reglab/statecodes huggingface dataset:
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 27.155 - Restrictions on health care practitioners

Current through Register Vol. 54, No. 28, July 13, 2024
Persons with the following diseases or conditions may not
					 work as health care practitioners who provide direct patient care:
(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 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 or 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.
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 27.156 - Special requirements for amebiasis

Current through Register Vol. 54, No. 28, July 13, 2024
A household contact of a case of amebiasis who prepares or
					 serves food for public consumption, who attends or works in a child care group
					 setting in a capacity which requires contact with children, or who provides
					 direct patient care shall be required to cease work until the contact has
					 submitted two consecutive stool specimens, taken at least 24 hours apart and at
					 least 48 hours after the last dose of any antiparasitic therapy, to an
					 appropriate clinical laboratory for bacteriologic examination and those
					 specimens are determined by the laboratory to be negative for Entamoeba
					 histolytica.
This section cited in 28 Pa. Code §
												27.153 (relating to restrictions
						on food handlers); 28 Pa. Code §
												27.154 (relating to restrictions
						on caregivers in a child care group setting); and 28 Pa. Code §
												27.155 (relating to restrictions
						on health care practitioners).
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 27.157 - Special requirements for enterohemorrhagic E. coli

Current through Register Vol. 54, No. 28, July 13, 2024
A household contact of a case of enterohemorrhagic E. coli,
					 who prepares or serves food for public consumption, who attends or works in a
					 child care group setting in a capacity which requires contact with children, or
					 who provides direct patient care shall be required to cease work until the
					 contact has submitted two consecutive stool specimens, taken at least 24 hours
					 apart and at least 48 hours after the last dose of any antimicrobial therapy,
					 to an appropriate clinical laboratory for bacteriologic examination and those
					 specimens are determined by the laboratory to be negative for enterohemorrhagic
					 E. coli.
This section cited in 28 Pa. Code §
												27.153 (relating to restrictions
						on food handlers); 28 Pa. Code §
												27.154 (relating to caregivers in
						a child care group setting); and 28 Pa. Code §
												27.155 (relating to restrictions
						on health care practitioners).
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 27.158 - Special requirements for shigellosis

Current through Register Vol. 54, No. 28, July 13, 2024
A household contact of a case of shigellosis, who prepares
					 or serves food for public consumption, who attends or works in a child care
					 group setting in a capacity which requires contact with children, or who
					 provides direct patient care shall be required to cease work until the contact
					 has submitted two consecutive stool specimens, taken at least 24 hours apart
					 and at least 48 hours after the last dose of any antimicrobial therapy, to an
					 appropriate clinical laboratory for bacteriologic examination and the specimens
					 are determined by the laboratory to be negative for shigella.
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); 28 Pa. Code §
												27.153 (relating to restrictions
						on food handlers); 28 Pa. Code §
												27.154 (relating to restrictions
						on caregivers in child care group settings); and 28 Pa. Code §
												27.155 (relating to restrictions
						on health care practitioners).
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 27.159 - Special requirements for typhoid and paratyphoid fever

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An asymptomatic household contact of a
				  case of typhoid fever or paratyphoid fever who prepares or serves food for
				  public consumption, who attends or works in a child care group setting in a
				  capacity which requires contact with children, or who provides direct patient
				  care shall be required to cease work until the contact has submitted two stool
				  specimens, taken at least 24 hours apart, to an appropriate clinical laboratory
				  for bacteriologic examination and those specimens are determined by the
				  laboratory to be negative for Salmonella typhi or Salmonella
				  paratyphi.
(b) A symptomatic
				  household contact of a case of typhoid or paratyphoid fever who prepares or
				  serves food for public consumption, who attends or works in a child care group
				  setting in a capacity which involves contact with children, or who provides
				  direct patient care shall be required to cease work until bacteriologic
				  examination of three consecutive stool specimens, taken at least 24 hours apart
				  and no sooner than 48 hours after any microbial therapy, and no earlier than 1
				  month after onset, are reported as negative.
(c) A chronic carrier of typhoid or
				  paratyphoid fever shall be excluded from preparing or serving food for public
				  consumption, attending or working in a child care group setting in a capacity
				  which involves contact with children, and providing direct patient care, until
				  three consecutive negative fecal cultures are obtained from specimens taken at
				  least 1 month apart and at least 48 hours after antibiotic therapy has
				  stopped.
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); 28 Pa. Code §
												27.153 (relating to restrictions
						on food handlers); 28 Pa. Code §
												27.154 (relating to restrictions
						on caregivers in child care group settings); and 28 Pa. Code §
												27.155 (relating to restrictions
						on health care practitioners).
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 27.160 - Special requirements for measles

