reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › AGENCY DESCRIPTION › Chapter 246-90 - Local board of health membership › Section 246-90-035 - Local boards of health-Nonelected members-Exceptions

Current through Register Vol. 24-14, July 15, 2024
In accordance with
				  RCW
				     70.05.030,
				  70.05.035,
				  70.46.020,
				  and
				  70.46.031,
				  the following exceptions apply to this chapter:
(1) For counties with a home rule charter,
				counties without a home rule charter, health districts consisting of two or
				more counties, and health districts consisting of one county, a local board of
				health comprised solely of elected officials may retain its composition if the
				local health jurisdiction had a public health advisory committee or board with
				its own bylaws established on January 1, 2021.
By January 1, 2022, the public health advisory committee or
				  board must have met the requirements established in RCW    70.46.140 for community
				  health advisory boards.
(2)
				For local boards of health made up of three counties east of the Cascade
				mountains:
(a) If a local board of health is
				comprised solely of elected officials, it may retain its current composition if
				the local health jurisdiction has a public health advisory committee or board
				that meets the requirements established in RCW    70.46.140 for community health
				advisory boards by July 1, 2022.
(b) If the local board of health does not
				establish the required community health advisory board by July 1, 2022, it must
				comply with the requirements of this chapter.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-006 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The following rules and regulations are adopted under the
				  authority of
				  chapter
				  43.20 RCW to protect the
				  health and well-being of the public by controlling communicable and certain
				  other diseases.
Statutory Authority:
					 RCW
					 43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-100-006, filed 12/27/90, effective 1/31/91; 87-11-047 (Order
					 302), § 248-100-006, filed
					 5/19/87.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-021 - Responsibilities and duties-Health care providers

Current through Register Vol. 24-14, July 15, 2024
Every health care provider, as defined in chapter 246-100
				  WAC, shall:
(1) Provide adequate,
				culturally and linguistically appropriate, and understandable instruction in
				control measures designed to prevent the spread of disease to:
(a) Each patient with a communicable disease
				under their care; and
(b) Others as
				appropriate to prevent spread of disease.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-036 - Responsibilities and duties-Local health officers

Current through Register Vol. 24-14, July 15, 2024
(1) The local health officer shall establish,
				in consultation with local health care providers, health facilities, emergency
				management personnel, law enforcement agencies, and any other entity they deem
				necessary, plans, policies, and procedures for instituting emergency measures
				necessary to prevent the spread of communicable disease or
				contamination.
(2) Local health
				officers shall:
(a) Notify health care
				providers within the local health jurisdiction regarding requirements in this
				chapter;
(b) Ensure anonymous HIV
				testing is reasonably available;
(c) Make HIV testing, as defined in this
				chapter, available for voluntary, mandatory, and anonymous testing;
(d) Make information on anonymous HIV testing
				available;
(e) Use identifying
				information on persons diagnosed with HIV provided according to chapter 246-101
				WAC only:
(i) For purposes of contacting the
				person diagnosed with HIV to provide test results; or
(ii) To contact persons who may have
				experienced exposure, including persons identified as sex or injection
				equipment-sharing partners and spouses; or
(iii) To link with other name-based public
				health disease registries when doing so will improve ability to provide needed
				social and health care services and disease prevention, if the identity or
				identifying information of the persons living with HIV is not disclosed outside
				of the local health jurisdiction.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-040 - Procedures for isolation or quarantine

Current through Register Vol. 24-14, July 15, 2024
(1) At his or her sole discretion, a local
				health officer may issue an emergency detention order causing a person or group
				of persons to be immediately detained for purposes of isolation or quarantine
				in accordance with subsection (3) of this section, or may petition the superior
				court
ex parte
for an order to take the person or group of
				persons into involuntary detention for purposes of isolation or quarantine in
				accordance with subsection (4) of this section, provided that he or she:
(a) Has first made reasonable efforts, which
				shall be documented, to obtain voluntary compliance with requests for medical
				examination, testing, treatment, counseling, vaccination, decontamination of
				persons or animals, isolation, quarantine, and inspection and closure of
				facilities, or has determined in his or her professional judgment that seeking
				voluntary compliance would create a risk of serious harm; and
(b) Has reason to believe that the person or
				group of persons is, or is suspected to be, infected with, exposed to, or
				contaminated with a communicable disease or chemical, biological, or
				radiological agent that could spread to or contaminate others if remedial
				action is not taken; and
(c) Has
				reason to believe that the person or group of persons would pose a serious and
				imminent risk to the health and safety of others if not detained for purposes
				of isolation or quarantine.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-050 - Isolation or quarantine premises

