reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.100 - Seafood Hazard Analysis and Critical Control Points (HACCP)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards to determine
				  whether the facilities, methods, practices, and controls used to process fish
				  and fishery products are safe and that those products have been processed under
				  sanitary conditions.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Applicability. The requirements of this
				rule apply to buildings or facilities, or parts thereof, used for or in
				connection with the processing of fish and fishery products.
(2) Standards. Any person engaged in
				commercial, custom, or institutional processing of fish or fishery products
				shall operate in accordance with 21 CFR Part 123 Fish and Fishery Products,
				revised as of April 1, 2012, hereby incorporated by reference and made a part
				of this rule as published by the U.S. Government Printing Office, 732 North
				Capitol Street N W, Washington, DC 20401-0001, (202) 512-1800,
http://bookstore.gpo.gov
. This
				rule does not incorporate any subsequent amendments or additions.
*Original authority: 192.006, RSMo 1993, amended 1995;
					 192.020, RSMo 1939, amended 1945, 1951, 2004; and 196.045, RSMo 1943, amended
					 1993, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 1 - Food Protection › Section 19 CSR 20-1.200 - Juice Hazard Analysis and Critical Control Points (HACCP)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes sanitation and Hazard
				  Analysis and Critical Control Points (HACCP) standards for the processing of
				  fruit and vegetable juices.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Applicability. The requirements of this
				rule apply to buildings or facilities, or parts thereof, used for or in
				connection with the processing of fruit and vegetable juices.
(2) Standards. Manufacturers of any juice
				sold as such or used as an ingredient in beverages shall operate in accordance
				with 21 CFR Part 120 Hazard Analysis and Critical Control Point (HACCP)
				Systems, revised as of April 1, 2012, hereby incorporated by reference and made
				a part of this rule as published by the U.S. Government Printing Office, 732
				North Capitol Street N W, Washington, DC 20401-0001, (202) 512-1800,
http://bookstore.gpo.gov
. This
				rule does not incorporate any subsequent amendments or additions.
*Original authority: 192.006, RSMo 1993, amended 1995;
					 192.020, RSMo 1939, amended 1945, 1951, 2004; 196.045, RSMo 1943, amended 1993,
					 1995; and 196.050, RSMo 1943.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 2 - Protection of Drugs and Cosmetics › Section 19 CSR 20-2.010 - Inspection of the Manufacture and Sale of Drugs and Devices

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded October 30, 2005)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 2 - Protection of Drugs and Cosmetics › Section 19 CSR 20-2.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 196.045, RSMo
					 1943.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 2 - Protection of Drugs and Cosmetics › Section 19 CSR 20-2.030 - The Return and Resale of Drugs and Medicines

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded October 30, 2005)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 3 - General Sanitation › Section 19 CSR 20-3.015 - The Operation of On-site Sewage Treatment and Disposal Systems

