reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.8 - Reports to be sent to Department of Health and Senior Services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A report of the
				immunization status of the pupils in every school, preschool, or child-care center
				shall be made using the "Annual Immunization Status Report (IMM-7)," set forth in
				the chapter Appendix, incorporated herein by reference and shall be sent through the
				mail or submitted electronically, through the addresses set forth in (b) each year
				to the Department of Health and Senior Services by the principal, director, or other
				person in charge of the school, preschool, or child-care center.
(b) The Department of Health and Senior Services
				shall provide:
1. The annual immunization status
				report for electronic submission at
http://www.nj.gov/health/cd/imm7/annualstatusrpt.shtml
;
2. The instructions for completion at
http://nj.gov/health/cd/documents/imm-7_instructions.pdf
;
				and
3. A paper copy of the annual
				immunization status report along with the instructions for completion upon:
i. Verbal request to the Department at (609)
				588-7512; or
ii. Written request mailed
				to the New Jersey Vaccine Preventable Disease Program, Department of Health and
				Senior Services, PO Box 369, Trenton, NJ 08625-0369.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.9 - Records available for inspection

Current through Register Vol. 56, No. 14, July 15, 2024
Each school, preschool, and child care center shall maintain
				  records of their children's immunization status. Upon 24 hour notice, these records
				  shall be made available for inspection by authorized representatives of the
				  Department of Health and Senior Services or the local board of health in whose
				  jurisdiction the school or child care center is located.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.10 - Diphtheria and tetanus toxoids and pertussis vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child less
				than seven years of age shall have received a minimum of four doses of diphtheria
				and tetanus toxoids and pertussis vaccine (DTP), or any vaccine combination
				containing DTP, such as DTP/Hib or DTaP, one dose of which shall have been given on
				or after the child's fourth birthday.
(b) Those children enrolled in child care centers
				who are too young to meet this requirement, shall be in compliance with this section
				if they are appropriately immunized for their age as recommended by the Advisory
				Committee on Immunization Practices (ACIP) of the United States Public Health
				Service.
(c) Diphtheria, tetanus, and
				acellular pertussis vaccine (DTaP) for children under age seven is preferred and
				shall be accepted in lieu of DTP vaccine.
(d) Pediatric diphtheria-tetanus toxoid (DT) shall
				be accepted in lieu of DTP or DTaP for children under age seven if a physician's
				written medical contraindication to further pertussis vaccine has been presented as
				specified at 8:57-4.3.
(e) Children seven through nine years of age who
				have not completed this requirement shall receive tetanus and diphtheria toxoids
				(adult Td) instead of DTP. Any combination of three doses of DTP, DTaP, DT, or Td in
				a child seven through nine years of age shall be acceptable as adequate immunization
				for this vaccine series.
(f) The
				requirement to receive a school entry booster dose of DTP or DTaP after the child's
				fourth birthday shall not apply to children while enrolled in child care centers,
				preschool or pre-kindergarten classes or programs.
(g) Those children less than seven years of age
				who have received a total of five or more doses of DTP or DTaP shall have also
				satisfied the DTP requirement.
(h) Every
				child born on or after January 1, 1997, and entering or attending Grade Six, or a
				comparable age level special education program with an unassigned grade on or after
				September 1, 2008, shall have received one dose of Tdap (Tetanus, diphtheria,
				acellullar pertusis) given no earlier than the 10th birthday.
(i) Children entering or attending Grade Six on or
				after September 1, 2008, who received a Td booster dose less than five years prior
				to entry or attendance shall not be required to receive a Tdap dose until five years
				have elapsed from the last DTP/DTaP or Td dose.
(j) Children born on or after January 1, 1997,
				attending or transferring into a New Jersey school at Grade Six or a higher grade
				level from another state or country on or after September 1, 2008, shall have
				received one dose of Tdap, provided at least five years have elapsed from the last
				documented Td dose.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.11 - Poliovirus vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child less
				than seven years of age shall have received at least three doses of live, trivalent,
				oral poliovirus vaccine (OPV), or inactivated poliovirus vaccine (IPV) either
				separately, in combination, or as a combination vaccine containing inactivated
				poliovirus, one dose of which shall have been given on or after the child's fourth
				birthday or, alternatively, any combination of four doses.