Current through Register Vol. 24-14, July 15, 2024
(1) Entry into isolation or quarantine
				premises shall be restricted under the following conditions:
(a) The local health officer may authorize
				physicians, health care workers, or others access to individuals in isolation
				or quarantine pursuant to WAC
				246-100-040 as necessary to meet
				the needs of isolated or quarantined individuals;
(b) No person, other than a person authorized
				by the local health officer, shall enter isolation or quarantine
				premises;
(c) Any person entering
				isolation or quarantine premises shall be provided with infection control
				training and may be required to wear personal protective equipment or receive
				vaccination as appropriate;
(d) Any
				person entering isolation or quarantine premises with or without authorization
				of the local health officer may be isolated or quarantined.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-055 - Relief from isolation or quarantine

Current through Register Vol. 24-14, July 15, 2024
Any person or group of persons isolated or quarantined
				  pursuant to this chapter may seek relief from the superior court.
(1) Any person or group of persons detained
				by order of a local health officer pursuant to WAC
				246-100-040(3) may apply to the court for an order to show cause why the individual or group
				should not be released.
(a) The court shall
				rule on the application to show cause within forty-eight hours of its
				filing.
(b) If the court grants the
				application, the court shall schedule a hearing on the order to show cause as
				soon as practicable.
(c) The
				issuance of an order to show cause shall not stay or enjoin an isolation or
				quarantine order.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-060 - Right to counsel

Current through Register Vol. 24-14, July 15, 2024
A person or group of persons isolated or quarantined pursuant
				  to WAC 246-100-040 has a right to be
				  represented by counsel if they so elect. If such person or group requests
				  counsel and cannot afford counsel, the court shall appoint counsel consistent
				  with the provisions of chapter 10.101 RCW. The local health officer must
				  provide adequate means of communication between such persons or groups and
				  their counsel.
Statutory Authority:
					 RCW
					 43.20.050(2)(d),
					 70.05.050, and
					 70.05.060. 03-05-048, §
					 246-100-060, filed 2/13/03, effective
					 2/13/03.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-065 - Consolidation

Current through Register Vol. 24-14, July 15, 2024
In any proceedings brought pursuant to this chapter, to
				  promote the fair and efficient operation of justice and having given due regard
				  to the rights of affected persons, the severity of the threat to the public's
				  health, and the availability of necessary witnesses and evidence, the court may
				  order the consolidation of individual claims into group claims where:
(1) The number of individuals involved or to
				be affected is so large as to render individual participation
				impractical;
(2) There are
				questions of law or fact common to the individual claims or rights to be
				determined;
(3) The group claims or
				rights to be determined are typical of the affected persons' claims or rights;
				and
(4) The entire group will be
				adequately represented in the consolidation.
Statutory Authority:
					 RCW
					 43.20.050(2)(d),
					 70.05.050, and
					 70.05.060. 03-05-048, §
					 246-100-065, filed 2/13/03, effective
					 2/13/03.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-070 - Enforcement of local health officer orders

Current through Register Vol. 24-14, July 15, 2024
(1) An order issued by a local health officer
				in accordance with this chapter shall constitute the duly authorized
				application of lawful rules adopted by the board and must be enforced by all
				police officers, sheriffs, constables, and all other officers and employees of
				any political subdivisions within the jurisdiction of the health department in
				accordance with
				RCW
				   43.20.050.
(2) Any person who violates any of the
				provisions of this chapter or any lawful rule adopted by the board is deemed
				guilty of a misdemeanor punishable under
				RCW
				   70.05.120.
(3) Any person who fails or refuses to obey
				any lawful order issued by any local health officer is deemed guilty of a
				misdemeanor punishable under
				RCW
				   70.05.120.
(4) Any person who violates or fails to
				comply with a health order issued under
				RCW
				   70.24.024 to a person with a sexually
				transmitted disease who is engaging in behaviors endangering the public health
				is guilty of a gross misdemeanor as described in RCW    70.24.025.
Statutory Authority:
					 RCW
					    43.20.050(2)(d),
					 70.05.050, and
					 70.05.060. 03-05-048, §
					 246-100-070, filed 2/13/03, effective
					 2/13/03.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-072 - Rules for notification of partners at risk of human immunodeficiency virus (HIV)