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule implements the provisions of
				  sections 701.025-701.039, RSMo (1986) relating to the regulation of certain
				  sewage disposal systems.
(1)
				The following definitions shall apply in the interpretation and the enforcement
				of this rule:
(A) Aquifer means water-bearing
				formation (soil or rock horizon) that transmits water in sufficient quantities
				to supply a well;
(B) Department
				means the Missouri Department of Health;
(C) Director means the director of the
				Missouri Department of Health;
(D)
				Domestic sewage means wastewater originating primarily from the sanitary
				conveniences of residences, commercial buildings, factories and institutions,
				including any wastewater that may have infiltrated the sewer;
(E) Engineer means an individual registered
				as a professional engineer in the state of Missouri;
(F) Hauled sewage means accumulated solids
				and liquids from septic and holding tanks, private aerobic treatment plants,
				dosing chambers, distribution boxes and various forms of toilets and
				privies;
(G) Human wastes means
				undigested food and byproducts of metabolism which are passed out of the human
				body;
(H) Innovative system means a
				sewage system of new design, construction and/or operation that could be
				utilized in place of a conventional system;
(I) Normal business hours means an eight
				(8)-hour interval beginning at 8:00 a.m. and ending at 5:00 p.m.;
(J) On-site sewage disposal system means any
				sewage handling or treatment facility receiving domestic sewage and retaining
				that sewage on the property(ies) upon which it was generated;
(K) On-site sewage disposal contractor means
				any person engaged in the business of maintaining, serving or cleaning on-site
				sewage disposal systems or the hauling or disposal of wastes removed from
				sewage disposal systems;
(L) Person
				means any individual, group of individuals, association, trust, partnership,
				corporation, person doing business under an assumed name, the state of Missouri
				or any department of the state of Missouri or any political subdivision of this
				state;
(M) Property owner means the
				person in whose name legal title to the real estate is recorded;
(N) Treatment facilities means any method,
				process or equipment which removes, reduces or renders less obnoxious water
				contaminants released from any source; and
(O) Wastes means either human waste or
				domestic sewage, or both.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 3 - General Sanitation › Section 19 CSR 20-3.020 - Sanitation of Public Bathing Places

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides public bathing places
				  standards which will assure sanitary conditions and water quality that is
				  satisfactory for bathing purposes.
(1) The following definitions shall apply in
				the interpretation and the enforcement of this rule:
(A) Public bathing places shall include any
				place open to the public for swimming or recreative bathing whether or not a
				fee is charged for use and shall be classified as natural lakes, artificial
				lake impoundments, ponds, rivers, streams; outdoor pools which are partly
				artificial and partly natural in character; and pools outdoor or indoor which
				are entirely of artificial construction;
(B) Owner shall mean the state, county, city,
				town, village, corporation, firm, company, institution, person(s) owning,
				controlling or operating any public bathing place; and
(C) Department of Health shall mean the
				Missouri Department of Health.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 3 - General Sanitation › Section 19 CSR 20-3.030 - Sanitation of Preparation Rooms in Funeral Establishments

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded August 27, 1987)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 3 - General Sanitation › Section 19 CSR 20-3.040

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.020, RSMo 1939, amended 1945,
					 1951.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 8 - Lead Program › Section 19 CSR 20-8.020 - Licensing of Lead Inspectors, Lead Abatement Workers and Lead Abatement Supervisors/Contractors

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 29, 2000)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 9 - Toxic Substances › Section 19 CSR 20-9.010 - Public Access to Information on Toxic Substances

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded August 24, 1989)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.020 - Exemptions from Requirements of this Chapter