(b) Those children enrolled in child care centers
				who are too young to meet this requirement, shall be considered to be in compliance
				with this section if they are appropriately immunized for their age as recommended
				by the Advisory Committee on Immunization Practices (ACIP) of the United States
				Public Health Service.
(c) Any person 18
				years of age or older shall not be required to receive poliovirus vaccine.
(d) For children seven years of age and older, any
				combination of three doses of OPV or IPV shall satisfy the poliovirus vaccine
				requirement.
(e) The requirement to
				receive a school entry dose of OPV or IPV after the child's fourth birthday shall
				not apply to children while enrolled in child care centers, preschool or
				pre-kindergarten classes or programs.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.12 - Measles virus vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child born on
				or after January 1, 1990 shall have received two doses of a live measles-containing
				vaccine, or any vaccine combination containing live measles vaccine, such as the
				preferred measles, mumps, and rubella (MMR) vaccine, prior to school entrance. The
				first dose shall have been administered on or after the child's first birthday, and
				the second dose shall have been administered no less than one month after the first
				dose.
(b) Those children younger than 15
				months of age who are enrolled in a preschool or child care center, shall be
				considered to be in compliance with this section until reaching the age of 15
				months, which is the medically recommended age for receiving the first measles
				immunization.
(c) Children born before
				January 1, 1990 shall have received one dose of live measles vaccine or any
				measles-containing combination vaccine on or after their first birthday.
(d) Children born on or after January 1, 1990, and
				enrolling in school (Kindergarten, Grade One, or a higher grade) with no documented
				doses of measles vaccine, shall receive the second dose of measles or another
				measles-containing combination vaccine, no sooner than one month and no later than
				two months after receiving the first dose.
(e) Those children enrolled in school, preschool,
				or child care centers before September 1, 1991 who have a current immunization
				record with physician diagnosed and documented measles disease shall not be required
				to receive the first or second dose of measles vaccine.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.13 - Rubella vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child shall
				have received one dose of live rubella virus vaccine, or any vaccine combination
				containing live rubella virus vaccine, administered on or after the child's first
				birthday.
(b) Those children younger
				than 15 months of age who are enrolled in a preschool or child care center, shall be
				considered to be in compliance with this section until reaching the age of 15
				months, which is the medically recommended age for routine rubella
				immunization.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.14 - Mumps vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child shall
				have received one dose of live mumps virus vaccine, or any vaccine combination
				containing live mumps virus vaccine, administered on or after the child's first
				birthday.
(b) Those children younger
				than 15 months of age who are enrolled in a preschool or child care center shall be
				considered to be in compliance with this section until reaching the age of 15
				months, which is the medically recommended age for routine mumps
				immunization.
(c) Children enrolled in
				school, preschool, or child care centers before September 1, 1995 and who previously
				provided written certification from the diagnosing physician that the pupil had
				mumps disease shall not be required to receive mumps vaccine.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.15 - Haemophilus influenzae type b (Hib) conjugate vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child from two
				months to 11 months of age enrolling in or attending any child-care center shall
				have received a minimum of two age-appropriate doses of a separate or a combination
				Hib conjugate vaccine, or fewer as appropriate for the child's age.
(b) Every child from 12 to 59 months of age
				enrolling in or attending any child care center or preschool facility shall have
				received at least one dose of a separate or combination Hib conjugate vaccine, on or
				after the first birthday.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.16 - Hepatitis B virus vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child born on
				or after January 1, 1990 shall have received three doses of hepatitis B vaccine, or
				any vaccine combination containing hepatitis B virus, prior to school entry into a
				Kindergarten through Grade 12, or a comparable age level special education program
				with an unassigned grade.