Current through Register Vol. 24-14, July 15, 2024
(1) A local
				health officer or authorized representative shall:
(a) Within three working days of receipt of a
				report of a previously unreported case of HIV infection, attempt to contact or
				obtain information from the principal health care provider to:
(i) Seek input on the best means of
				conducting a case investigation including partner notification; and
(ii) If appropriate, request that the
				provider contact the person living with HIV as required in subsection (2) of
				this section.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-186 - Special settings - Health care facilities

Current through Register Vol. 24-14, July 15, 2024
Health care facilities shall:
(1) Adopt written policy and procedures
				restricting work of employees, staff, students, and volunteers diagnosed to
				have a communicable disease from direct contact with patients, residents, and
				recipients of care during the period of communicability when:
(a) Transmission of the disease to recipients
				of care or other employees can occur in that particular job environment,
				and
(b) The disease can cause
				serious illness.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-191 - Animals - General measures to prevent human disease

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of this rule is to protect
				the public from acquiring diseases transmissible by animals and animal
				products.
(2) The definitions in
				this subsection apply throughout this section unless the context clearly
				requires otherwise:
(a) "Carapace" means a
				hard bony outer covering, such as the fused dorsal plates of a
				turtle.
(b) "Immunocompromised"
				means having the immune system impaired or weakened as by drugs or
				illness.
(c) "Person" means any
				individual, corporation, company, association, society, firm, partnership,
				joint stock company, or governmental agency; or the authorized agents of these
				entities.
(d) "Poultry" means
				chickens, ducks, turkeys, and other domestic farm birds.
(e) "Turtles" means all animals commonly
				known as turtles, tortoises, terrapins, and all other animals of the order
				Testudinata, class Reptilia, except marine species in the families
				Dermachelidae and Chelonidae.
(f)
				"Vendor" means a person selling, trading, or transferring an animal to another
				person as a commercial activity.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-192 - Animals in public settings - Measures to prevent human disease

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of
				this rule is to protect the public from diseases transmitted to humans from
				animals in public settings.
(2) The
				definitions in this subsection apply throughout this section unless the context
				clearly requires otherwise:
(a) "Animal
				exhibitor" means a person with a valid class C certification as an exhibitor
				under the Animal Welfare Act, 7 U.S.C. 2131 -
				2159.
(b) "Animal venue operator" means a person
				furnishing a setting where public contact with animals is encouraged such as a
				petting zoo, county fair, or horse or pony rides.
(c) "Immunocompromised" means having the
				immune system impaired or weakened as by drugs or illness.
(d) "Person" means any individual,
				corporation, company, association, society, firm, partnership, joint stock
				company, or governmental agency; or the authorized agents of these
				entities.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-201 - Psittacosis - Measures to prevent human disease

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of this rule is to protect
				the public from psittacosis.
(2)
				The definitions in this subsection apply throughout this section unless the
				context clearly requires otherwise:
(a) "Avian
				chlamydiosis" means a bacterial infection of birds caused by
Chlamydophila psittaci
;
(b) "Person" means any individual,
				corporation, company, association, society, firm, partnership, joint stock
				company, or governmental agency; or the authorized agents of these
				entities;
(c) "Psittacine bird"
				means all birds commonly known as parrots, macaws, cockatoos, cockatiels,
				lovebirds, parakeets, and all other birds of the order
				Psittaciformes.
(d) "Psittacosis"
				means a bacterial infection of humans caused by
Chlamydophila
				psittaci
.
(e) "Vendor"
				means a person selling, trading, or transferring a bird to another person as a
				commercial activity.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-202 - Sexually transmitted infections-Duties and authorities

Current through Register Vol. 24-14, July 15, 2024
(1) Health care providers shall:
(a) Report each case of notifiable sexually
				transmitted infection as required in chapter 246-101 WAC;
(b) At each medical encounter, when providing
				treatment for an infectious sexually transmitted infection, provide education,
				appropriate to each patient regarding:
(i)
				Communicability of the disease;
(ii) Activities that may transmit the disease
				to another; and
(iii) Prevention
				methods, including practical means to prevent transmission;
(c) Ensure completion of a
				prenatal serologic test for syphilis in each pregnant woman pursuant to
				RCW
				   70.24.090 including:
(i) Submitting a blood sample for syphilis to
				a laboratory approved to perform prenatal serologic tests for syphilis, as
				required in
				RCW
				   70.24.090, at the time of the first prenatal
				visit; and
(ii) Deciding whether or
				not to omit the serologic test for syphilis if the test was performed elsewhere
				during the current pregnancy;
(d) When diagnosing or caring for a patient
				with gonococcal or chlamydial ophthalmia neonatorum, report the case to the
				local health officer or local health jurisdiction in accordance with the
				provisions of chapter 246-101 WAC; and
(e) Instill a prophylactic ophthalmic agent
				into both eyes of the newborn as prophylaxis against ophthalmia neonatorum up
				to two hours after the delivery, whether the delivery occurred vaginally or by
				cesarean section. Acceptable ophthalmic prophylactic agents are application of
				erythromycin consistent with the "
Sexually Transmitted Diseases
				Treatment Guidelines
" as published by the Centers for Disease Control
				and Prevention, 2015. In the event the U.S. Food and Drug Administration
				declares a shortage of this prophylactic ophthalmic agent, health care
				providers may substitute alternative prophylactic ophthalmic agents recommended
				by the Centers for Disease Control and Prevention. If the newborn's pa-rent(s)
				or legal guardian refuses this procedure, the health care provider will
				document the refusal in the newborn's medical record.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-203 - Sexually transmitted infections-Health officer orders