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule lists exemptions from the
				  requirements of this chapter. It avoids unnecessary regulation and duplication
				  of regulatory authority.
(1)
				The following materials, machines and conditions are exempt from the
				requirements of this chapter:
(A) Timepieces,
				instruments, novelties or devices containing self-luminous elements themselves.
				These timepieces, instruments, novelties or devices shall not be exempt if they
				are stored, used or handled in a quantity or fashion that an individual might
				receive a radiation dose exceeding the limits established in
				19 CSR
				20-10.040;
(B) Electrical equipment that produces
				radiation incidental to its operation for other purposes, providing the dose
				rate to the whole body at the point of nearest approach to this equipment when
				any external shielding is removed does not exceed 0.5 rem per year. The
				production testing or factory servicing of this equipment shall not be
				exempt;
(C) Radiation machines
				which cannot be used in a manner as to produce radiation (for example, X-ray
				machines or electrical equipment in storage or transport);
(D) Radioactive material being transported
				across a state in conformance with regulations of any federal agency having
				jurisdiction over safety in interstate transport;
(E) The use of radioactive sources licensed
				by the United States Nuclear Regulatory Commission to installations in
				Missouri; and
(F) Other sources of
				radiation that the department finds should be exempted as approved by the
				Committee on Radiation Control.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.030 - Registration of Sources of Ionizing Radiation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule states the conditions under which
				  sources of ionizing radiation must be registered with the
				  department.
(1) The owner,
				user or operator of every existing not exempted source shall register the
				source of radiation with the department within ninety (90) days (March 9, 1965)
				after the effective date of this rule (December 9, 1964) and once every two (2)
				years after that as long as s/he continues to possess the source. Any newly
				acquired source shall be registered with the Department of Health within thirty
				(30) days after receipt. The registration shall be submitted on a form
				available from the department and shall describe each source, its location and
				use and the waste disposal practices, if any. The registration also shall give
				the name and address of the user(s) and the name and address of the qualified
				expert.
(2) The user shall notify
				the department in writing within thirty (30) days of any change with respect to
				his/her radiation sources which may substantially increase or decrease the
				potential for personnel exposure.
(3) All nonexempt radiation sources brought
				into Missouri for temporary use must be registered at least four (4) days
				before entry. The registration shall indicate the type and amount of the
				source, the scope of the use, duration of use and the exact locations of the
				use or storage. This requirement may be waived at the discretion of the
				Department of Health if the use is an unexpected occurrence of major
				consequence demanding immediate use and of which it would not have been
				possible to have knowledge four (4) days in advance.
(4) An installation registration may be
				issued, on application, for research institutions, teaching institutions and
				certain manufacturing establishments whose radiation conditions are undergoing
				constant change. These institutions and manufacturing establishments must
				maintain an active and effective radiation committee to review and approve all
				uses of radiation sources. A qualified expert must be retained to make hazard
				evaluations of all uses of all radiation sources and must be given authority to
				enforce recommended procedures.
(5)
				Registration shall not imply the department's approval of the conditions
				described in the registration.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.040 - Maximum Permissible Exposure Limits

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes maximum permissible
				  exposure limits. Maximum permissible doses are established for both external
				  and internal exposures for persons within or outside controlled
				  areas.
(1) Except as provided
				in subsections (1)(A)-(C) of this rule, the maximum permissible dose (MPD) from
				all external sources of ionizing radiation for persons within a controlled area
				shall be as listed in Table I.
Table I
Part of Body
A
Maximum dose
permitted
						  in
any calendar year
B Maximum dose
permitted in any
						  calendar quarter
Whole body, head and trunk, major portion of the bone
						  marrow, gonads or lens of eye.
5 rems
3 rems
Skin of large body area.
30 rems
10 rems
Hands and forearms, feet and ankles
75 rems
25 rems
A dose to the whole body, head and trunk, in addition to that
				  listed in Table I, shall be permitted for a calendar year, provided that all
				  three (3) of the following conditions are met:
(A) During any calendar quarter, the maximum
				dose of three (3) rems, listed in Column B of Table I, is not
				exceeded;
(B) The user has
				determined the individual's previous accumulated occupational dose;
				and
(C) The dose, when added to the
				previously accumulated occupational dose, does not exceed the maximum
				permissible accumulated dose (MPAD) calculated according to the formula: MPAD =
				(N-18) x 5 rems, where N is the individual's age in full years.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.050 - Personnel Monitoring and Radiation Surveys

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule lists requirements for personnel
				  monitoring and radiation surveys. Conditions under which routine monitoring of
				  individuals occupationally exposed to radiation shall not be required are also
				  listed.
(1) The user shall
				provide for radiation surveys and monitoring sufficient to assure compliance
				with other rules of this chapter. The radiation survey and monitoring shall be
				performed by, or under the direction of, a qualified expert using suitable
				instruments and methods for measuring radiation.
(2) Until an actual radiation survey can be
				performed, a written statement made by a qualified expert based on his/her
				analysis of the situation shall be acceptable as evidence of the absence of
				radiation hazard in a given area.
(3) Personnel monitoring shall be required
				for each individual for whom there is any reasonable possibility of receiving a
				weekly dose of all radiation exceeding fifty (50) millirems, taking into
				consideration the use of protective gloves, aprons or other radiation-limiting
				devices.
(4) Routine monitoring of
				individuals occupationally exposed to radiation from radiation machines shall
				not be required if-
(A) A qualified expert
				has specified the operating conditions under which there is no reasonable
				chance that any individual will be subjected to a dose of either more than
				twenty-five (25) millirems in any seven (7) consecutive days or more than three
				hundred twenty-five (325) millirems in any thirteen (13) consecutive
				weeks;
(B) The operating conditions
				in subsection (4)(A) of this rule are made known to all individuals who may be
				occupationally exposed to the radiation; and
(C) The installation continues to operate
				only under the specified conditions.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.070 - Storage of Radioactive Materials

