reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter B - REPORTING OF DISEASES, INFECTIONS AND CONDITIONS › REPORTING BY LOCAL MORBIDITY REPORTING OFFICES › Section 27.41a - Reporting by local morbidity reporting offices of case reports received

Current through Register Vol. 54, No. 28, July 13, 2024
An LMRO that is not one of the Department's district
						offices shall report a case that has been reported to it to the district office
						for the State health district in which it is located, or to the central office
						when this chapter directs that reports are to be filed with that
						office.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter B - REPORTING OF DISEASES, INFECTIONS AND CONDITIONS › REPORTING BY LOCAL MORBIDITY REPORTING OFFICES › Section 27.42a - Reporting by local morbidity reporting offices of completed case investigations

Current through Register Vol. 54, No. 28, July 13, 2024
An LMRO that is not one of the Department's district
						offices shall submit, on a weekly basis, a case investigation report of the
						information from each case investigation which has resulted in confirmation of
						the incidence of a reportable disease, infection or condition. The report shall
						be submitted to the appropriate Department office as follows in a format and
						within the length of time set forth in this chapter:
(1)
AIDS.
To the HIV/AIDS
					 Epidemiology Section, Division of Infectious Disease Epidemiology, Bureau of
					 Epidemiology.
(2)
Chickenpox, diphtheria, measles, mumps, pertussis, polio, rubella, and
					 tetanus.
To the Division of Immunizations, Bureau of Communicable
					 Diseases.
(3)
Chancroid,
					 chlamydia trachomatis infections, gonococcal infections, granuloma inguinale,
					 lymphogranuloma venereum, syphilis and tuberculosis.
To the Division
					 of Tuberculosis and Sexually Transmitted Diseases, Bureau of Communicable
					 Diseases.
(4)
Other
					 reportable diseases and conditions.
To the Division of Infectious
					 Disease Epidemiology, Bureau of Epidemiology.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter B - REPORTING OF DISEASES, INFECTIONS AND CONDITIONS › REPORTING BY LOCAL MORBIDITY REPORTING OFFICES › Section 27.43a - Reporting by local morbidity reporting offices of outbreaks and selected diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An LMRO that
					 is not one of the Department's district offices shall report an outbreak by
					 telephone on the same day that the outbreak is reported or otherwise made known
					 to it, as follows:
(1)
AIDS.
To the HIV/AIDS Epidemiology Section, Division of Infectious Disease
					 Epidemiology, Bureau of Epidemiology.
(2)
Chancroid, chlamydia trachomatis
					 infections, gonococcal infections, granuloma inguinale, lymphogranuloma
					 venereum, syphilis and tuberculosis.
To the Division of Tuberculosis
					 and Sexually Transmitted Diseases, Bureau of Communicable Diseases.
(3)
Chickenpox, diphtheria, measles,
					 mumps, pertussis, polio, rubella and tetanus.
To the Division of
					 Immunizations, Bureau of Communicable Diseases.
(4)
Other reportable diseases and
					 conditions.
To the Division of Infectious Disease Epidemiology, Bureau
					 of Epidemiology.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter B - REPORTING OF DISEASES, INFECTIONS AND CONDITIONS › REPORTING BY LOCAL MORBIDITY REPORTING OFFICES › Section 27.44-27.47 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.60 - Disease control measures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department or local health authority shall direct isolation of a person or an
					 animal with a communicable disease or infection; surveillance, segregation,
					 quarantine or modified quarantine of contacts of a person or an animal with a
					 communicable disease or infection; and any other disease control measure the
					 Department or the local health authority considers to be appropriate for the
					 surveillance of disease, when the disease control measure is necessary to
					 protect the public from the spread of infectious agents.
(b) The Department and local health authority
					 will determine the appropriate disease control measure based upon the disease
					 or infection, the patient's circumstances, the type of facility available and
					 any other available information relating to the patient and the disease or
					 infection.
(c) If a local health
					 authority is not an LMRO, it shall consult with and receive approval from the
					 Department prior to taking any disease control measure.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.61 - Isolation