(b) Children
				born on or after January 1, 1990 attending or transferring into a New Jersey school
				with no documented doses of hepatitis B vaccine, shall receive the first dose before
				entering school and shall receive a second dose of a hepatitis B containing vaccine,
				no later than three months after receiving the first dose and shall receive the
				third dose no later than 12 months following the first dose.
1. A child entering school with one documented
				dose shall have no longer than six months to complete the three dose hepatitis B
				series.
2. A child entering school with
				two documented doses shall have no longer than four months to complete the three
				dose hepatitis B series.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.17 - Varicella virus vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child born on
				or after January 1, 1998 shall have received one dose of varicella vaccine, or any
				vaccine combination containing varicella virus, administered on or after the first
				birthday, prior to school entrance for the first time into a Kindergarten, Grade 1,
				or a comparable age entry level special education program with an unassigned
				grade.
(b) Every child 19 months of age
				or older enrolling in or attending a child care center or preschool facility shall
				have received at least one dose of a varicella containing vaccine administered on or
				after the first birthday.
(c) Every
				child born on or after January 1, 1998, attending or transferring into a New Jersey
				school from another state or country, shall have received one dose of a varicella
				virus containing vaccine.
(d) Children
				who present either documented laboratory evidence, a physician's statement, or a
				parental statement of previous varicella disease, shall not be required to receive
				varicella vaccine.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.18 - Pneumococcal conjugate vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child from two
				months through 11 months of age enrolling in or attending any child-care center on
				or after September 1, 2008, shall have received a minimum of two age-appropriate
				doses of pneumococcal conjugate vaccine (PCV), or fewer as medically-appropriate for
				the child's age according to the ACIP recommendations, incorporated herein by
				reference, as amended and supplemented.
1. The
				2000 ACIP Recommendations for Preventing Pneumococcal Disease Among Infants and
				Young Children, is published in the October 6, 2000 issue of the Morbidity and
				Mortality Weekly Report (MMWR), which is available at
http://www.cdc.gov/mmwr/PDF/rr/rr4909.pdf
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.19 - Influenza vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
Children six months through 59 months of age attending any
				  child-care center or preschool facility on or after September 1, 2008, shall
				  annually receive at least one dose of influenza vaccine between September 1 and
				  December 31 of each year.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.20 - Meningococcal vaccine

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every child born on
				or after January 1, 1997, and entering or attending Grade Six or a comparable age
				level special education program with an unassigned grade on or after September 1,
				2008, shall have received one dose of a meningococcal-containing vaccine, such as
				the medically-preferred meningococcal conjugate vaccine.
(b) Every child born on or after January 1, 1997,
				attending or transferring into a New Jersey school at Grade Six or a higher grade
				level from another state or country on or after September 1, 2008, shall have
				received one dose of meningococcal vaccine.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.21 - Providing immunization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A board of education
				and/or a local board of health may provide, at public expense, the necessary
				equipment, materials and services for immunizing children with the following
				immunizing agents, either singly or in combination:
1. Diphtheria toxoid;
2. Pertussis vaccine;
3. Tetanus toxoid;
4. Measles virus vaccine, live,
				attenuated;
5. Rubella virus vaccine,
				live;
6. Poliovirus vaccine;
7. Mumps virus vaccine, live;
8. Haemophilus influenzae type B conjugate
				vaccine;
9. Hepatitis B
				vaccine;
10. Varicella
				vaccine;
11. Pneumococcal conjugate
				vaccine;
12. Influenza
				vaccine;
13. Meningococcal vaccine;
				or
14. Other immunizing agents when
				specifically authorized to do so by the Department of Health and Senior
				Services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.22 - Emergency powers of the Commissioner, Department of Health and Senior Services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In the event that
				the Commissioner, Department of Health and Senior Services or his or her designee
				determines either that an outbreak or threatened outbreak of disease or other public
				health immunization emergency exists, the Commissioner or his or her designee may
				issue either additional immunization requirements to control the outbreak or threat
				of an outbreak or modify immunization requirements to meet the emergency.
