North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 41 - EPIDEMIOLOGY HEALTH › Subchapter A - COMMUNICABLE DISEASE CONTROL › Section .0200 - CONTROL MEASURES FOR COMMUNICABLE DISEASES › Section 41A .0201 - CONTROL MEASURES - GENERAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Except as
				  provided in Rules of this Section, the recommendations and guidelines for
				  testing, diagnosis, treatment, follow-up, and prevention of transmission for
				  each disease and condition specified by the American Public Health Association
				  in its publication, Control of Communicable Diseases Manual shall be the
				  required control measures. Control of Communicable Diseases Manual is hereby
				  incorporated by reference including subsequent amendments and editions.
				  Guidelines and recommended actions published by the Centers for Disease Control
				  and Prevention shall supercede those contained in the Control of Communicable
				  Disease Manual and are likewise incorporated by reference, including subsequent
				  amendments and editions. Copies of the Control of Communicable Diseases Manual
				  may be purchased from the American Public Health Association, Publication Sales
				  Department, Post Office Box 753, Waldora, MD 20604 for a cost of twenty-two
				  dollars ($22.00) each plus five dollars ($5.00) shipping and handling. Copies
				  of Centers for Disease Control and Prevention guidelines contained in the
				  Morbidity and Mortality Weekly Report may be purchased from the Superintendent
				  of Documents, U.S. Government Printing Office, Washington, DC 20402 for a total
				  cost of three dollars and fifty cents ($3.50) each. Copies of both publications
				  are available for inspection in the Division of Public Health, 1915 Mail
				  Service Center, Raleigh, North Carolina 27699-1915.
(b) In interpreting and implementing the
				  specific control measures adopted in Paragraph (a) of this Rule, and in
				  devising control measures for outbreaks designated by the State Health Director
				  and for communicable diseases and conditions for which a specific control
				  measure is not provided by this Rule, the following principles shall be used:
(1) control measures shall be those which can
				  reasonably be expected to decrease the risk of transmission and which are
				  consistent with recent scientific and public health information;
(2) for diseases or conditions transmitted by
				  the airborne route, the control measures shall require physical isolation for
				  the duration of infectivity;
(3)
				  for diseases or conditions transmitted by the fecal-oral route, the control
				  measures shall require exclusions from situations in which transmission can be
				  reasonably expected to occur, such as work as a paid or voluntary food handler
				  or attendance or work in a day care center for the duration of
				  infectivity;
(4) for diseases or
				  conditions transmitted by sexual or the blood-borne route, control measures
				  shall require prohibition of donation of blood, tissue, organs, or semen,
				  needle-sharing, and sexual contact in a manner likely to result in transmission
				  for the duration of infectivity.