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Isolation.
An infected
				  person shall be restricted to the premises for 4 days after the appearance of
				  the rash.
(b)
Quarantine.
Whenever measles is determined to be present in a
				  school or child care group setting population, the Department or a local health
				  department may do the following:
(1)
				  Ascertain which children and staff persons are presumed susceptibles. A
				  presumed susceptible is a person who fits into all of the following categories:
(i) Presents no history of two doses of
				  measles vaccination, separated by at least 1 month, while 12 months of age or
				  older.
(ii) Does not demonstrate
				  serological evidence of measles immunity. The serological evidence is the
				  presence of antibody to measles determined by the hemagglutination inhibition
				  test or a comparable test.
(iii)
				  Was born after December 31, 1956.
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 27.161 - Special requirements for tuberculosis

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Isolation.
A person
				  suspected of having tuberculosis in its communicable stage shall be isolated in
				  the following manner:
(1) Isolation for
				  tuberculosis shall be established at the usual residence of the person
				  suffering from tuberculosis whenever facilities for adequate isolation of the
				  infectious person are available at the residence, if the person will accept the
				  isolation. Isolation of a person treated at a residence shall include
				  instruction in the need to cover the mouth and nose when coughing and sneezing,
				  and careful handling and disposal of sputum.
(2) If isolation for tuberculosis cannot be
				  accomplished or maintained at the usual residence of the person and whenever,
				  in the opinion of the Department or local health authority, the person is a
				  health threat to others, by reason of the person's habits, neglect of treatment
				  or noncompliance with the measures designed to protect others from infection,
				  the isolation shall be enforced by following the procedures in §
											27.87 (relating to refusal to
				  submit to treatment for communicable diseases).
(i) Isolation of a person treated in an
				  appropriate institution shall be in accordance with
CDC Guidelines for
				  Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care
				  Facilities
and any updates thereto as approved by the Board.
(ii) The Department will publish notice in
				  the
Pennsylvania Bulletin
of updates of this publication
				  within 30 days after Board approval is obtained.
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 27.162 - Special requirements for animal bites

Current through Register Vol. 54, No. 28, July 13, 2024
Except as may be otherwise required by the Dog Law
					 (3 P.
					 S. §§
											459-101-459-1205) and
					 regulations promulgated by the Department of Agriculture in 7 Pa. Code Chapters
					 21, 23, 25 and 27 quarantine of a biting animal shall conform to the
					 following:
(1) When an animal bites or
				  otherwise potentially exposes a human to rabies, the Department or local health
				  authority shall, after the case of an animal bite is reported, determine
				  whether the animal shall be immediately destroyed and its head submitted to one
				  of the State or county diagnostic laboratories for a rabies examination or
				  whether some other action shall be pursued.
(2) Notwithstanding paragraph (1), when a
				  healthy dog or cat bites or otherwise potentially exposes a human to rabies,
				  the dog or cat shall be quarantined in a place and manner approved by the
				  Department or the local health officer for 10 days after the date of the bite,
				  unless the Department or local health officer directs otherwise.
(3) If a quarantine is imposed, the
				  Department or the local health officer may order the owner or custodian of a
				  biting animal to have the animal examined for symptoms of rabies during the
				  quarantine period by a veterinarian licensed by the State Board of Veterinary
				  Medicine. The cost of the examinations and other associated costs shall be
				  borne by the owner or custodian of the biting animal.
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 27.163 - Special requirements for psittacosis

Current through Register Vol. 54, No. 28, July 13, 2024
A quarantine is not required for household contacts of a
					 bird that is a carrier of psittacosis. However, parts of any buildings that
					 housed birds infected with psittacosis may not be used by human beings until
					 thoroughly cleaned and disinfected.
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 27.164 - Special requirements for close contacts of cases of plague, pharyngitis or pneumonia