Current through Register Vol. 24-14, July 15, 2024
(1) When a state or local health officer
				within their jurisdiction, concludes an investigation and determines that a
				person has an STI, their behavior occurred during an infectious period and was
				sufficient to transmit infection, and continues to engage in specified behavior
				that endangers the public health despite reasonable efforts to obtain the
				person's voluntary cooperation, the state or local health officer may, in
				accordance with
				RCW
				   70.24.024, issue orders requiring a person to
				do one or more of the following:
(a) Submit to
				medical examination or testing;
(b)
				Receive counseling;
(c) Receive
				medical treatment; or
(d) Cease and
				desist specific behavior endangering the public health.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-2031 - Sexually transmitted infections-Orders and standards for detainment

Current through Register Vol. 24-14, July 15, 2024
(1) When the
				requirements in
				RCW
				   70.24.024 have been exhausted, and the state
				or local public health officer, within their respective jurisdiction, knows or
				has reason to believe, because of medical information, that a person has a
				sexually transmitted disease and that the person continues to engage in
				behaviors that present an imminent danger to the public health, a state or
				local health officer within their jurisdiction may, in accordance with
				RCW
				   70.24.034, bring an action in superior court
				to detain a person, who continues to engage in behaviors that present an
				imminent danger to the public health, in a designated facility.
(2) For the purposes of detention in
				accordance with
				RCW
				   70.24.034 and this section, "behaviors that
				present an imminent danger to public health" or "BPID" means the following
				activities, under conditions specified below, performed by a person with a
				laboratory-confirmed infectious HIV infection:
(a) Anal or vaginal intercourse without a
				latex or plastic condom; or
(b)
				Shared use of injection equipment that contains blood;
(c) Donating or selling blood, blood
				products, or semen; and
(d)
				Activities described in (a) and (b) of this subsection constitute BPID only if
				the person with a laboratory-confirmed HIV infection is infectious and did not
				inform the persons with whom the activities occurred of their infectious
				status.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-204 - Absence of HIV or hepatitis C as an occupational qualification

Current through Register Vol. 24-14, July 15, 2024
For the purpose of
				  RCW
				     49.60.172 concerning the absence of HIV or
				  hepatitis C infection as a bona fide occupational qualification only,
				  "significant risk" means a job qualification which requires person-to-person
				  contact likely to result in direct introduction of blood into a mucous membrane
				  when:
(1) No adequate barrier
				protection is practical; and
(2)
				Determined only on case-by-case basis consistent with
				RCW
				   49.60.180.
Statutory Authority:
					 RCW
					    70.24.130 and
					 70.24.380. 05-11-110, §
					 246-100-204, filed 5/18/05, effective
					 6/18/05.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-205 - Blood-borne pathogen exposure-Occupation settings other than jail and corrections settings

Current through Register Vol. 24-14, July 15, 2024
A person who has experienced an exposure to another person's
				  bodily fluids in a manner that presents a possible risk of transmission of
				  blood-borne pathogens, and who is exposed while engaged in a category of
				  employment determined to be at risk of substantial exposure to blood-borne
				  pathogens, may ask a state or local health officer to order testing for
				  blood-borne pathogens of the person who was the source of the bodily fluids in
				  accordance with
				  RCW
				     70.24.340.
(1) Substantial exposure that presents a
				possible risk of transmission, and is therefore substantial, is limited to:
(a) A physical assault upon the exposed
				person involving blood, semen, or vaginal fluid;
(b) Intentional, unauthorized, nonconsensual
				use of needles or sharp implements to inject or mutilate the exposed person;
				or
(c) An accidental parenteral or
				mucous membrane or nonintact skin exposure to blood, semen, or vaginal
				fluids.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-2061 - Blood-borne pathogen exposure-Department of corrections facilities

