clinics, the certificate may be issued
				  under the authority of the Public Health Veterinarian, documenting that the
				  animal has been adequately vaccinated against rabies for the period of time
				  covered by the rabies vaccination.
(2) Except for a kennel licensed by the local
				  animal control authority as a boarding kennel, an owner or operator of a kennel
				  shall present, upon the request of the local health officer, Public Health
				  Veterinarian, or local animal control authority, a valid rabies vaccination
				  certificate for each dog, cat, or ferret:
(a)
				  Owned or kept by the kennel; and
(b) That is 4 months old or older.
(3) The Public Health Veterinarian
				  may delay temporarily or indefinitely the rabies vaccination requirement for
				  certain dogs, cats, or ferrets in the interest of public safety or for medical
				  determinations or research.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.11 - Importation of Animals

Current through Register Vol. 51, No. 14, July 12, 2024
A. Except
				  as provided in B and I of this regulation, the owner or custodian of a dog,
				  cat, or ferret 4 months old or older to be imported into the State for any
				  purpose shall forward a certificate, issued by a licensed veterinarian, to the
				  Public Health Veterinarian, within 10 days of the animal's arrival in the
				  State, that:
(1) Describes the dog, cat, or
				  ferret, documenting that it was vaccinated against rabies;
(2) Lists the manufacturer or brand of
				  vaccine used;
(3) Lists the date or
				  dates the vaccine was given;
(4)
				  Documents that the animal is adequately vaccinated; and
(5) Documents that the most recent dose of
				  vaccine was given more than 30 days before the date the animal arrived in the
				  State.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.12 - Permits Required for Keeping Certain Animals

Current through Register Vol. 51, No. 14, July 12, 2024
The Secretary shall require a person to obtain from the
					 Public Health Veterinarian a permit for keeping certain animals or species of
					 animals if the Secretary has determined that these animals or species of
					 animals represent a substantial threat of rabies to humans.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.13 - Disposition of Animals by Animal Shelters, Pounds, or Veterinarians

Current through Register Vol. 51, No. 14, July 12, 2024
A. The owner or
				  custodian of an animal who surrenders the animal to an animal shelter, pound,
				  or veterinarian for the purpose of having the animal humanely killed or for the
				  purpose of offering the animal for adoption shall certify in writing, under
				  penalty of perjury, that the animal:
(1) If a
				  dog, cat, ferret, or livestock, has not had bite or non-bite contact with an
				  individual within the previous 10 days; or
(2) If a wild animal, has not had bite or
				  non-bite contact with an individual within the previous 30 days.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.02 - Communicable Diseases - Rabies › Section 10.06.02.14 - Penalty

Current through Register Vol. 51, No. 14, July 12, 2024
A person refusing or failing to comply with the provisions
					 of this chapter, or with the orders or directives of the local health officer,
					 the State Epidemiologist, or the Public Health Veterinarian as provided by this
					 chapter, shall be guilty of a misdemeanor and, upon conviction, subject to a
					 fine of not more than $500 for each offense.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter governs ImmuNet, a computer-based registry of
					 immunizations, as established in Health-General Article, §18-109,
					 Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated
B. Terms Defined
(1) "Authorized user" means:
(a) A child care facility;
(b) A health care provider;
(c) A health insurer;
(d) A health maintenance
				  organization;
(e) An institution of
				  higher learning;
(f) A local health
				  department;
(g) A long-term care
				  facility;
(h) A managed care
				  organization;
(i) A nonprofit
				  health service plan;
(j) A
				  patient;
(k) A pharmacist
				  authorized to administer vaccinations in accordance with Health Occupations
				  Article, §
												12-508, Annotated
				  Code of Maryland;
(l) A
				  school;
(m) A school-based health
				  center;
(n) In the case of a minor
				  child, a parent or guardian; and
(o) Any other authorized user designated by
				  the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.03 - Administration of ImmuNet

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Department shall support and administer ImmuNet.
B. The Department may enter or edit
				  information contained in ImmuNet.
C. ImmuNet is subject to the security and
				  reliability standards set forth in Regulation .09 of this chapter.
D. The Department shall make available to
				  authorized users and to the general public all forms relevant to ImmuNet, such
				  as the:
(1) User agreement;
(2) Refusal to Permit Disclosure of
				  Information form; and
(3) Statement
				  of Reactivation of Participation in ImmuNet form.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.04 - Information Reported to ImmuNet