Current through Register Vol. 54, No. 28, July 13, 2024
When the isolation of a person or animal that is
						suspected of harboring an infectious agent is appropriate, the Department or
						local health authority shall cause the isolation to be done promptly following
						receipt of the case report.
(1) If the
					 local health authority is not an LMRO, the local health officer shall consult
					 with and receive approval from the Department prior to requiring
					 isolation.
(2) If more than one
					 jurisdiction is involved, the local health officer shall cause a person or
					 animal to be isolated only after consulting with and receiving approval from
					 the Department.
(3) The Department
					 or local health authority shall ensure that instructions are given to the case
					 or persons responsible for the care of the case and to members of the household
					 or appropriate living quarters, defining the area within which the case is to
					 be isolated and identifying the measures to be taken to prevent the spread of
					 disease.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.65 - Quarantine

Current through Register Vol. 54, No. 28, July 13, 2024
If the disease is one which the Department, or a local
						health authority which is also an LMRO, determines to require the quarantine of
						contacts in addition to isolation of the case, the Department or local health
						officer of the LMRO shall determine which contacts shall be quarantined,
						specify the place to which they shall be quarantined, and issue appropriate
						instructions.
(1) When any other local
					 health authority is involved, the local health officer shall quarantine
					 contacts only after consulting with and receiving approval from the
					 Department.
(2) The Department or
					 local health officer shall ensure that provisions are made for the medical
					 observation of the contacts as frequently as necessary during the quarantine
					 period.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.66 - Placarding

Current through Register Vol. 54, No. 28, July 13, 2024
Whenever the Department or a local health officer has
						reason to believe that a case, a contact or others will not fully comply with
						the isolation or quarantine as required for the protection of the public health
						and the Department or local health officer deems it necessary to use placards,
						placards may be utilized. Placards may be utilized by a local health officer of
						a local health authority that is not an LMRO only if the specific use is
						approved by the Department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.67 - Movement of persons and animals subject to isolation or quarantine by action of a local health authority or the Department

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person or animal subject to isolation
					 or quarantine by action of a local health authority or the Department may be
					 removed to another location only with permission of the local health authority
					 or the Department. If the local health authority is not an LMRO, the local
					 health authority shall consult with and receive approval from the Department
					 prior to permitting removal. Permission for removal may be given by the
					 Department if the local health officer is not available.
(b) Removal of a person or animal under
					 isolation or quarantine by action of the Department or a local health
					 authority, from the jurisdiction of the Department or a local health authority
					 to the jurisdiction of the Department or another local health authority may
					 occur only with permission of the Department, if it is involved, and with the
					 permission of the local health authorities concerned. If both of the local
					 health authorities involved are not LMROs, the local health authorities shall
					 consult with and receive approval from the Department prior to permitting
					 removal. Permission for removal may be given by the Department if a local
					 health officer from whom permission would otherwise be required is not
					 available.
(c) Interstate
					 transportation to or from this Commonwealth of a person or animal under
					 isolation or quarantine may be made only with permission of the
					 Department.
(d) Transportation of a
					 person or animal under isolation or quarantine shall be made by private
					 conveyance or as otherwise ordered by the local health authority or the
					 Department. If the local health authority is not an LMRO, it shall consult with
					 the Department prior to issuing an order. The sender, the receiver and the
					 transporter of the person or animal shall be responsible to take due care to
					 prevent the spread of the disease.
(e) When a person or animal under isolation
					 or quarantine is transported, isolation or quarantine shall be resumed for the
					 period of time required for the specific disease immediately upon arrival of
					 the person or animal at the point of destination.
This section cited in 28 Pa. Code §
													27.1 (relating to
						  definitions).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.68 - Release from isolation or quarantine

Current through Register Vol. 54, No. 28, July 13, 2024
The Department or a local health authority may order that
						a person or animal isolated or quarantined under the direction of the
						Department or to the appropriate health authority be released from isolation or
						quarantine when the Department or the local health authority determines that
						the person or animal no longer presents a public health threat. If the local
						health authority involved is not an LMRO, it shall consult with, and receive
						approval from, the Department prior to making the order.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › GENERAL PROVISIONS › Section 27.69 - Laboratory analysis