Current through Register Vol. 24-14, July 15, 2024
(1) For purposes of
				RCW
				   70.24.370, an exposure that presents a
				"possible risk of transmission of a blood-borne pathogen" means one or more of
				the activities identified in Column A of Table 2 resulting in one or more of
				the outcomes identified in Column B of Table 2.
TABLE 2. "Possible Risk of Transmission of a
				  Blood-borne Pathogen" -One or more of the activities in Column A resulting in
				  one or more of the outcomes in Column B
COLUMN A. Activities
COLUMN B. Outcomes
* Anal, oral, or vaginal intercourse without a latex
							 or plastic condom, excluding conjugal visits; or
* Physical assault; or
* Sharing of injection equipment or sharp implements;
							 or
* Throwing or smearing of blood, semen, or vaginal
							 fluid
* Introduction of blood, semen, or vaginal fluids, or
							 some combination of these, into a mucous membrane; or
* A needle puncture or penetrating wound resulting in
							 exposure to blood, semen, or vaginal fluids, or some combination of
							 these
(2)
				The chief medical officer of the department of corrections may order
				blood-borne pathogen testing for a detainee in accordance with
				RCW
				   70.24.370, if the chief medical officer or
				their designee determines that the inmate's behavior exposed the staff, general
				public, or other inmates and that exposure presents a possible risk of
				transmitting a blood-borne pathogen as defined in subsection (1) of this
				section.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-207 - Blood-borne pathogen testing-Ordering-Laboratory screening-Interpretation-Reporting

Current through Register Vol. 24-14, July 15, 2024
(1) Except for persons ordering or
				prescribing a blood-borne pathogen test for another person under subsections
				(3) and (4) of this section, any person ordering or prescribing a blood-borne
				pathogen test for another person if the test is positive for or suggestive of
				blood-borne pathogen infection, shall follow the provisions of chapter 246-101
				WAC.
(2) The local and state health
				officer or authorized representative shall periodically make efforts to inform
				providers in their respective jurisdiction about the September 2006 Centers for
				Disease Control and Prevention "
Revised Recommendations for HIV Testing
				of Adults, Adolescents, and Pregnant Women in Healthcare
				Settings
."
(3) Any person
				authorized to order or prescribe an HIV test for another person may offer
				anonymous HIV testing without restriction.
(4) Blood banks, tissue banks, and others
				collecting or processing blood, sperm, tissues, or organs for
				transfusion/transplanting shall:
(a) Explain
				that donations are tested to ensure safety of the blood supply, tissue, or
				organ bank donations;
(b) At the
				time of notification regarding a positive blood-borne pathogen test, provide or
				ensure at least one individual counseling session; and
(c) Inform the person that the name of the
				person testing positive for a blood-borne pathogen will be confidentially
				reported to the state or local health officer.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-208

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					    70.24.130. 10-01-082, § 246-100-208,
					 filed 12/15/09, effective 1/15/10. Statutory Authority:
					 RCW
					    70.24.130 and
					 70.24.380. 05-11-110, §
					 246-100-208, filed 5/18/05, effective 6/18/05. Statutory Authority:
					 RCW
					    70.24.380. 02-12-106, § 246-100-208,
					 filed 6/5/02, effective 7/6/02. Statutory Authority:
					 RCW
					    70.24.125 and
					 70.24.130. 99-17-077, §
					 246-100-208, filed 8/13/99, effective 9/1/99. Statutory Authority:
					 RCW
					    43.20.050 and
					 70.24.130. 92-02-019 (Order 225B),
					 § 246-100-208, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					    43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-100-208, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 Chapter
					 70.24 RCW. 88-17-058
					 (Order 318), § 248-100-208, filed
					 8/17/88.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-209

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					    70.24.130. 10-01-082, § 246-100-209,
					 filed 12/15/09, effective 1/15/10. Statutory Authority:
					 RCW
					    70.24.130 and
					 70.24.380. 05-11-110, §
					 246-100-209, filed 5/18/05, effective 6/18/05. Statutory Authority:
					 RCW
					    70.24.125 and
					 70.24.130. 99-17-077, §
					 246-100-209, filed 8/13/99, effective 9/1/99. Statutory Authority:
					 RCW
					    70.24.022, [70.24].340 and
					 Public Law
					 104-146. 97-15-099, § 246-100-209, filed
					 7/21/97, effective 7/21/97. Statutory Authority:
					 RCW
					    43.20.050 and
					 70.24.130. 92-02-019 (Order 225B),
					 § 246-100-209, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					    43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-100-209, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 Chapter
					 70.24 RCW. 89-02-008
					 (Order 324), § 248-100-209, filed 12/27/88; 88-17-058 (Order 318), §
					 248-100-209, filed 8/17/88.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-100 - Communicable and certain other diseases › Section 246-100-211 - Tuberculosis