(b) All children failing to meet these additional
				requirements shall be excluded from a school, preschool, or child care center until
				the outbreak or threatened outbreak is over.
(c) These requirements or amendments to the
				requirements shall remain in effect until such time as the Commissioner, Department
				of Health and Senior Services or his or her designee determines that an outbreak or
				a threatened outbreak no longer exists or the emergency is declared over, or for
				three months after the declaration of the emergency, whichever one comes first. The
				Commissioner, Department of Health and Senior Services or his or her designee may
				redeclare a state of emergency if the emergency has not ended.
(d) In the event of a national or State vaccine
				supply shortage, as determined by the Centers for Disease Control and Prevention and
				Commissioner, respectively, the Commissioner or his or her designee may temporarily
				suspend the immunization requirement for the particular immunization affected by the
				supply shortage, after provision of notice to the public, such as through any of the
				methods below:
1. Electronic posting on the
				Department's website;
2. Print and
				electronic news media;
3. The
				Department's Local Information Network and Communications System (LINCS);
4. The Department's Vaccine Preventable Disease
				Program; or
5. Any other method
				reasonably calculated to inform those persons most likely to be affected by or
				interested in the temporary immunization suspension.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.23 - Optimal immunization recommendations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The specific
				vaccines and the number of doses required under this subchapter are intended to
				establish the minimum vaccine requirements for child-care center, preschool, or
				school entry and attendance in New Jersey. Additional vaccines, vaccine doses, and
				proper spacing between vaccine doses are recommended by the Department in accordance
				with the guidelines of the American Academy of Pediatrics (AAP) and Advisory
				Committee on Immunization Practices (ACIP), as periodically revised, for optimal
				protection and additional vaccines or vaccine doses may be administered, although
				they are not required for school attendance unless otherwise specified in this
				subchapter.
(b) All vaccine doses
				included within, and mandated by, this subchapter that are administered less than or
				equal to four days before either the specified minimum age or dose spacing interval
				shall be counted as valid and shall not require revaccination in order to enter or
				remain in a school, preschool, or child-care facility.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 4 - IMMUNIZATION OF PUPILS IN SCHOOL › Section 8:57-4.24 - Penalties

Current through Register Vol. 56, No. 14, July 15, 2024
Each violation of this subchapter shall be subject to the penalty
				  set forth at 26:1A-10.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this
				subchapter is to control the spread of tuberculosis TB by maximizing the use of
				currently available and highly effective treatments.
(b) This subchapter applies to persons who have
				suspected or confirmed TB disease as diagnosed by a health care provider, especially
				those with suspected or confirmed infectious or potentially infectious TB disease
				who pose an immediate or imminent risk to the public health.
1. This includes persons identified by public
				health professionals as contacts to persons with suspected or confirmed infectious
				or potentially infectious TB disease, and Class B1 or B2 referrals from the Centers
				for Disease Control and Prevention (CDC) who are residing in New Jersey.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.2 - Incorporated documents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) To further the
				purposes of this subchapter, the Department incorporates by reference, as amended
				and supplemented, Morbidity and Mortality Weekly Report (MMWR), Treatment of
				Tuberculosis, published by the Centers for Disease Control and Prevention on June
				20, 2003, volume 52, number RR-11, (hereinafter "MMWR, Treatment of Tuberculosis").