Current through Register Vol. 54, No. 28, July 13, 2024
A close contact of any person or animal that is diagnosed
					 as having plague (Yersinia pestis) pharyngitis, or pneumonia shall be provided
					 chemoprophylaxis and placed under surveillance for 7 days.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › PSITTACOSIS › Section 27.181 - Records of the sale, purchase or exchange of psittacine birds

Current through Register Vol. 54, No. 28, July 13, 2024
A dealer who purchases, sells, exchanges or gives away a
						bird of the psittacine family shall keep a record for 2 years of each
						transaction. This record shall include the number of birds purchased, sold,
						exchanged or given away, the date of the transaction, and the name and address
						of the person from whom purchased, to whom sold or given away, or with whom
						exchanged. Records shall be available for official
						inspection.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › PSITTACOSIS › Section 27.182 - Procurement of birds where psittacosis exists

Current through Register Vol. 54, No. 28, July 13, 2024
No person who sells, exchanges, gives away or otherwise
						disposes of psittacine birds may procure the birds from a source where
						psittacosis is known to exist.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › PSITTACOSIS › Section 27.183 - Occurrence of psittacosis

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 occurrence of a case of psittacosis in the human or avian family shall be cause
					 for the LMRO to make an epidemiologic investigation to determine the source of
					 infection.
(b) Psittacine birds or
					 other birds found on the same premises with a case of human or avian
					 psittacosis shall be quarantined and treated, or destroyed, as prescribed by
					 the Department or local health authority. Aviaries, pet shops or other sources
					 from which the birds were procured shall be quarantined until the quarantine is
					 terminated by the Department or local health authority. If quarantine is not
					 maintained, the Department or local health authority may seize and destroy the
					 birds for which quarantine was ordered. The Department or local health
					 authority shall destroy the bodies of the birds in a manner which will
					 preclude, insofar as possible, the dissemination of the suspected infecting
					 organism.
(c) A bird with
					 psittacosis that has been placed under quarantine may not be sold or removed
					 from isolation until it has been treated for at least 7 days. After 7 days, the
					 bird may be sold, but the seller shall make the buyer aware in writing of the
					 significance of psittacosis and the signs and symptoms for which to look. The
					 signed receipt shall include a copy of any documents provided to the new owner,
					 and shall be maintained at the place of sale for 6 months after the sale of the
					 quarantined bird. The duration of additional treatment necessary shall be
					 established at the time of sale and the seller shall inform the new owner of
					 the duration of the additional treatment. The seller shall supply the new owner
					 with a supply of medicated feed sufficient for the duration of the
					 treatment.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › IMPORTATION OF ANIMALS AND ANIMAL PRODUCTS › Section 27.191 - Importation of animals and animal products during a public health emergency

Current through Register Vol. 54, No. 28, July 13, 2024
In the event of a public health emergency, the Department
						may direct the following procedures for the importation of animals or animal
						products:
(1)
Permit
					 required.
The Department may designate a specific type of animal or
					 animal product which may not be brought or transported into this Commonwealth
					 unless that animal or animal product is accompanied by a permit issued by the
					 Department or other agency authorized by the Department to issue
					 permits.
(2)
Issuance of
					 permits.
A permit will be issued upon request if the source of the
					 animal or animal product is established to the satisfaction of the Department
					 or its agent and that source is known to be free of infection.
(3)
Destruction of animals and animal
					 products.
If the animal or animal product is not accompanied by a
					 permit or if the source is not the same as that set forth in the permit, the
					 animal or animal product shall be immediately seized and destroyed and the
					 means of conveyance disinfected at the expense of the owner.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › IMPORTATION OF ANIMALS AND ANIMAL PRODUCTS › Section 27.192 - Importation and sale of live turtles

Current through Register Vol. 54, No. 28, July 13, 2024
A live turtle may not be sold or distributed or offered
						for sale or distribution within this Commonwealth except when the seller or
						distributor of the turtles shall warrant to the satisfaction of the Department
						that the shipment of turtles is free from salmonella contamination. The
						Department may waive the requirements of this section for live turtles sold or
						distributed within this Commonwealth for the purposes of research, other
						zoological purposes or for food.
The provisions of this §
													27.192 amended under the Disease
						  Prevention and Control Law of 1955 (35 P. S. §§
														521.1-521.21); and the act of March 3, 1972
						  (P. L. 102, No. 37) (35 P. S. §§
														1071-1077).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › DISPOSITION OF EFFECTS AND REMAINS OF INFECTED PERSONS › Section 27.201 - Disposition of articles exposed to contamination