Current through Register Vol. 24-14, July 15, 2024
(1) Health care
				providers diagnosing or caring for a person with tuberculosis, whether
				pulmonary or nonpulmonary, shall:
(a) Report
				the case to the local health officer or local health jurisdiction in accordance
				with the provisions of this chapter, and
(b) Report patient status to the local health
				officer every three months or as requested.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part I - GENERAL PROVISIONS › Section 246-101-005 - Purpose and scope

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose
				  of this chapter is to provide critical information to public health authorities
				  to aid them in protecting and improving the public's health through prevention
				  and control of infectious and noninfectious conditions. Public health
				  authorities use the information gathered under this chapter to take appropriate
				  action including, but not limited to:
(a)
				  Treating ill persons;
(b) Providing
				  preventive therapies for individuals who came into contact with infectious
				  agents;
(c) Investigating and
				  halting outbreaks;
(d) Removing
				  harmful health exposures from the environment;
(e) Assessing broader health-related
				  patterns, including historical trends, geographic clustering, and risk factors;
				  and
(f) Redirecting program
				  activities and developing policies based on broader health-related
				  patterns.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part I - GENERAL PROVISIONS › Section 246-101-011 - Reporting of patient ethnicity, race, and preferred language information

Current through Register Vol. 24-14, July 15, 2024
(1) Health care
				  providers and health care facilities shall include the patient's ethnicity as
				  defined in subsection (4) of this section, the patient's race as defined in
				  subsection (5) of this section, and the patient's preferred language as defined
				  in subsection (6) of this section when:
(a)
				  Ordering a laboratory test for a notifiable condition under WAC
				  246-101-105(6)(a);
				  and
(b) Submitting a case report
				  under WAC
				  246-101-115.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part I - GENERAL PROVISIONS › Section 246-101-015 - Requests for additional information or provisional notification and submission of specimen

Current through Register Vol. 24-14, July 15, 2024
(1) For
				  notifiable conditions in this chapter, the state health officer may request
				  additional data components to be submitted with each case report, laboratory
				  report, specimen submittal, investigation report, outbreak report, or animal
				  case report; submission of additional laboratory test results; and submission
				  of additional specimens.
(2) For a
				  condition the state health officer determines should be provisionally reported,
				  the state health officer may request submission of case reports, laboratory
				  reports, investigation reports, outbreak reports, and animal case reports; and
				  submission of specimens.
(3) The
				  state health officer may request information under subsection (1) or (2) of
				  this section when they:
(a) Determine
				  additional information in case reports, laboratory reports, specimen
				  submittals, investigation reports, outbreak reports, or animal case reports, or
				  additional submission of specimens for a notifiable condition is needed in
				  order to properly prevent and control the condition; or
(b) Determine that provisional submission of
				  case reports, laboratory reports, investigation reports, outbreak reports,
				  animal case reports, or specimens for a condition other than a notifiable
				  condition is likely to contribute to understanding the condition, provide
				  information necessary to prevent and control the condition, and improve public
				  health.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part II - NOTIFIABLE CONDITIONS-HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES › Section 246-101-101 - Notifiable conditions-Health care providers and health care facilities

Current through Register Vol. 24-14, July 15, 2024
(1) For the
				  purposes of this section:
(a) "Local health
				  jurisdiction" means where the patient resides, or, in the event the patient's
				  residence cannot be determined, the local health jurisdiction in which the
				  patient received treatment.
(b)
				  "Unexplained critical illness or death" means a severe illness or death with
				  infectious hallmarks, but no known etiology, in a previously healthy person one
				  to forty-nine years of age excluding those with chronic medical conditions such
				  as malignancy, diabetes, AIDS, or cirrhosis.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part II - NOTIFIABLE CONDITIONS-HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES › Section 246-101-105 - Duties-Health care providers and health care facilities