1. The MMWR, Treatment of Tuberculosis is
				available by written request to the Communicable Disease Service, Public Health
				Services Branch, New Jersey Department of Health and Senior Services, PO Box 369,
				Trenton, NJ, 08625-0369, or online at the Centers for Disease Control and
				Prevention's website at
http://www.cdc.gov/mmwr/PDF/rr/rr5211.pdf
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.4 - Reporting requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Health care
				providers and administrators providing care for any person with a diagnosis of
				suspected or confirmed TB disease at any site shall report to the Department's TB
				program or designee the following circumstances utilizing the TB-70 form, available
				at subchapter Appendix A:
1. A person with
				suspected or confirmed TB disease within 24 hours of diagnosis.
i. A health care provider shall report a patient
				as a TB suspect within 24 hours of initiation of treatment;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.5 - Hospital discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A health care
				provider managing a patient with suspected or confirmed infectious or potentially
				infectious TB disease in a hospital may discharge the patient upon meeting one of
				the following criteria:
1. The patient has an
				established private residence verified as valid and stable by the public health
				department and this residence is not shared by any individual in a vulnerable
				population, unless it is known that this individual has latent TB
				infection;
2. Tuberculosis is ruled out
				as a cause of disease;
3. The patient is
				a resident of a congregate living facility, is homeless or reports a private
				residence that the public health department has not verified as valid and stable,
				and had sputum smears initially positive for AFB.
i. The patient must have three consecutive sputum
				smears negative for AFB collected at least eight hours apart;
ii. The patient must have a nucleic acid
				amplification test negative for
M. tuberculosis
;
iii. The patient must have at least one sputum
				culture negative for
M. tuberculosis
after initiation of
				appropriate anti-tuberculosis treatment; or
iv. The Department's TB Program may grant an
				exception based upon clinical evidence and interview of the patient; or
4. The patient is a resident of a
				congregate living facility, is homeless or has reported a private residence that the
				public health department has not verified as valid and stable, and has no sputum
				smears positive for AFB, and has been on appropriate anti-TB medications for a
				period of at least two weeks and has no respiratory symptoms.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.6 - Health officer responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each health officer
				shall make available a health care provider for medical evaluation and management
				services for each patient with suspected or confirmed TB disease and latent TB
				infection in his or her jurisdiction.
1. A health
				officer may satisfy this requirement through existing staff, contractual arrangement
				or a Memorandum of Agreement with a public health TB clinic.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.7 - Notification of precautions to protect the public health

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The public health
				nurse case manager or designee within the health jurisdiction of residence of any
				patient with a sputum smear positive for AFB or cavitary lesions on chest radiograph
				or computed tomography scan with respiratory symptoms shall notify the patient
				verbally and in writing of the infection control measures required to protect the
				public health within three working days of the receipt of an initial TB-70
				form.
(b) If the patient described in
				(a) above is hospitalized outside the health jurisdiction of his or her residence,
				the public health nurse case manager or designee in the health jurisdiction where
				the patient is hospitalized shall deliver the notification as set forth in (a) above
				within three working days of being informed of the patient's presence in the
				facility, regardless of patient's health jurisdiction of residence.
(c) The notification described in (a) and (b)
				above shall list all infection control measures applicable to the patient, and shall
				request the patient to observe these infection control measures until no longer
				necessary to protect the public health.
1.
				Infection control measures shall no longer be required when a person with sputum
				smear(s) reported positive for AFB initially has:
i. Three sputum smears reported negative for AFB
				collected at least eight hours apart;
ii. A nucleic acid amplification test negative for
				M. tuberculosis;
iii. At least one
				sputum culture reported negative for M. tuberculosis; or
iv. TB is ruled out as a cause of disease by a
				health care provider; or
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.8 - Diagnostic evaluations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The designated
				public health nurse case manager for the health jurisdiction of residence shall
				monitor and facilitate timely diagnostic evaluation of all patients with suspected
				or confirmed infectious or potentially infectious TB disease, identified contacts to
				these patients and Class B1 or B2 referrals, regardless of the type of health care
				provider.
(b) Where a health care
				provider, based on direct observation or other written clinical and/or laboratory
				findings, believes that a patient has suspected or confirmed infectious or
				potentially infectious TB disease, the health care provider shall schedule an
				appointment for a diagnostic evaluation in his or her office or by referral within
				five business days of such observation.