Current through Register Vol. 54, No. 28, July 13, 2024
A person may not give, lend, sell, transmit or expose,
						without previous cleaning and a certificate from the Department or local health
						authority attesting to the cleaning of bedding, clothing, rags or other
						articles which have been exposed to contamination from bubonic plague, smallpox
						(variola, varioloid) or anthrax, except when the transmission of the articles
						is made with proper precaution and with the permission of the Department or
						local health authority for the purpose of having them
						cleaned.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › DISPOSITION OF EFFECTS AND REMAINS OF INFECTED PERSONS › Section 27.202 - Lease of premises occupied by a person with a communicable disease

Current through Register Vol. 54, No. 28, July 13, 2024
A person may not rent a room, house or part of a house in
						which there has been a person suffering from a communicable disease to another
						person without having the room, house or part of a house and articles therein
						previously cleaned to the satisfaction of the Department or local health
						authority prior to occupancy. The keeping of a hotel, boarding house or an
						apartment house shall be deemed as renting part of a house to a person who
						shall be admitted as a guest into the hotel, boarding house or apartment
						house.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › DISPOSITION OF EFFECTS AND REMAINS OF INFECTED PERSONS › Section 27.203 - Preparation for burial or transportation of deceased human bodies

Current through Register Vol. 54, No. 28, July 13, 2024
In the preparation for burial of a body of a person who
						had died of amebiasis, anthrax, cholera, diphtheria, plague, poliomyelitis,
						scarlet fever, shigellosis, smallpox, typhoid fever, paratyphoid fever,
						salmonellosis or other known or suspected communicable diseases, it shall be
						the duty of the undertaker or person acting as such to disinfect thoroughly by
						arterial and cavity injection with approved disinfectant fluid and to wash the
						surface of the body with an efficient germicidal solution and to effectually
						plug the body orifices.
This section cited in 28 Pa. Code §
													125.14 (relating to removal of
						  dead body from patient unit to
						  morgue).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 27 - COMMUNICABLE AND NONCOMMUNICABLE DISEASES › Subchapter F - MISCELLANEOUS PROVISIONS › DISPOSITION OF EFFECTS AND REMAINS OF INFECTED PERSONS › Section 27.204 - Funeral services

Current through Register Vol. 54, No. 28, July 13, 2024
Services held in connection with the funeral of a person
						who has died with a disease for which isolation or quarantine is required,
						shall be private when so ordered by the Department or local health authority
						having jurisdiction in the area in which the services shall be held. When the
						local health authority is not an LMRO, the local health authority shall consult
						with and receive the approval of the Department prior to making the order. The
						attendance at private funerals shall include only the immediate relatives of
						the deceased and the necessary number of pallbearers.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › GENERAL PROVISIONS › Section 28.2 - Newborn diseases listed

Current through Register Vol. 54, No. 28, July 13, 2024
A newborn child born in this Commonwealth shall be screened
					 for the following diseases which may cause mental retardation, physical defects
					 or death if not detected and treated soon after birth:
(1) Congenital adrenal hyperplasia
				  (CAH).
(2) Galactosemia.
(3) Hemoglobin diseases.
(4) Maple syrup urine disease
				  (MSUD).
(5) Phenylketonuria
				  (PKU).
(6) Primary congenital
				  hypothyroidism.
The provisions of this §
												28.2 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 28 Pa. Code §
												28.1 (relating to definitions); 28
						Pa. Code §
												28.11 (relating to informing the
						parent or guardian); 28 Pa. Code §
												28.21 (relating to responsibility
						for collecting and testing initial and repeat specimens); 28 Pa. Code §
												28.22 (relating to timing of
						initial specimen collection by birth centers or hospitals); and 28 Pa. Code
						§
												28.28 (relating to follow-up of
						symptoms consistent with newborn
						diseases).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › GENERAL PROVISIONS › Section 28.5 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A health care
				  provider, testing laboratory, the Department or any other entity involved in
				  the newborn screening program may not release any identifying information
				  relating to any newborn child screened in the newborn screening program to
				  anyone other than a parent or guardian of the newborn child or the health care
				  provider for the newborn child designated by a parent or the guardian except as
				  follows:
(1) As may be necessary to provide
				  services to the newborn child.
(2)
				  With the consent of the newborn child's parent or guardian.
(3) With the child's consent when the child
				  is 18 years of age or older, has graduated from high school, has married or has
				  been pregnant.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › PURPOSE ADMINISTRATION OF TESTS › Section 28.11 - Informing the parent or guardian