Current through Register Vol. 24-14, July 15, 2024
(1) Unless a health care facility has assumed
				  the notification duties of the principal health care provider under subsection
				  (4) of this section, the principal health care provider shall submit case
				  reports:
(a) To the required public health
				  authority under Table HC-1 of WAC
				  246-101-101
				  and the requirements of WAC
				  246-101-110
				  and
				  246-101-115,
				  and this section;
(b) To the local
				  health jurisdiction as required by the local health officer within that health
				  officer's jurisdiction under WAC
				  246-101-505(4)(d).
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part II - NOTIFIABLE CONDITIONS-HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES › Section 246-101-110 - Means of notification-Health care providers and health care facilities

Current through Register Vol. 24-14, July 15, 2024
Health care providers and health care facilities
					 shall:
(1) Submit a case report for
				  each case under Table HC-1 of WAC
				  246-101-101,
				  246-101-115,
				  and this section by secure electronic data transmission;
(2) Submit a case report to the department
				  instead of the local health jurisdiction when:
(a) The local health jurisdiction is closed
				  or representatives of the local health jurisdiction are unavailable:
(i) For immediately notifiable conditions;
				  or
(ii) At the time an outbreak or
				  suspected outbreak of a communicable disease occurs.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part II - NOTIFIABLE CONDITIONS-HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES › Section 246-101-115 - Content of case reports-Health care providers and health care facilities

Current through Register Vol. 24-14, July 15, 2024
(1) health care
				  providers and health care facilities shall provide the following information in
				  each case report:
(a) Patient 's first and
				  last name;
(b) Patient 's physical
				  address including zip code;
(c)
				  Patient 's date of birth;
(d)
				  Patient 's sex;
(e) Patient's
				  ethnicity, as required in WAC 246-101-011(4);
(f) Patient's race, as required in WAC
				  246-101-011(5);
(g) Patient's
				  preferred language, as required in WAC 246-101-011(6);
(h) For hepatitis B acute or chronic
				  infection case reports, pregnancy status (pregnant/not pregnant/unknown) of
				  patients twelve to fifty years of age;
(i) Patient's best contact telephone
				  number;
(j) Name of the principal
				  health care provider;
(k) Telephone
				  number of the principal health care provider;
(l) Address where patient received
				  care;
(m) Name of the person
				  providing the report;
(n) Telephone
				  number of the person providing the report;
(o) Diagnosis or suspected diagnosis of the
				  condition; and
(p) Pertinent
				  laboratory results, if avail-able.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part II - NOTIFIABLE CONDITIONS-HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES › Section 246-101-120 - Handling confidential information-Health care providers and health care facilities

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Health care providers, health care facilities, and health care facility
				  personnel shall maintain the confidentiality of patient health care information
				  consistent with chapter 70.02 RCW and any other applicable confidentiality
				  laws.
(2) Health care providers and
				  health care facilities shall:
(a) Establish
				  and implement policies and procedures to maintain confidentiality of health
				  care information.
(b) When
				  conducting a clinical HIV research project, report the identity of an
				  individual participating in the project unless:
(i) The project has been approved by an
				  institutional review board; and
(ii) The project has a system in place to
				  remind referring health care providers of notification requirements under this
				  chapter.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-200 - Rapid screening testing

Current through Register Vol. 24-14, July 15, 2024
An individual or entity including, but not limited to,
					 health care providers and health care facilities, that conduct an RST for any
					 of the following conditions, meets the definition of a laboratory under this
					 chapter, and shall comply with WAC 246101-201 through 246-101-230:
(1) Blood lead level testing;
(2) Hepatitis C (acute infection);
(3) Hepatitis C (chronic
				  infection);
(4) HIV infection;
				  or
(5) Novel coronavirus
				  (COVID-19).
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-201 - Notifiable conditions -Laboratories

Current through Register Vol. 24-14, July 15, 2024
(1) For the purposes of Table Lab-1:
(a) "At least annually" means deidentified
				  negative screening results may be submitted in a single report no less than
				  once per year, but may be submitted more frequently as a single report or as
				  individual screening results.
(b)
				  "Deidentified negative screening result" means an initial test result that
				  indicates the absence of disease, and that has personally identifiable
				  information removed from it using the Health Insurance Portability and
				  Accountability Act of 1996 Safe Harbor method defined in
				  45
				  C.F.R. 164.514. A deidentified negative
				  screening result does not include a negative test result associated with a
				  previous positive test result, such as a negative nucleic acid or viral load
				  test that is performed after a positive antibody or antigen test.
(c) "LHJ" means where the patient resides,
				  or, in the event that patient residence cannot be determined, the local health
				  jurisdiction in which the ordering health care provider practices, or the local
				  health jurisdiction in which the laboratory operates.
(d) "Within two business days" means
				  specimens must be in transit to the Washington state public health laboratories
				  within two business days of:
(i) Completing a
				  test and the specimen being ready for packaging; or
(ii) Receiving a request from a local health
				  jurisdiction or the department, provided the specimen is still available at the
				  time of the request.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-205 - Duties-Laboratory directors