(c) The public health nurse case manager shall
				schedule a diagnostic evaluation in the public health clinic within 10 working days
				after notification of discharge of a New Jersey resident with suspected or confirmed
				infectious or potentially infectious TB disease from a hospital or correctional
				facility inside or outside New Jersey, if the patient will be managed by a public
				health TB clinic.
(d) The public health
				nurse case manager shall schedule any contact or Class B1 or B2 referral identified
				or located during an investigation for a diagnostic evaluation in the public health
				clinic within 20 working days after identification or notification by the
				Department's TB Program of his or her residence in the public health nurse case
				manager's health jurisdiction.
(e) A
				diagnostic evaluation for a person with suspected or confirmed infectious or
				potentially infectious TB shall consist of at least a physical examination including
				visual acuity testing, a chest x-ray, sputum collection or induction and laboratory
				testing.
1. The health care provider may utilize
				the Department's TB Standards of Care as a guideline for appropriate
				practice.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.9 - Directly Observed Therapy

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Health care
				providers may prescribe DOT as a method to monitor the adherence of a patient to his
				or her prescribed treatment for tuberculosis disease.
1. Health care providers may utilize the
				Department's TB Standards of Care as a guideline for appropriate utilization of
				DOT.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.10 - Management of non-adherent patients requiring a diagnostic evaluation or DOT

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This section is
				applicable to patients with suspected or confirmed infectious or potentially
				infectious TB disease, identified contacts and Class B1 or B2 referrals that require
				a diagnostic evaluation to determine their TB status.
1. A public health nurse case manager, when
				issuing a public health warning notice to a patient, shall seek a diagnostic
				evaluation on the patient to assess his or her TB status to adequately protect the
				public health.
2. A health officer, when
				issuing a health officer order to a patient, shall require a diagnostic evaluation
				of the patient to assess his or her TB status to adequately protect the public
				health.
i. A health officer order for diagnostic
				evaluation of a contact to a patient with suspected or confirmed infectious or
				potentially infectious TB disease or Class B1 or B2 referral shall remain in force
				until a diagnostic evaluation is completed and infectious or potentially infectious
				TB disease is ruled out by a health care provider.
ii. A health officer order for diagnostic
				evaluation of a patient with suspected infectious or potentially infectious TB
				disease shall remain in force until infectious or potentially infectious TB disease
				is ruled out by a health care provider.
iii. A health officer order for diagnostic
				evaluation of a patient determined by a health care provider to have infectious or
				potentially infectious TB disease shall remain in force until treatment is completed
				as determined by a health care provider.
3. A health officer, when initiating a commitment
				hearing on a patient, shall require a diagnostic evaluation of the patient to assess
				his or her TB status to adequately protect the public health.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.11 - Management of non-adherent patients through a health officer order for isolation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pursuant to
				26:4-2, the health officer in the
				patient's jurisdiction of residence may exclude a patient posing an immediate or
				imminent risk to the public health from attending his or her place of work or
				school, or other premises where the health officer determines that such action is
				necessary to protect the public health.
1. The
				health officer shall consult with the Department's TB Program or State
				Epidemiologist or designee before excluding a patient from a workplace, school or
				other premises through a health officer order.
2. In no case shall a health officer exclude a
				patient from a workplace, school or other premises for more than 60 days without a
				court order authorizing such exclusion pursuant to the hearing process established
				at 8:57-5.14.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.12 - Management of non-adherent patients through health officer order for temporary commitment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the Commissioner
				or State Epidemiologist or designee or the health officer in the patient's health
				jurisdiction of residence determines that the patient is not only an immediate or
				imminent risk to the public health, but also a risk for flight, the health officer
				shall immediately order the temporary commitment of the patient to the site
				designated by the Commissioner or State Epidemiologist or designee, pending an
				expedited commitment hearing before the Superior Court.
1. The health officer in the jurisdiction where
				the institution or hospital is located shall issue the order if the person is
				institutionalized or hospitalized.