Current through Register Vol. 54, No. 28, July 13, 2024
Whenever a laboratory specimen is to be examined for the
						presence of etiologic organisms to determine the duration of isolation or
						quarantine or to determine the eligibility of a person or animal for release
						from isolation or quarantine, the specimen shall be examined in a laboratory
						approved by the Department to conduct that type of
						examination.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.72 - Exclusion of children, and staff having contact with children, for showing symptoms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person in
					 charge of a public, private, parochial, Sunday or other school or college
					 shall, following consultation with a physician or school nurse, exclude
					 immediately a child, or staff person, including a volunteer, having contact
					 with children, showing any of the following symptoms, unless that person is
					 determined by the school nurse, or a physician, to be noncommunicable:
(1) Mouth sores associated with inability to
					 control saliva.
(2) Rash with fever
					 or behavioral change.
(3) Purulent
					 discharge from the eyes.
(4)
					 Productive cough with fever.
(5)
					 Oral or axillary temperature equal to or greater than 102° F.
(6) Unusual lethargy, irritability,
					 persistent crying, difficulty breathing or other signs of severe
					 illness.
(7) Persistent
					 vomiting.
(8) Persistent
					 diarrhea.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.73 - Readmission of excluded children, and staff having contact with children

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A child or
					 staff person, including a volunteer, having contact with children, excluded
					 from a public, private, parochial or other school or college under §
											27.72 (relating to exclusion of
					 children, and staff having contact with children, for showing symptoms) may not
					 be readmitted until the school nurse or, in the absence of a school nurse, a
					 physician, is satisfied that the condition for which the person was excluded is
					 not communicable or until the person presents a statement from a physician that
					 the person has recovered or is noninfectious.
(b) A child, or staff person, including a
					 volunteer, having contact with children, excluded for the following reasons
					 shall be readmitted only when a physician has determined the illness to be
					 either resolved, noncommunicable or in a noncommunicable stage:
(1) Rash with fever or behavioral
					 change.
(2) Productive cough with
					 fever.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.74 - Readmission of exposed or isolated children, and staff having contact with children

Current through Register Vol. 54, No. 28, July 13, 2024
A child, or staff person, including a volunteer, having
						contact with children, who has been absent from school by reason of having had
						or because of residing on premises where there has been a disease for which
						isolation is required, may not be readmitted to school without the permission
						of the LMRO.
This section cited in 28 Pa. Code §
													27.76 (relating to exclusion and
						  readmission of children, and staff having contact with children, in child care
						  group settings).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.75 - Exclusion of children, and staff having contact with children, during a measles outbreak

Current through Register Vol. 54, No. 28, July 13, 2024
Children, and staff, including a volunteer, having
						contact with children, shall be excluded from school during a measles outbreak
						under the procedures described in §
											27.160 (relating to special
						requirements for measles).
This section cited in 28 Pa. Code §
													27.76 (relating to exclusion and
						  readmission of children, and staff having contact with children, in child care
						  group settings).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.76 - Exclusion and readmission of children, and staff having contact with children, in child care group settings