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule requires the safe storage of
				  radioactive material.
(1) The
				user shall see that radioactive materials are kept in a manner that will
				provide reasonable assurance that, during routine access to a controlled area,
				no person will be exposed in excess of the limits set forth in
				19 CSR
				20-10.040. Provisions shall be made to minimize the
				hazard to emergency workers in the event of fire and in situations where
				earthquake, flood and windstorm potentials exist.
(2) The user shall see that vaults or rooms
				used for storing materials that may emit radioactive gases or airborne
				particulate matter are ventilated in a manner that the concentration of the
				gases or particulate matter in the air does not constitute a radiation
				hazard.
(3) When there is a
				reasonable possibility that chemical, radiation or other action might lead to
				leakage of radioactive material from a container, the user shall provide a
				secondary tray or catchment to the container adequate to retain the entire
				amount of radioactive material.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.080 - Control of Radioactive Contamination

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule limits personnel exposure by
				  requiring the control or removal of radioactive contamination.
(1) The user shall see that all work with
				radioactive materials is carried out under conditions which will minimize the
				possibility of spread of radioactive material that could result in the exposure
				of any person above any limit specified in
				19 CSR
				20-10.040.
(2) Where the nature of work is such that a
				person or his/her clothing may become contaminated with radioactive material,
				both shall be monitored according to procedures established by a qualified
				expert. Personal contamination shall be removed according to procedures
				established by a qualified expert.
(3) Clothing or other material contaminated
				to a degree which could result in the exposure of any person above any limit
				specified in
				19 CSR
				20-10.040 should be retained inside the installation
				until it can be decontaminated or disposed of according to procedures
				established by a qualified expert.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.090 - Disposal of Radioactive Wastes

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule lists the conditions under which
				  radioactive material may be released into the air or water or may be disposed
				  of by burial in soil or discharged into a sanitary sewer.
(1) No user shall release radioactive
				material into the air or water in a manner which causes exposure of any person
				above the limits specified in
				19 CSR
				20-10.040. If several users are discharging
				radioactive wastes to the same environs, they shall cooperate in limiting the
				release and shall file with the Department of Health a statement of their
				agreed
pro rata
releases.
(2) Every person who receives radioactive
				waste material for holding and preparation, prior to disposal, shall first
				obtain a permit from the Department of Health for the holding and
				preparation.
(3) No owner or user
				shall dispose of radioactive waste materials by dumping or burial in soil
				except at sites approved by and registered with the Department of
				Health.
(4) Radioactive material
				may be discharged into a sanitary sewer provided that the-
(A) Material is readily soluble or
				dispersible in water;
(B) Quantity
				of any radioactive material released into the sewer in any one (1) day, when
				diluted by the average daily quantity of sewerage released into the sewer by
				the owner or user, will not result in average concentration exceeding the
				limits specified in Table 2, Appendix I of this chapter; and
(C) Gross quantity of all radioactive
				material so discharged does not exceed one (1) curie per year.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.100 - Radiation Labeling