2. If
				the patient has suspected or confirmed infectious or potentially infectious TB
				disease, is suspected or confirmed to have either MDR-TB or XDR-TB, and is
				non-adherent or threatens non-adherence with infection control measures, regardless
				of his or her risk for flight, the health officer shall immediately serve the
				patient an order of temporary commitment pursuant to this section, rather than an
				order for isolation due to the severity of the consequences of
				transmission.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.13 - Grounds for commitment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with
				30:9-57, the Commissioner or local
				health officer in consultation with the TB Program and/or the State Epidemiologist
				or designee, may petition the Superior Court for an Order of Commitment whenever a
				patient violates:
1. A health officer order for
				diagnostic evaluation or DOT issued pursuant to
				8:57-5.10;
2. A health officer order for isolation issued
				pursuant to 8:57-5.11; or
3. A health officer order for temporary commitment
				issued pursuant to
				8:57-5.12.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.14 - Hearing process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with
				30:9-57, the health officer,
				Commissioner, State Epidemiologist, or designee shall inform the patient to be
				committed of his or her right to a hearing in the Superior Court.
1. The health officer or designee shall serve the
				patient considered for commitment a copy of the applicable rules, the reasons for
				the proposed commitment and notice of the time and place of the hearing at least two
				days prior to the hearing.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.15 - Due process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) At any hearing
				conducted pursuant to this subchapter, a person shall have the following due process
				rights:
1. Written notice detailing the grounds and
				underlying facts of the matter;
2. The
				right to have counsel present at the hearing and, if indigent, the right to
				appointed counsel; and
3. The right to
				be present at a court hearing, to cross examine, and to present witnesses, which
				rights may be exercised through telecommunication technology.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.16 - Annual report

Current through Register Vol. 56, No. 14, July 15, 2024
The Manager of the TB Program shall submit to the Commissioner
				  and make available to the public, through the TB Program's website at
http://nj.gov/health/cd/tbhome.htm
,
				  an annual report describing trends in prevalence and incidence of TB in New
				  Jersey.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.17 - Confidentiality of information

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patient medical
				information or information concerning reportable events pursuant to any section of
				this subchapter shall not be disclosed except under the following circumstances:
1. For research purposes, provided that the study
				is reviewed and approved by the applicable Institutional Review Board, and is done
				in a manner that does not identify any person, either by name or other identifying
				data element;
2. With written consent of
				the person identified;
3. When the
				Commissioner, or his or her designee, determines that such disclosure is necessary
				to enforce public health laws or to protect the life or health of a named party, in
				accordance with applicable State and Federal laws; or
4. Pursuant to a valid court order.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Section 8:57-5.18 - Penalties for violation of rules

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A health care
				provider who fails to comply with the requirements of this subchapter shall be
				subject to a fine as set forth at
				26:4-129 and 130 or 26:1A-10.
1. The Department may issue a written notification
				of this failure and a warning to comply prior to initiating any other enforcement
				action.
2. The Department may also
				report the health care provider's failure to comply with the provisions of this
				subchapter to the New Jersey Board of Medical Examiners, which may initiate
				disciplinary actions as set forth at
				13:35-6.24.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Appendix A

Current through Register Vol. 56, No. 14, July 15, 2024
Data in
				  image
The
				  adopted version of this appendix 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 5 - MANAGEMENT OF TUBERCULOSIS › Appendix B

Current through Register Vol. 56, No. 14, July 15, 2024
Data in
				  image
Data in
				  image
The
				  adopted version of this appendix 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this
				subchapter is to:
1. Implement the provisions of
				18A:61D-1 et seq.;
2. Set forth the immunization standards that
				students entering institutions of higher education shall meet, to reduce the
				likelihood of outbreaks on institution campuses and related disruption to the
				academic process; and
3. Reduce the
				incidence of certain vaccine preventable diseases in the greater
				community.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.2 - Incorporated documents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department
				incorporates by reference in this subchapter the Annual College Immunization Status
				Report form (IMM-3), available in the subchapter Appendix, and through the following
				methods:
1. Electronically at
http://nj.gov/health/forms/imm-3.dot
.