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Sections 27.71-27.75 apply to child care group
					 settings, with the exception that readmission of excluded persons as provided
					 in those sections, as well as provided in this subsection, shall be contingent
					 upon a physician verifying that the criteria for readmission have been
					 satisfied. The following conditions and circumstances also govern exclusion
					 from and readmission to a child care group setting of a child, or a staff
					 person, including a volunteer, who has contact with children attending the
					 child care group setting:
(1)
Meningococcal meningitis or meningococcemia.
Until made
					 noninfective by a course of rifampin or other drug which is effective against
					 the nasopharyngeal carriage stage of this disease, or otherwise shown to be
					 noninfective.
(2)
Haemophilus influenzae (H. flu) meningitis or other invasive H. flu
					 disease.
Until made noninfectious by a course of rifampin or other
					 drug which is effective against the nasopharyngeal carriage stage of this
					 disease, or otherwise shown to be noninfective.
(3)
Persistent diarrhea.
Until resolved or judged to be noninfective when associated with any of the
					 following:
(i) Inability to prevent
					 contamination of the environment with feces.
(ii) Fever.
(iii) Identified bacterial or parasitic
					 pathogen.
(4)
Fever in children younger than 4 months of greater than 101° F.
					 rectally or 100° F. axillary; in children 4-24 months of greater than
					 102° F. rectally or 101° F. axillary.
Until resolved or judged
					 to be noninfective.
(5)
Hepatitis A, viral hepatitis unspecified, or jaundice of unspecified
					 etiology.
Until 1 week following the onset of jaundice, or 2 weeks
					 following symptom onset or IgM antibody positivity if jaundice is not
					 present.
(6)
Shigellosis.
Until the etiologic organism is eradicated. See
					 §
												27.158 (relating to special
					 requirements for shigellosis).
(7)
Typhoid fever or paratyphoid fever.
Until the etiologic
					 organism is eradicated. See §
												27.159 (relating to special
					 requirements for typhoid and paratyphoid fever).
(8)
Exposure to an individual with
					 meningococcal disease.
Until the institution of treatment with
					 appropriate antibiotic to eradicate the nasopharyngeal carrier state, or until
					 proven noninfectious with nasopharyngeal cultures, or until 30 days following
					 the exposure. Exclusion shall be postponed, until the second day following
					 notice that exclusion will be required, to give the individual sufficient time
					 to arrange for institution of appropriate antibiotic
					 treatment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter C - QUARANTINE AND ISOLATION › COMMUNICABLE DISEASES IN CHILDREN AND STAFF ATTENDING SCHOOLS AND CHILD CARE GROUP SETTINGS › Section 27.77 - Immunization requirements for children in child care group settings

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Caregiver responsibilities.
(1) Except as exempted in subsection (d),
					 effective March 27, 2002, the caregiver at a child care group setting may not
					 accept or retain a child 2 months of age or older at the setting, for more than
					 60 days, unless the caregiver has received a written objection to a child being
					 vaccinated on religious grounds from a parent or guardian, or one of the
					 following:
(i) For all children not exempt
					 under subsection (d)(1)(ii), an initial written verification from a physician,
					 the Department or a local health department of the dates (month, day and year)
					 the child was administered any vaccines recommended by ACIP. The verification
					 must also specify any vaccination not given due to medical condition of the
					 child and state whether the condition is temporary or permanent. The
					 verification must show compliance with the vaccination requirements in
					 subsection (b).
(ii) For all
					 children for whom vaccinations remain outstanding following the caregiver's
					 receipt of the initial written verification, subsequent written verifications
					 from a physician, the Department or a local health department as additional
					 vaccinations become due. These verifications shall be prepared in the same
					 manner as set forth in subparagraph (i), but need not repeat information
					 contained in a previously submitted verification. The verifications must
					 demonstrate continuing compliance with the vaccination requirements in
					 subsection (b).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.81 - Examination of persons suspected of being infected

Current through Register Vol. 54, No. 28, July 13, 2024
Whenever the Department or a local health authority has
					 reasonable grounds to suspect a person of being infected with an organism
					 causing a sexually transmitted disease, tuberculosis or other communicable
					 disease, or of being a carrier, but lacks confirmatory medical or laboratory
					 evidence, the Department or the local health authority may require the person
					 to undergo a medical examination and any other approved diagnostic procedure to
					 determine whether or not the person is infected or is a carrier. If the local
					 health authority involved is not an LMRO, the local health authority shall
					 consult with and receive approval from the Department prior to requiring any
					 medical examination or other approved diagnostic procedure.
This section cited in 28 Pa. Code §
												27.82 (relating to refusal to
						submit to examination).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.82 - Refusal to submit to examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a person refuses to submit to the
				  examination required in §
										27.81 (relating to examination of
				  persons suspected of being infected), the Department or the local health
				  authority may direct the person to be quarantined until it is determined that
				  the person does not pose a threat to the public health by reason of being
				  infected with a disease causing organism or being a carrier.
(b) If the person refuses to abide by an
				  order issued under subsection (a), the Department or local health authority may
				  file a petition in the court of common pleas of the county in which the person
				  is present. The petition shall have a statement attached, given under oath by a
				  physician licensed to practice in this Commonwealth, that the person is
				  suspected of being infected with an organism causing a sexually transmitted
				  disease, tuberculosis or other communicable disease, or that the person is
				  suspected of being a carrier.
(1) Upon the
				  filing of the petition, the court shall, within 24 hours after service of a
				  copy upon the respondent, hold a hearing without a jury to ascertain whether
				  the person named in the petition has refused to submit to an examination to
				  determine whether the person is infected with the suspected disease causing
				  organism, or that the person is a carrier.
(2) Upon a finding that the person has
				  refused to submit to an examination and that there is no valid reason for the
				  person to do so, the court may forthwith order the person to submit to the
				  examination.
(3) The certificate of
				  the physician attached to the petition shall be received in evidence and shall
				  constitute prima facie evidence that the person named is suspected of being
				  infected with the disease causing organism, or that the person is a
				  carrier.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.83 - Court ordered examinations