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  labeling radiation machines, radiation areas and containers in which
				  radioactive materials are transferred, stored or used and to list exemptions
				  from posting or labeling requirements.
(1) The user shall indicate the presence of
				radiation by posting conspicuous signs or labels which bear appropriate
				wording, as described in sections (5)-(10) of this rule to explain the nature
				of the hazard.
(2) All such
				radiation warning signs and labels shall bear the standard symbol for
				designating any radiation hazard as described in Appendix II of this
				chapter.
(3) The use of the
				standard symbol, signs or labels for any other purpose is expressly prohibited.
				The symbol, signs and labels and the lettering used with it shall be as large
				as practical, consistent with size of the equipment or material. The lettering
				shall not be superimposed on the symbol.
(4) All signs and labels required by this
				section shall use the conventional radiation colors (magenta or purple and
				yellow background) and bear a conventional radiation symbol.
(5) All radiation machines shall be clearly
				labeled as follows: "Caution: Radiation This Equipment Produces Radiation When
				Energized." (Labels should be placed on the control panel near the switch which
				energizes the tube.)
(6) Each area
				shall be designated as a radiation area and shall be conspicuously posted with
				a sign(s) bearing a radiation caution symbol and the words "Caution: Radiation
				Area" if radiation levels exist which could subject an individual, continuously
				present, to five (5) millirems within any one (1) hour or could result in a
				dose of one hundred (100) millirems in any seven (7) consecutive
				days.
(7) Each radiation area where
				there exists a radiation level in excess of one hundred (100) milliroentgens
				per hour shall be conspicuously posted with a sign(s) bearing a conventional
				radiation caution symbol and the words "Caution: High Radiation Area."
(A) Each high radiation area, except those
				containing only therapeutic units operating at sixty (60) kilovolts peak (kvp)
				or below or diagnostic units or both, shall be equipped with an internal
				control circuit which shall either cause the radiation exposure rate to be
				reduced to below one hundred (100) milliroentgens per hour upon entry of an
				individual into the area or shall energize a conspicuous visible or audible
				alarm signal in a manner that the individual entering and the supervisor of the
				activity are made aware of the entry. In the case of a temporary high radiation
				area (thirty (30) days or less), a control circuit is not required if a
				barricade, such as a fence or rope is erected and the required caution signs
				are posted.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.110 - Relative Biological Effectiveness Values

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule lists relative biological
				  effectiveness values which are referred to in other rules of 19 CSR
				  20-10.
(1) The relative
				biological effectiveness (RBE) values in Table I are convenient approximations
				to relate dose in rads to dose in rems. The value will vary greatly with the
				biological effect being considered, the acuteness of the exposure and many
				other factors. The qualified expert should evaluate these factors for each
				situation and should adjust the values accordingly.
Table I-RBE Values
Radiation
RBE
X-rays and gamma rays of all energies and electrons and
						  beta rays above 0.03 Million electron Volts (MEV)
1.0
Fast neutrons and protons up to 10 MeV
10
Alpha particles
10
Heavy recoil nuclei
20
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.120 - General Requirements for Diagnostic X-ray Equipment