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The Department shall enter the following information from each birth
				  certificate registered in Maryland:
(1)
				  Child's:
(a) First, middle, and last
				  name;
(b) Date of birth;
(c) Sex; and
(d) Current or last known address;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.05 - User Agreement

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  authorized user who wishes to obtain information from ImmuNet shall enter into
				  a user agreement with the Department for the purpose of protecting the
				  confidentiality and security of ImmuNet information.
B. The user agreement shall include but not
				  be limited to the:
(1) Functions that may be
				  performed by an authorized user of ImmuNet;
(2) Authorized uses of ImmuNet information as
				  set forth in Health-General Article, §18-109(c), Annotated Code of
				  Maryland;
(3) Prohibitive uses of
				  ImmuNet information as set forth in Health-General Article, §18-109(f),
				  Annotated Code of Maryland; and
(4)
				  Basic practices for safeguarding confidential information.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.06 - Refusal and Reactivation

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  individual or a parent or guardian of a minor child who has received an
				  immunization may at any time prohibit information in
ImmuNet from being disclosed to authorized users by
					 providing to the Department a signed and dated Refusal to Permit Disclosure of
					 Information form.
B. An
				  individual or a parent or guardian of a minor who has submitted a Refusal to
				  Permit Disclosure of Information form may allow information in ImmuNet to be
				  disclosed by submitting to the Department a signed and dated written Statement
				  of Reactivation of Participation in ImmuNet form.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.07 - Permissible Use of ImmuNet Information

Current through Register Vol. 51, No. 14, July 12, 2024
Information in ImmuNet may be used by authorized users for
					 the following purposes:
A. To provide
				  coordinated immunization services, including sending reminder notices to
				  individuals who need immunizations;
B. To obtain an individual immunization
				  history;
C. To identify geographic
				  areas or population groups who are underimmunized;
D. To compile aggregate information and
				  distribute statistical reports on the status of immunizations in geographic
				  areas and population groups;
E. To
				  assist in the management of State and local immunization programs;
F. To monitor the safety of
				  vaccines;
G. To assess compliance
				  with immunization requirements by monitoring admissions to:
(1) Schools;
(2) Institutions of higher learning;
				  and
(3) Child care facilities;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.08 - Regional and Other State Immunization Registries

Current through Register Vol. 51, No. 14, July 12, 2024
A. A regional registry shall submit to
				  ImmuNet all immunization information on Maryland residents within 14 calendar
				  days of receipt of the information.
B. If the confidentiality of records of
				  Maryland citizens is protected, the Department may enter into a collaborative
				  agreement with other states for the purpose of sharing immunization
				  information.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.03 - ImmuNet › Section 10.06.03.09 - Security and Reliability Standards

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Department shall maintain ImmuNet in
				  accordance with system security requirements for federal information processing
				  systems, including National Institute of Standards and Technology (NIST) 800-53
				  Special Publication, and prevailing agency information technology security
				  policy standards and requirements.
B. ImmuNet Security.
(1) The Department shall:
(a) Maintain ImmuNet information on a server
				  protected by a firewall; and
(b)
				  Encrypt information traveling to and from authorized users.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.04 - School Health Services and Required Immunizations Before Entry into School › Section 10.06.04.01 - School Health Services

Current through Register Vol. 51, No. 14, July 12, 2024
The local health department shall cooperate with the local
					 school system in implementing the School Health Services regulations found in
					 COMAR 13A -15.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 06 - DISEASES › Chapter 10.06.04 - School Health Services and Required Immunizations Before Entry into School › Section 10.06.04.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Health officer" means the health officer
				  in each of the 23 counties of Maryland and the Commissioner of Health in
				  Baltimore City, the designated representative of the health officer, or
				  both.
(2) "Preschool program" means
				  a program that enrolls children in an educational program below the level of
				  kindergarten.
(3) "Regulated child
				  care program" means:
(a) A family day care
				  provider registered pursuant to COMAR 07.04.01;
(b) The operator of a child care center
				  licensed pursuant to COMAR 07.04.02; or
(c) The operator of a child care facility
				  issued a letter of compliance pursuant to COMAR 07.04.05.
(4) "Secretary" means the Secretary of Health
				  and Mental Hygiene or the Secretary's designee.