Current through Register Vol. 54, No. 28, July 13, 2024
The examination ordered by the court under §
										27.82 (relating to refusal to
					 submit to examination) may be performed by a physician chosen by the person at
					 the person's own expense. The examination shall include an appropriate physical
					 examination and laboratory tests performed in a clinical laboratory approved by
					 the Department to conduct the tests, and shall be conducted in accordance with
					 accepted professional practices. The results shall be reported to the local
					 health authority or the Department on case report forms furnished by the
					 Department.
This section cited in 28 Pa. Code §
												27.161 (relating to special
						requirements for tuberculosis).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.84 - Examination for a sexually transmitted disease of persons detained by police authorities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
				  person taken into custody and charged with a crime involving lewd conduct or a
				  sex offense, or a person to whom the jurisdiction of a juvenile court attaches
				  may be examined for a sexually transmitted disease by a qualified physician
				  appointed by the Department, by the local health authority or by the court
				  having jurisdiction over the person so charged. If the person refuses to permit
				  an examination or provide a specimen for laboratory tests as requested by the
				  physician designated by the Department, a local health authority or a court,
				  judicial action may be pursued by the Department or local health authority to
				  secure an appropriate remedy.
(b) A
				  person convicted of a crime or pending trial, who is confined in or committed
				  to a State or local penal institution, reformatory or other house of correction
				  or detention, may be examined for a sexually transmitted disease by a qualified
				  physician appointed by the Department or by the local health authority. If the
				  person refuses to permit an examination or provide a specimen for laboratory
				  tests as requested by the physician, judicial action may be pursued by the
				  Department or local health authority to secure an appropriate remedy.
(c) A person described in subsection (a) or
				  (b) found, upon examination, to be infected with a sexually transmitted disease
				  shall be given appropriate treatment by the local health authority, the
				  Department or the attending physician of the institution.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.85 - Diagnosis and treatment of a sexually transmitted disease

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department will provide or designate
				  adequate facilities for the free diagnosis and, where necessary for the
				  preservation of public health, free treatment of persons infected with sexually
				  transmitted diseases.
(b) Upon
				  approval of the Department, a local health authority shall undertake to share
				  the expense of furnishing free diagnosis and free treatment of a sexually
				  transmitted disease, or shall furnish free diagnosis and free treatment of the
				  sexually transmitted disease without financial assistance from the
				  Department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.87 - Refusal to submit to treatment for communicable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the Department or a local health
				  authority finds that a person who is infected with a sexually transmitted
				  disease, tuberculosis or other communicable disease in a communicable stage
				  refuses to submit to treatment approved by the Department or by a local health
				  authority, the Department or the local health authority, if it determines the
				  action advances public health interests, shall order the person to be isolated
				  in an appropriate institution designated by the Department or by the local
				  health authority for safekeeping and treatment until the disease has been
				  rendered noncommunicable.
(i) If the disease
				  is one which may be significantly reduced in its communicability following
				  short-term therapy, but is likely to significantly increase in its
				  communicability if that therapy is not continued, such as tuberculosis, the
				  Department or local health authority may order the person to complete therapy
				  which is designed to prevent the disease from reverting to a communicable
				  stage, including completion of an inpatient treatment regimen. See, also,
				  §
											27.161 (relating to special
				  requirements for tuberculosis).
(ii) If the local health authority involved
				  is not an LMRO, the local health authority shall consult with and receive
				  approval from the Department prior to taking any action under this
				  subsection.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.88 - Isolation and quarantine in appropriate institutions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When the Department or a local health
				  authority orders a person with or suspected of having a sexually transmitted
				  disease to be isolated or quarantined for the purpose of safekeeping and
				  treatment, it may order that the isolation or quarantine take place in an
				  institution where the person's movement is physically restricted.
(b) The Department or the local health
				  authority shall reimburse an institution which accepts the person at the rate
				  of maintenance that prevails in the institution, and shall furnish the
				  necessary medical treatment to the person isolated or quarantined within the
				  institution.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.89 - Examinations for syphilis