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes general requirements
				  for diagnostic X-ray equipment.
(1) The X-ray tube housing shall be of the
				protective diagnostic type.
(2)
				Total filtration shall be as follows:
(A) For
				fluoroscopic and radiographic equipment operating at seventy (70) kilovolts
				peak (kvp) and below, the total filtration permanently in the useful beam, for
				routine use, shall be equivalent to at least 1.5 millimeters (mm) of aluminum.
				This condition shall be considered fulfilled if the half value layer (HVL) of
				the useful beam is 1.5 mm of aluminum or greater.
(B) For fluoroscopic and radiographic
				equipment capable of operating above seventy (70) kvp, the total filtration
				permanently in the useful beam shall be equivalent to at least 2.5 mm of
				aluminum. This condition shall be considered fulfilled if the HVL of the useful
				beam is 2.5 mm of aluminum or greater.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.140 - Special Requirements for Medical Radiographic Installations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes special requirements
				  for medical radiographic X-ray installations.
(1) A device shall be provided to terminate
				the exposure after a preset time or exposure.
(2) The exposure switch shall be so arranged
				that it cannot be conveniently operated outside a shielded area. Exposure
				switches for spot film devices used in conjunction with fluoroscopic tables are
				excepted from this requirement.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.150 - Special Requirements for Dental Radiographic Installations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes special requirements
				  for dental radiographic installations.
(1) The diameter of the useful beam at the
				cone tip should be not more than 2.75 inches and shall be not more than three
				inches (3") for routine intraoral radiography.
(2) A device shall be provided to terminate
				the exposure after a preset time or exposure.
(3) The exposure control switch shall be
				provided with a cord sufficiently long so that the operator can stand at least
				six feet (6') from the tube housing for all exposures and well away from the
				useful beam.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.160 - Special Requirements for Mobile Medical Radiographic Installations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes special requirements
				  for mobile medical radiographic installations.
(1) All mobile equipment shall be provided
				with cones or frames so that the minimum target-to-skin distance is at least
				eighteen inches (18").
(2) The
				exposure control switch shall be so arranged that the operator can stand at
				least six feet (6') from the patient and outside the primary beam for all
				exposures.
(3) A device shall be
				provided to terminate the exposure after a preset time.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.170 - Special Requirements for Photofluorographic Installations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes special requirements
				  for photofluorographic installations.
(1) A collimator shall restrict the useful
				beam to the area of the fluorographic screen.
(2) The exposure switch shall be so arranged
				that it cannot be conveniently operated outside a shielded area. Exposure
				switches for spot film devices used in conjunction with fluoroscopic tables are
				exempted from this requirement.
(3)
				A device shall be provided to terminate the exposure after a preset time or
				exposure.
(4) Output of the
				photofluorographic installation shall not exceed one (1) roentgen per exposure
				at the panel.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.180 - Requirements for Radiation Therapy Installations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  radiation therapy installations.
(1) The radiation source housing shall be a
				protective therapeutic type.
(2)
				Permanent diaphragms or cones shall be used for collimating the useful beam and
				shall afford the same degree of protection as the radiation source housing.
				Adjustable or removable beam-defining devices shall not transmit more than five
				percent (5%) of the useful beam obtained at the maximum kilo-voltage and with
				the maximum treatment filter.
(3)
				The filter system shall be so arranged as to permit proper filter selection and
				alignment. Filters shall be secured in place to prevent them from dropping out
				during treatment. The filter slot shall be so constructed that the radiation
				escaping through it does not exceed one (1) roentgen per hour at one (1)
				meter.
(4) The radiation source
				shall be centered and mounted so that it cannot turn or slide with respect to
				the aperture when the source is in the on position.
(5) Means shall be provided to immobilize the
				radiation source during stationary radiation treatment.
(6) A timer shall be provided to terminate
				the exposure after a preset time.
(7) With equipment operating above sixty (60)
				kilovolts peak (kvp), interlocks shall be provided so that when any door to the
				treatment room is opened, either the machine will be shut off automatically or
				the radiation level within the room will be reduced to an average of not more
				than two (2) milliroentgens per hour and a maximum of ten (10) milliroentgens
				per hour at a distance of one (1) meter in any direction from the target. After
				this shutoff or reduction in output, it shall be possible to restore the
				machine to full operation only from the control panel.
(8) The control shall be located outside of
				the treatment room or within a protective booth.
(9) Equipment utilizing shutters to control
				the useful beam shall have a shutter position indicator on the control
				panel.
(10) There shall be on the
				control panel some easily discernible device which will give positive
				information as to whether or not the source of the ionizing radiation is in the
				on position.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.190 - Requirements for Room Shielding

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides necessary information
				  regarding requirements for room shielding for diagnostic and therapeutic
				  installations.
(1) The
				requirements for room shielding shall conform to the requirements defined in
				the various handbooks published by the United States Department of Commerce and
				National Bureau of Standards.
*Original authority: 192.420, RSMo
					 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 10 - Protection Against Ionizing Radiation › Section 19 CSR 20-10.200 - Shoe-Fitting Devices