Current through Register Vol. 54, No. 28, July 13, 2024
Prior to specimen collection, the health care provider
					 shall provide the pregnant woman, prior to the infant's birth, or the mother or
					 guardian, after the infant's birth, with a pamphlet supplied by the Department
					 to explain the nature of the newborn screening blood tests for the diseases in
					 §
										28.2 (relating to newborn diseases
					 listed).
The provisions of this §
												28.11 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › PURPOSE ADMINISTRATION OF TESTS › Section 28.12 - Religious objections

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
				  health care provider may not collect or cause to be collected, a specimen from
				  a newborn child if the parent or guardian of the newborn child objects on the
				  ground that the specimen collection conflicts with religious beliefs or
				  practices held by the parent or guardian.
(b) If the parent or guardian of the newborn
				  child objects to the collection of the specimen for screening on the ground
				  that the specimen collection conflicts with religious beliefs or practices held
				  by the parent or guardian, the health care provider shall ensure that the
				  recorded objection of the parent or guardian is entered into the medical record
				  of the newborn child. The entry shall include a written statement of the
				  objection signed by the parent or guardian.
The provisions of this §
												28.12 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.21 - Responsibility for collecting and testing initial and repeat specimens

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A birth center
				  or hospital shall collect or cause to be collected from each newborn child
				  delivered in that birth center or hospital, in accordance with instructions for
				  newborn screening specimen collection in subsection (d), the initial and repeat
				  specimens necessary to conduct the tests necessary for the detection of the
				  newborn diseases specified in §
										28.2 (relating to newborn diseases
				  listed).
(b) When a newborn child
				  is delivered other than in a birth center or hospital, the health care
				  practitioner who delivered the newborn child shall collect or cause to be
				  collected from the newborn child, in accordance with instructions for newborn
				  screening specimen collection in subsection (d), the initial and repeat
				  specimens necessary to conduct the tests necessary for the detection of the
				  newborn diseases specified in § 28.2.
(c) The health care provider shall designate
				  a newborn screening coordinator to do the following:
(1) Ensure that a specimen collection form
				  contains correct and complete information.
(2) Ensure that the individual who collected
				  the specimen records that act in the newborn child's medical record.
(3) Send all specimens collected by first
				  class mail to the testing laboratory within 24 hours of collection.
(4) Record the laboratory screening results
				  in the newborn child's medical records.
(5) Check each newborn child's record prior
				  to discharge or release to ensure that a specimen has been collected.
(6) Ensure, in the event of transfer of the
				  newborn child prior to 48 hours of age, that the receiving health care provider
				  has been notified that it has the responsibility to collect the initial
				  specimen.
(7) Assist the Department
				  in follow-up of an abnormal or presumptive abnormal test result.
(8) Follow-up inconclusive test
				  results.
(9) Receive notification
				  from the testing laboratory or from the Department of the need for a repeat
				  specimen.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.22 - Timing of initial specimen collection by birth centers or hospitals

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A birth center
				  or hospital shall collect the initial specimen from each newborn child
				  regardless of feeding history or medical condition, as close to 48 hours of age
				  as possible but not later than 72 hours of age unless the newborn child falls
				  into one of the following categories:
(1)
Transfer.
If the newborn child is transferred to another
				  hospital for continuing care prior to 48 hours of age, the hospital to which
				  the newborn child has been transferred shall collect a specimen from the
				  newborn child, regardless of feeding history or medical condition, as close to
				  48 hours of age as possible but not later than 72 hours of age.
(2)
Exchange transfusion.
If
				  the newborn child is to undergo an exchange transfusion, the birth center or
				  hospital shall collect the initial specimen for testing immediately prior to
				  the exchange transfusion.
(3)
Early discharge.
If the newborn child is discharged from the
				  birth center or hospital before 24 hours of age, the birth center or hospital
				  shall collect the initial specimen from the newborn child as close to the time
				  of discharge as is practicable, regardless of feeding history or medical
				  condition. The birth center or hospital shall give the parent or guardian in
				  whose care and custody the newborn child is discharged written notification of
				  the need for a repeat specimen and shall also provide instructions to the
				  parent or guardian for obtaining a repeat specimen from the newborn child as
				  described in §
											28.26 (relating to timing of
				  repeat specimen collection).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.23 - Timing of initial specimen collection by health care practitioners