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Prenatal examination for syphilis.
(1)
Blood sample.
(i) A physician who attends, treats or
				  examines a pregnant woman for conditions relating to pregnancy during the
				  period of gestation or delivery shall inform the woman that he intends to take
				  or cause to be taken, unless the woman objects, a sample of her blood at the
				  time of the first examination (including the initial visit when a pregnancy
				  test is positive), or within 15 days after the first examination, and shall
				  submit the sample to a clinical laboratory for an approved test for
				  syphilis.
(ii) A physician shall
				  similarly collect and have tested a sample of the pregnant woman's blood during
				  the third trimester of her pregnancy, in those counties of this Commonwealth
				  where the annual rate of infectious syphilis is at a rate of syphilis occurring
				  in a given population for which the CDC has determined it is cost-effective to
				  require special precautions.
(iii)
				  The Department will publish the list of those counties in which this rate is
				  occurring in the
Pennsylvania Bulletin
as necessary.
(iv) Other persons permitted by law to attend
				  pregnant women, but not permitted by law to take blood samples, shall, unless
				  the woman objects, cause a blood sample to be taken and submitted to a clinical
				  laboratory for an approved test for syphilis.
(v) If the pregnant woman objects, it shall
				  be the duty of the person attending the pregnant woman and seeking to have the
				  woman give a blood sample to explain to her the desirability of the
				  test.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.95 - Reporting syphilis examination information for births and fetal deaths

Current through Register Vol. 54, No. 28, July 13, 2024
In reporting a birth or fetal death, physicians and others
					 required to make the reports shall state in the medical record whether or not
					 the blood tests required by §
										27.89(b)
					 (relating to examinations for syphilis) were made. If a test was made, the date
					 of the test shall be given, and if a test was not made, the reason the test was
					 not made shall be given.
This section cited in 28 Pa. Code §
												27.89 (relating to examination for
						syphilis).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.96 - Diagnostic tests for sexually transmitted diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When testing for a sexually transmitted
				  disease is required by the act or this chapter, the test used shall be a test
				  approved by the Food and Drug Administration, and if a laboratory test is part
				  of the approved procedure, it shall be conducted in a clinical laboratory
				  approved by the Department to perform the test.
(b) The diagnostic tests that have been
				  approved to test for each sexually transmitted disease may be ascertained by
				  contacting the Division of Clinical Microbiology, Bureau of
				  Laboratories.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.97 - Treatment of minors

Current through Register Vol. 54, No. 28, July 13, 2024
A person under 21 years of age may give consent for medical
					 and other health services to determine the presence of or to treat a sexually
					 transmitted disease and any other reportable disease, infection or condition.
					 If the minor consents to undergo diagnosis or treatment, approval or consent of
					 another person is not necessary. The physician may not be sued or held liable
					 for implementing appropriate diagnostic measures or administering appropriate
					 treatment to the minor if the minor has consented to the procedures or
					 treatment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.98 - Prophylactic treatment of newborns