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  laboratory direc-tor shall:
(a) Submit
				  laboratory reports:
(i) To the local health
				  jurisdiction or the department as required in Table Lab-1 of WAC
				  246-101-201,
				  and under the requirements of WAC
				  246-101-220,
				  246-101-225,
				  and this section; and
(ii) To the
				  local health jurisdiction as required by the local health officer within that
				  health officer's jurisdiction under WAC
				  246-101-505(4)(d).
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-210 - Means of specimen submission - Laboratory directors and laboratories

Current through Register Vol. 24-14, July 15, 2024
(1) A laboratory
				  director shall submit specimens as required in Table Lab-1 of WAC
				  246-101-201
				  in accordance with the requirements of this chapter.
(2) For test results notifiable to local
				  health jurisdictions, the local health officer may temporarily waive specimen
				  submission requirements and notify laboratories, including the Washington state
				  public health laboratories, of the basis for the waiver, which requirements are
				  being waived and how long the waiver will be in effect.
(3) A laboratory shall forward required
				  specimens to: Washington State Public Health Laboratories Washington State
				  Department of Health
1610 N.E. 150th Street
Shoreline, WA 98155
(4) The state health officer may designate
				  additional laboratories as public health reference laboratories.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-215 - Content of documentation accompanying specimen submission-Laboratory directors

Current through Register Vol. 24-14, July 15, 2024
A laboratory director shall provide the following
					 information with each specimen submitted under this chapter to the Washington
					 state public health laboratories:
(1)
				  Patient's first and last name;
(2)
				  Patient's physical address including zip code;
(3) Patient's date of birth;
(4) Patient's sex;
(5) Patient's ethnicity, as required in WAC
				  246-101011(4);
(6) Patient's race,
				  as required in WAC 246-101-011(5);
(7) Patient's preferred language, as required
				  in WAC 246-101-011(6);
(8) For
				  hepatitis B virus, pregnancy status (pregnant, not pregnant, or unknown) of
				  patients twelve to fifty years of age;
(9) Patient's best contact telephone
				  number;
(10) Requesting health care
				  provider's name;
(11) Requesting
				  health care provider's phone number;
(12) Address where patient received
				  care;
(13) Name of submitting
				  laboratory;
(14) Telephone number
				  of submitting laboratory;
(15)
				  Specimen type;
(16) Specimen
				  collection date;
(17) Date
				  laboratory received specimen;
(18)
				  Test method used; and
(19) Test
				  result.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-220 - Means of notification -Laboratory directors

Current through Register Vol. 24-14, July 15, 2024
A laboratory director shall:
(1) Submit laboratory reports as required
				  under this chapter by secure electronic data transmission.
(2) Call the local health jurisdiction in
				  which the case occurred immediately and confirm receipt of a presumptive or
				  final test result for a condition designated as:
(a) Immediately notifiable; or
(b) Notifiable within twenty-four hours when
				  submitting the test result outside the local health jurisdiction's normal
				  business hours.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-225 - Content of laboratory reports-Laboratory directors

Current through Register Vol. 24-14, July 15, 2024
(1) A laboratory director shall provide the
				  following information in each laboratory report required under this chapter:
(a) Patient's first and last name;
(b) Patient's physical address including zip
				  code;
(c) Patient's date of
				  birth;
(d) Patient's sex;
(e) Patient's ethnicity, as required in WAC
				  246-101-011(4);
(f) Patient's race,
				  as required in WAC 246-101-011(5);
(g) Patient's preferred language, as required
				  in WAC 246-101-011(6);
(h) For
				  hepatitis B virus, pregnancy status (pregnant, not pregnant, or unknown) of
				  patients twelve to fifty years of age;
(i) Patient's best contact telephone
				  number;
(j) For blood lead level,
				  medicaid status of patients less than seventy-two months of age;
(k) Requesting health care provider's
				  name;
(l) Requesting health care
				  provider's phone number;
(m)
				  Address where patient received care;
(n) Name of submitting laboratory;
(o) Telephone number of submitting
				  laboratory;
(p) Specimen
				  type;
(q) Specimen collection
				  date;
(r) Date laboratory received
				  specimen;
(s) Test method used;
				  and
(t) Test result.