2. Verbal request to the Department at (609)
				588-7512; and
3. Written request mailed
				to the New Jersey Vaccine Preventable Disease Program, Department of Health and
				Senior Services, PO Box 369, Trenton, NJ 08625-0369.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this subchapter, shall
				  have the following meanings, unless the context clearly indicates otherwise:
"ACIP" means the Advisory Committee for Immunization Practices for
				  the United States Centers for Disease Control and Prevention.
"Advanced practice nurse" means a nurse practitioner, certified
				  registered nurse practitioner, clinical nurse specialist, or nurse
				  practitioner/clinical nurse specialist.
"Campus dormitory" means a dormitory, residence hall, student
				  housing, or a comparable congregate living arrangement owned, operated or contracted
				  by the institution.
"Institution of higher education" or "institution" means a two- or
				  four-year college or university that grants academic degrees.
"Minor" means a person that is less than 18 years of age.
"NJIIS" means the New Jersey Immunization Information System
				  (Immunization Registry) operated by the New Jersey Vaccine Preventable Disease
				  Program within the Department's Public Health Service Branch, Communicable Disease
				  Service and established pursuant to
				  26:4-131 et seq.
"New Jersey Vaccine Preventable Disease Program" means the health
				  program within the Department of Health and Senior Services that is responsible for
				  the implementation, monitoring, and enforcement of this subchapter.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.4 - Exemptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A student shall be
				exempt from immunization requirements for medical or religious reasons, provided
				that he or she meets the criteria as set forth at N.J.A.C. 8.57-6.14 and 6.15,
				respectively.
(b) In addition, an
				institution may make an exemption for the following categories of students:
1. Students born before 1957 for the measles,
				mumps, and rubella (MMR) vaccination requirements only; or
2. Students enrolled in a program for which
				students do not congregate, on campus or in an off-campus facility, whether for
				classes or to participate in institution-sponsored events, such as those enrolled in
				programs for individualized home study or conducted entirely via electronic
				media.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.5 - Required immunization; measles

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new student
				entering the institution for the first time after September 1, 1995 shall have
				received two doses of a live measles-containing vaccine, or any vaccine combination
				containing live measles vaccine, that was administered after 1968.
1. The first dose shall have been administered on
				or after the student's first birthday and the second dose shall have been
				administered no less than one month after the first dose.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.6 - Required immunization; mumps

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new student
				entering an institution for the first time after September 1, 1995 shall have
				received one dose of live mumps virus vaccine, or any vaccine combination containing
				live mumps virus vaccine.
1. The vaccine shall
				have been administered on or after the student's first birthday.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.7 - Required immunization; rubella

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new student
				entering an institution for the first time after September 1, 1995, shall have
				received one dose of live rubella virus vaccine, or any vaccine combination
				containing live rubella virus vaccine.
1. The
				vaccine shall have been administered on or after the student's first
				birthday.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 57 - COMMUNICABLE DISEASES › Subchapter 6 - HIGHER EDUCATION IMMUNIZATION › Section 8:57-6.8 - Required immunization; meningococcal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new student
				entering a four-year institution, for the first time after September 1, 2004, and
				who resides in a campus dormitory, shall receive one dose of meningococcal vaccine
				as condition of attendance at that institution, except as provided in
				8:57-6.14 and 6.15.
(b) An institution shall exempt a student from the
				meningococcal vaccine requirement if the student objects thereto in a written
				statement submitted to the institution signed by the student or the parent or legal
				guardian if a minor, explaining how the administration of meningococcal vaccine
				conflicts with the student's bona fide religious tenets or practices, except that a
				general philosophical or moral exemption to the vaccination shall not be sufficient
				for an exemption on religious grounds.
The
				  adopted version of this section 56 N.J.R. 213(a), effective
				  1/3/2024 is not yet
				  available