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Physicians and midwives attending women
				  in childbirth shall instill in each eye of the newborn child, as soon as
				  practicable after birth, either a 1% silver nitrate solution, or erythromycin
				  ophthalmic ointment or solution as a single application in both conjunctival
				  sacs, or appropriate medication approved by the Department.
(b) If the parent or guardian of the newborn
				  child objects on the ground that the prophylactic treatment conflicts with the
				  parent's or guardian's religious beliefs or practices, or if in the opinion of
				  the attending physician treatment is not advisable, prophylactic treatment
				  shall be withheld.
(c) An entry in
				  the child's hospital record indicating the reason for withholding treatment
				  shall be made and signed by the attending physician and the parent or
				  guardian.
The provisions of this §
												27.98 issued under section 2102(g)
						of The Administrative Code of 1929 (71 P. S. §
													532(g)); section 16 of the
						Disease Prevention and Control Law of 1955 (35 P. S. §
													521.16); and section 803 of the Health Care
						Facilities Act (35 P. S. §
													448.803).
This section cited in 28 Pa. Code §
												137.24 (relating to delivery room
						procedures); 28 Pa. Code §
												139.23 (relating to delivery suite
						services); and 28 Pa. Code §
												501.49 (relating to newborn infant
						care policies and procedures).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter D - SEXUALLY TRANSMITTED DISEASES, TUBERCULOSIS AND OTHER COMMUNICABLE DISEASES › Section 27.99 - Prenatal examination for hepatitis B

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician who attends, treats or
				  examines a pregnant woman for conditions relating to pregnancy during the
				  period of gestation or delivery, shall inform the woman that the physician
				  intends to take or cause to be taken, unless the woman objects, a sample of her
				  blood at the time of the first examination (including the initial visit when a
				  pregnancy test is positive) or within 15 days thereafter, but no later than the
				  time of delivery, and shall submit the sample to a clinical laboratory approved
				  by the Department to conduct immunologic testing.
(b) When a pregnant woman tests positive for
				  hepatitis B surface antigen, a physician shall provide the appropriate
				  prophylactic treatment to the newborn within 12 hours after birth. If the
				  parent or guardian of the newborn child objects on the ground that the
				  prophylactic treatment conflicts with the parent's or guardian's religious
				  beliefs or practices, prophylactic treatment shall be withheld, and an entry in
				  the child's hospital record indicating the reason for withholding treatment
				  shall be made and signed by the attending physician and the parent or
				  guardian.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter E - SELECTED PROCEDURES FOR PREVENTING DISEASE TRANSMISSION › Section 27.151 - Restrictions on the donation of blood, blood products, tissue, sperm and ova

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person known
				  to be, or suspected of being, infected with the causative agent of a reportable
				  disease is not allowed to donate blood, blood products, tissue, sperm or ova
				  for use in other human beings.
(1) In
				  addition, a person or entity may not accept any of these materials from a
				  person known to be, or suspected of being, infected with the causative agent of
				  a reportable disease for donation without obtaining laboratory evidence showing
				  the absence of hepatitis B, hepatitis C, HIV or other diseases and infections,
				  which the Department may specify by placing a notice in the
Pennsylvania Bulletin
.
(2) The list of additional diseases and
				  conditions will not remain in effect for more than 90 days after publication
				  unless the Board acts to affirm it within that 90-day
				  period.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter E - SELECTED PROCEDURES FOR PREVENTING DISEASE TRANSMISSION › Section 27.152 - Investigation of cases and outbreaks

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department or a local health
				  authority may investigate any case or outbreak of disease judged by the
				  Department or local health authority to be a potential threat to the public
				  health.
(b) A person may not
				  interfere with or obstruct a representative of the Department or a local health
				  authority who seeks to enter a house, health care facility, building or other
				  premises to carry out an investigation of a case or outbreak, if the
				  representative presents documentation to establish that he is an authorized
				  representative of the Department or the local health authority.
(c) In the course of conducting an
				  investigation of a case or outbreak, the authorized representative of the
				  Department or local health authority may conduct a confidential review of
				  medical records. A person may not interfere with or obstruct this
				  review.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter E - SELECTED PROCEDURES FOR PREVENTING DISEASE TRANSMISSION › Section 27.153 - Restrictions on food handlers