Current through Register Vol. 54, No. 28, July 13, 2024
A health care practitioner who delivers a newborn child
					 other than in a birth center or hospital shall collect or cause to be collected
					 the initial specimen from the newborn child, regardless of feeding history or
					 medical condition, as close to 48 hours as possible but not later than 72 hours
					 of age.
The provisions of this §
												28.23 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 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 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.24 - Normal test results

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Within
				  7-calendar days following the day when the testing laboratory obtains the
				  normal test results, the testing laboratory shall send those results to the
				  health care provider that collected the specimen from the newborn
				  child.
(b) The health care provider
				  to whom the normal test results are reported shall record the test results in
				  the medical record of the newborn child.
The provisions of this §
												28.24 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 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 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.25 - Circumstances requiring repeat specimens

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The health care provider responsible for
				  collecting the initial specimen shall collect or cause to be collected and
				  submit for testing a repeat specimen if the initial specimen collected is
				  either of the following:
(1) Unacceptable for
				  testing.
(2) Yields an inconclusive
				  screening test result.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.26 - Timing of repeat specimen collection

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  When the newborn child has been discharged from a birth center or hospital
				  before 24 hours of age, the birth center or hospital shall collect or cause to
				  be collected a repeat specimen from the newborn child, regardless of feeding
				  history or medical condition, as close to 48 hours of age as possible but not
				  later than 72 hours of age.
(b)
				  When the initial specimen is unacceptable or when the initial specimen yields
				  an inconclusive screening test result, the Department or testing laboratory
				  will notify the health care provider that collected the initial specimen.
				  Within 72 hours of receipt of notice from the Department or testing laboratory,
				  the health care provider that collected the initial specimen shall collect or
				  cause to be collected from the newborn child a repeat specimen.
(c) If the health care provider cannot locate
				  a parent or guardian of the newborn child within 4 days of notification of need
				  for a repeat specimen, the health care provider shall contact the Department
				  for consultation regarding additional means for locating a parent or
				  guardian.
The provisions of this §
												28.26 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 28 Pa. Code §
												28.22 (relating to timing of
						initial specimen collection and handling in health care facilities); 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 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.27 - Abnormal screening test results

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When testing of the initial or repeat
				  specimen yields an abnormal screening test result, the Department will notify
				  the health care provider that collected the specimen. The health care provider
				  shall promptly notify a parent or guardian of the newborn child.
(b) If the health care provider cannot locate
				  the newborn child's parent or guardian within 48 hours of receiving notice from
				  the Department, the health care provider shall contact the Department for
				  consultation regarding additional means for locating a parent or
				  guardian.
(c) The Department will
				  assist the health care provider with and make available confirmatory
				  testing.
(d) If the result of the
				  confirmatory test is abnormal, the Department will assist with referral for
				  diagnosis, treatment, and other follow-up services for the newborn child
				  through designated treatment centers or clinical specialists.
The provisions of this §
												28.27 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 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 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › SPECIMEN COLLECTION AND FOLLOW-UP › Section 28.28 - Follow-up of symptoms consistent with newborn diseases

Current through Register Vol. 54, No. 28, July 13, 2024
When a sick child exhibits symptoms suggestive of a newborn
					 disease listed in §
										28.2 (relating to newborn diseases
					 listed) and has not already been determined to have one of those newborn
					 diseases, the health care provider to whom care of the sick child has been
					 entrusted by the parent or guardian shall collect and submit a blood specimen
					 for newborn disease testing in accordance with standard diagnostic
					 procedures.
The provisions of this §
												28.28 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 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 28 - SCREENING AND FOLLOW-UP FOR DISEASES OF THE NEWBORN › RECORDS › Section 28.41 - Recordkeeping requirements