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prohibits the use of radiation for
				  the purpose of selling footwear.
(1) It shall be unlawful for any person,
				partnership, association or corporation to operate or maintain within this
				state, any fitting devices or machines which use fluoroscopic, X-ray or
				radiation principles for the purpose of selling footwear through commercial
				outlets.
*Original authority: 192.420, RSMo 1963.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 12 - Protection Against Non-Ionizing Radiation › Section 19 CSR 20-12.010 - Tanning Consent for Persons Under Age Seventeen (17)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: To establish a standard consent form to be used by
				  all tanning facilities operating in Missouri.
(1) As used in this rule and the consent form
				included herein, the following terms mean:
(A) Tanning device is any equipment that
				emits electromagnetic radiation with wavelengths in the air between two hundred
				(200) and four hundred (400) nanometers used for tanning of the skin,
				including, but not limited to, a sunlamp, tanning booth, or tanning bed;
				and
(B) Tanning facility is any
				location, place, area, structure, or business which provides persons access to
				any tanning device for a fee, membership dues, or any other form of
				compensation.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.010 - Definitions Relating to Communicable, Environmental and Occupational Diseases

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines terminology used
				  throughout this chapter and defines terms related to infectious
				  waste.
(1) Administrator is
				the person in charge of an institution, such as the chief executive officer,
				chairperson of the board, administrator, clinician in charge, or any equivalent
				position.
(2) Adult respiratory
				distress syndrome (ARDS) is a syndrome with the following simultaneous
				characteristics:
(A) Hypoxemia due to
				intrapulmonary shunting of blood;
(B) Increased lung stiffness; and
(C) Chest x ray evidencing diffuse
				infiltration.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.020 - Reporting Infectious, Contagious, Communicable, or Dangerous Diseases

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds monkey pox virus
				  (orthopoxvirus/non-variola orthopoxvirus) to the list of diseases or findings
				  that must be reported within one (1) day.
(1) The diseases within the immediately
				reportable disease category pose a risk to national security because they: can
				be easily disseminated or transmitted from person to person; result in high
				mortality rates and have the potential for major public health impact; might
				cause public panic and social disruption; and require special action for public
				health preparedness. Immediately reportable diseases or findings shall be
				reported to the local health authority or to the Department of Health and
				Senior Services immediately upon knowledge or suspicion by telephone (1 (800)
				392-0272), facsimile, or other rapid communication. Immediately reportable
				diseases or findings are-
(A) Selected high
				priority diseases, findings or agents that occur naturally, from accidental
				exposure, or as the result of a bioterrorism event:
2019 Novel Coronavirus (2019-nCoV)
Anthrax
Botulism
Coronavirus Disease 2019 (COVID-19)
Paralytic poliomyelitis
Plague
Rabies (Human)
Ricin toxin
Severe Acute Respiratory syndrome associated Coronavirus
				  (SARS-CoV) Disease
Smallpox
Tularemia (suspected intentional release)
Viral hemorrhagic fevers, suspected intentional (e.g., Viral
				  hemorrhagic fever diseases: Ebola, Marburg, Lassa, Lujo, new world Arenavirus
				  (Guanarito, Machupo, Junin, and Sabia viruses), or
				  Crimean-Congo);
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.050 - Quarantine or Isolation Practices and Closing of Schools and Places of Public and Private Assembly