Current through Register Vol. 54, No. 28, July 13, 2024
A person with the following diseases or conditions may not
					 work as a food handler, see, also, 3 Pa.C.S. Chapter 65 (relating to the Food
					 Employee Certification Act) and 7 Pa. Code §§
										78.41 -78.43 (Reserved), except as
					 follows:
(1)
Amebiasis.
Until the etiologic organism is eradicated as
				  proven by two consecutive negative stool specimens, obtained at least 24 hours
				  apart, as verified by a physician. If antiparasitic treatment has been given,
				  the specimens may not be collected sooner than 48 hours after treatment was
				  completed. See §
										27.156 (relating to the special
				  requirements for amebiasis).
(2)
Enterohemorrhagic E. coli.
Until the etiologic organism is
				  eradicated as proven by two consecutive negative stool specimens, obtained at
				  least 24 hours apart, as verified by a physician. If antibacterial treatment
				  has been given, the specimens may not be collected sooner than 48 hours after
				  treatment was completed. See §
										27.157 (relating to the special
				  requirements for enterohemorrhagic E. coli).
(3)
Shigellosis.
Until the
				  etiologic organism is eradicated as proven by two consecutive negative stool
				  specimens, obtained at least 24 hours apart, as verified by a physician. If
				  antibacterial treatment has been given, the specimens may not be collected
				  sooner than 48 hours after treatment was completed. See §
										27.158 (relating to the special
				  requirements for shigellosis).
(4)
Typhoid fever or paratyphoid fever.
Until the etiologic
				  organism has been eradicated as proven by three negative successive stool
				  specimens collected at intervals of at least 24 hours nor earlier than 48 hours
				  after receiving the last dose of a chemotherapeutic drug effective against
				  Salmonella typhi or paratyphi, and no earlier than 1 month after onset. See
				  §
										27.159 (relating to the special
				  requirements for typhoid and paratyphoid fever).
(5)
Hepatitis A, viral hepatitis, or
				  jaundice of unspecified etiology.
Until 1 week following the onset of
				  jaundice, or 2 weeks following symptom onset or IgM antibody positivity if
				  jaundice is not present, as verified by a physician.
(6)
Persistent diarrhea.
Until resolved or judged to be noninfective by a physician.
This section cited in 28 Pa. Code §
												1151.33 (relating to sanitation
						and safety in a facility); and 28 Pa. Code §
												1161.34 (relating to sanitation
						and safety in a facility).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter E - SELECTED PROCEDURES FOR PREVENTING DISEASE TRANSMISSION › Section 27.154 - Restrictions on caregivers in a child care group setting

Current through Register Vol. 54, No. 28, July 13, 2024
A person with the following diseases or conditions may not
					 work as a care giver in a child care group setting if the caregiver attends or
					 works in a capacity which requires direct contact with children except as
					 follows:
(1)
Amebiasis.
Until the etiologic organism is eradicated as
				  proven by two consecutive negative stool specimens, obtained at least 24 hours
				  apart, as verified by a physician. If antibacterial treatment has been given
				  the specimens may not be collected sooner than 48 hours after treatment was
				  completed. See §
										27.156 (relating to the special
				  requirements for amebiasis).
(2)
Enterohemorrhagic E. coli.
Until the etiologic organism is
				  eradicated as proven by two consecutive negative stool specimens, obtained at
				  least 24 hours apart, as verified by a physician. If antibacterial treatment
				  has been given, the specimens may not be collected sooner than 48 hours after
				  treatment was completed. See §
										27.157 (relating to the special
				  requirements for enterohemorrhagic E. coli).
(3)
Shigellosis.
Until the
				  etiologic organism is eradicated as proven by two consecutive negative stool
				  specimens, obtained at least 24 hours apart, as verified by a physician. If
				  antibacterial treatment has been given the specimens may not be collected
				  sooner than 48 hours after treatment was completed. See §
										27.158 (relating to the special
				  requirements for shigellosis).
(4)
Typhoid fever or paratyphoid fever.
Until the etiologic
				  organism is eradicated as proven by three negative successive stool specimens
				  collected at intervals of no less than 24 hours nor earlier than 48 hours after
				  receiving the last dose of a chemotherapeutic drug effective against Salmonella
				  typhi or paratyphi, and no earlier than 1 month after onset. See §
										27.159 (relating to the special
				  requirements for typhoid and paratyphoid fever).
(5)
Hepatitis A, viral hepatitis or
				  jaundice of unspecified etiology.
Until 1 week following the onset of
				  jaundice, or 2 weeks following symptom onset or IgM antibody positivity if
				  jaundice is not present, as verified by a physician.
(6)
Persistent diarrhea.
Until resolved or judged to be noninfective by a physician.