Current through Register Vol. 54, No. 28, July 13, 2024
A health care provider offering maternity and newborn
					 services shall collect and forward data semiannually to the Department on the
					 number of patients for whom specimens for newborn disease testing have been
					 collected and the number of patients for whom the specimens have not been
					 collected, together with the reason in each instance for the failure to
					 collect.
The provisions of this §
												28.41 amended under section 16(a)
						of the Disease Control and Prevention Act of 1955 (35 P. S. §
													521.16(a)); sections 2102(g)
						and 2111(b) of The Administrative Code of 1929 (71 P. S. §§
													532(g) and
						541(b)); and sections 3 and 5
						of the Newborn Child Testing Act (35 P. S. §§
													623 and
						625).
This section cited in 28 Pa. Code §
												501.3 (relating to reports/contact
						person).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 29 - MISCELLANEOUS HEALTH PROVISIONS › Subchapter A - CONFIDENTIAL INFORMATION IN THE ADMINISTRATION OF MATERNAL AND CHILD HEALTH › Section 29.1 - Material considered confidential

Current through Register Vol. 54, No. 28, July 13, 2024
Except as otherwise provided in this subchapter,
					 information as to personal facts and circumstances obtained in connection with
					 the administration of maternal and child health and programs for crippled
					 children, including child health centers, maternity clinics and clinics for
					 crippled children conducted by the Department of Health shall be held
					 confidential and be considered privileged communications, and may not be
					 divulged without the consent of the individual or parent, except as may be
					 necessary to provide services to individual mothers and
					 children.
This section cited in 28 Pa. Code §
												29.2 (relating to release of
						material considered confidential).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 29 - MISCELLANEOUS HEALTH PROVISIONS › Subchapter A - CONFIDENTIAL INFORMATION IN THE ADMINISTRATION OF MATERNAL AND CHILD HEALTH › Section 29.2 - Release of material considered confidential

Current through Register Vol. 54, No. 28, July 13, 2024
Section
					 29.1 (relating to material
					 considered confidential) may not be construed to prohibit the following:
(1) Disclosure of confidential information in
				  summary, statistical or other forms which do not identify
				  individuals.
(2) Disclosure of
				  confidential information to other agencies or persons, public or private, which
				  are providing to individual mothers and children, needed services which are not
				  available through Commonwealth programs, if in any such disclosure only
				  information shall be released that is necessary to achieve the specific
				  purposes for which the disclosure is authorized and the standards of protection
				  established by the other agencies or persons to which the confidential
				  information is made available are equal to those established by the
				  Department.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 29 - MISCELLANEOUS HEALTH PROVISIONS › Subchapter A - CONFIDENTIAL INFORMATION IN THE ADMINISTRATION OF MATERNAL AND CHILD HEALTH › Section 29.3 - Maintenance of confidential records

Current through Register Vol. 54, No. 28, July 13, 2024
Records and information made confidential shall be the
					 property of the Department. The Department will establish procedures to insure
					 the following:
(1) Information
				  procured by or made available to the Department staff, both professional and
				  clerical, shall be used by such personnel only in accordance with this
				  subchapter.
(2) Employes of the
				  Department and all other persons dealing with this agency in connection with
				  these programs shall be informed of the policy concerning confidential
				  information.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 29 - MISCELLANEOUS HEALTH PROVISIONS › Subchapter C - TESTING OF BLOOD SPECIMENS TAKEN FROM DEAD BODIES › Section 29.21 - Collection of blood specimens

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
				  coroner, deputy coroner, medical examiner, deputy medical examiner or his
				  authorized agent shall collect or cause to be collected a specimen of blood
				  from the body of an operator of a motor vehicle, or the body of a pedestrian
				  over 16 years of age, who dies within 4 hours following a motor vehicle
				  accident.
(b) Specimens shall be
				  collected in the following manner and subject to the following conditions:
(1) Blood specimens shall be collected with
				  equipment prescribed by the Department of Health.
(2) At least 10 milliliters of blood shall be
				  taken from the heart, whenever possible. Otherwise, 10 milliliters of blood
				  shall be taken from the femoral vein or other large blood vessel. Specimens
				  shall be taken as soon as possible after death, and before the body is
				  embalmed.
(3) Blood specimens may
				  not be taken with embalming equipment. Alcohol or alcoholic antiseptics may not
				  be used in a manner which may contaminate the specimen.