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides for the isolation or
				  quarantine of persons and animals with a communicable disease and their
				  contacts; it also authorizes the closing of schools and places of public and
				  private assembly.
(1) The
				local health authority, the director of the Department of Health and Senior
				Services or the director's designated representative shall require isolation of
				a patient or animal with a communicable disease, quarantine of contacts,
				concurrent and terminal disinfection, or modified forms of these procedures
				necessary for the protection of the public health. The isolation of a patient,
				animal or contact shall be carried out according to the methods of control in
				19
				CSR 20-20.040(1).
(2) No person or animal infected with or
				suspected of having a communicable disease listed in
				19
				CSR 20-20.020(1)-(3) or any contact
				of a disease subject to quarantine or isolation shall move or be moved from one
				(1) health jurisdiction to another, unless necessary for medical care, without
				notice to and consent from the local health authority, the director of the
				Department of Health and Senior Services or the director's designated
				representative. If a person is moved for the reason of medical care, the health
				authority who ordered the isolation or quarantine shall be notified within
				seventy-two (72) hours.
(3) The
				local health authority, the director of the Department of Health and Senior
				Services or the director's designated representative is empowered to close any
				public or private school or other place of public or private assembly when, in
				the opinion of the local health authority, the director of the Department of
				Health and Senior Services or the director's designated representative, the
				closing is necessary to protect the public health. However, in a statewide
				pandemic, only the director of the Department of Health and Senior Services or
				the director's designated representative shall have the authority to close a
				public or private school or other place of public or private assembly. The
				director or designated representative shall consult with the local health
				authorities prior to any such closing. Any school or other place of public or
				private assembly that is ordered closed shall not reopen until permitted by
				whomever ordered the closure.
*Original authority: 192.020, RSMo 1939, amended 1945,
					 1951, 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.060 - Control Measures for Food Handlers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes control measures for
				  persons working with food products who are suspected of having a communicable
				  disease.
(1) For the purpose
				of this rule, a communicable disease is defined as a disease transmitted
				through handling food.
(2) No
				person infected with a communicable disease, whether actively infected or a
				chronic carrier, and no person with any one (1) of the signs and symptoms
				listed in this section, shall engage in the production, preparation,
				manufacture, packaging, storage, sale, distribution or transportation of food.
				The following signs and symptoms indicate infection with a foodborne pathogen:
				diarrhea, vomiting, open skin sores, boils, fever, dark urine or jaundice,
				unless determined not to be caused by a pathogen able to be transmitted by
				food. The local health authority, the director of the Department of Health or
				the director's designated representative may order examinations necessary to
				determine the presence of a foodborne infection.
(3) Notice shall be sent immediately to the
				local health authority, to the director of the Department of Health or to the
				director's designated representative by any person responsible for the
				production, preparation, manufacture, packaging, storage, sale, distribution or
				transportation of food if any infection or disease known to be transmissible
				through food occurs on the premises or among the employees.
(4) When the possibility of transmission of
				infection is suspected in any person engaged in the production, preparation,
				manufacture, packaging, storage, sale, distribution or transportation of food;
				the local health authority, the director of the Department of Health or the
				director's designated representative is authorized to require any of the
				following measures:
(A) The immediate
				exclusion of that person from the production, preparation, manufacture,
				packaging, storage, sale, distribution or transportation of food;
(B) The immediate exclusion of the food
				supply concerned from distribution and use; and
(C) Adequate medical examination of that
				person and his/her associates, including necessary laboratory testing of blood,
				feces, sputum, throat cultures and other bodily secretions or
				excreta.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.070 - Duties of Local Health Departments

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes procedures for
				  reporting communicable diseases to the Missouri Department of Health by local
				  health departments.
(1) All
				local health authorities shall forward reports of all diseases and conditions
				mentioned in
				19
				CSR 20-20.020 to the Missouri Department of Health.
				These reports shall be forwarded within twenty-four (24) hours after they are
				received, according to procedures established by the Department of Health
				director. Local health authorities shall transcribe from the original reports
				information necessary to the conduct of their duties in
				19
				CSR 20-20.040(2), (2)(A)-(J), (3) and
				(3)(A)-(C) before forwarding the reports. All
				reports received by either the local health authority or the Department of
				Health are to be considered confidential records and not public
				records.
*Original authority: 192.020, RSMo 1939, amended 1945,
					 1951.