reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part III - NOTIFIABLE CONDITIONS- LABORATORIES AND LABORATORY DIRECTORS › Section 246-101-230 - Handling confidential information-Laboratory directors

Current through Register Vol. 24-14, July 15, 2024
(1) A laboratory shall maintain the
				  confidentiality of health care information consistent with chapter 70.02 RCW
				  and any other applicable confidentiality laws.
(2) A laboratory director shall establish and
				  implement policies and procedures to maintain confidentiality of health care
				  information.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part IV - NOTIFIABLE CONDITIONS-DUTIES OF OTHERS › Section 246-101-405 - Duties-Veterinarians

Current through Register Vol. 24-14, July 15, 2024
(1) A veterinarian
				  shall
cooperate with public health authorities in their:
(a) Investigation of human and animal cases,
				  outbreaks, suspected outbreaks, and clusters of zoonotic disease;
				  and
(b) Implementation of infection
				  control measures.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part IV - NOTIFIABLE CONDITIONS-DUTIES OF OTHERS › Section 246-101-410 - Duties-Food establishments

Current through Register Vol. 24-14, July 15, 2024
(1)
				  For the purposes of this section "food establishment" has the same meaning as
				  defined and referenced under WAC
				  246-215-01115.
(2) The person in charge of a food
				  establishment shall:
(a) Notify the local
				  health jurisdiction of potential foodborne disease as required in WAC
				  246-215-02215.
(b) Cooperate with public health authorities
				  in their investigation and control of cases, outbreaks, and suspected outbreaks
				  . This includes, but is not limited to, the release of the name and other
				  pertinent information about food handlers diagnosed with a notifiable condition
				  or other communicable disease to the public health authority.
(c) Not release identifying information about
				  food handlers with a notifiable condition or other communicable disease to
				  other employees or the general public.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part IV - NOTIFIABLE CONDITIONS-DUTIES OF OTHERS › Section 246-101-415 - Duties-Child care facilities

Current through Register Vol. 24-14, July 15, 2024
(1)
				  For the purposes of this section "child care facility" means an agency that
				  regularly provides early childhood education and early learning services for a
				  group of children for less than twenty-four hours a day and is subject to
				  licensing under chapter 74.15 or 43.216 RCW, or both.
(2) A child care facility shall:
(a) Notify the local health jurisdiction of
				  cases, outbreaks, and suspected outbreaks of notifiable conditions in Table
				  HC-1 of WAC
				  246-101-101
				  that may be associated with the child care facility.
(b) Consult with a health care provider or
				  the local health jurisdiction for information about the control and prevention
				  of infectious conditions, as necessary.
(c) Cooperate with public health authorities
				  in their investigation and control of cases, outbreaks, and suspected outbreaks
				  that may be associated with the child care facility.
(d) Establish and implement policies and
				  procedures to maintain confidentiality related to health care information in
				  their possession.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part IV - NOTIFIABLE CONDITIONS-DUTIES OF OTHERS › Section 246-101-420 - Duties- Schools

Current through Register Vol. 24-14, July 15, 2024
A school shall:
(1) Notify the local health jurisdiction of
				  cases, outbreaks, and suspected outbreaks of notifiable conditions in Table
				  HC-1 of WAC
				  246-101-101
				  that may be associated with the school.
(2) Cooperate with the local health
				  jurisdiction in monitoring influenza.
(3) Consult with a health care provider or
				  the local health jurisdiction for information about the control and prevention
				  of infectious conditions, as necessary.
(4) Cooperate with public health authorities
				  in their investigation and control of cases, outbreaks, and suspected outbreaks
				  that may be associated with the school.
(5) Release identifying information only to
				  other individuals responsible for protecting the health and well-being of the
				  public through control of disease.
(6) establish and implement policies and
				  procedures to maintain confidentiality related to health care information in
				  their possession.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part IV - NOTIFIABLE CONDITIONS-DUTIES OF OTHERS › Section 246-101-425 - Duties-The general public

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Members of the general public shall cooperate with:
(a) Public health authorities in their
				  investigation and control of cases, outbreaks, and suspected outbreaks;
				  and
(b) Implementation of infection
				  control measures.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-505 - Duties-Local health officer or the local health jurisdiction

Current through Register Vol. 24-14, July 15, 2024
(1) A local health
				  officer or local health jurisdiction shall:
(a) Review and determine appropriate action
				  for:
(i) Each case of a notifiable condition
				  submitted to the local health jurisdiction;
(ii) Any condition considered a threat to
				  public health; and
(iii) Each
				  outbreak or suspected outbreak of disease submitted to the local health
				  jurisdiction, and request assistance from the department in carrying out any of
				  these investigations when necessary.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-510 - Means of notification-Local health officer or local health jurisdiction

Current through Register Vol. 24-14, July 15, 2024
(1) A local health
				  jurisdiction shall :
(a) Maintain a
				  twenty-four-hour telephone number to receive confirmation calls of case reports
				  or laboratory reports submitted under this chapter for:
(i) Immediately notifiable conditions;
				  and
(ii) Conditions designated as
				  notifiable within twenty-four hours.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-513 - Content of notifications, investigation reports, and outbreak reports-Local health officer

Current through Register Vol. 24-14, July 15, 2024
A local health officer shall provide the following
					 information for each notification, investigation report, and outbreak report
					 submitted under WAC
					 246-101-510:
(1) Notifications must include:
(a) Patient's first and last name;
(b) Patient's notifiable condition;
(c) Date local health jurisdiction was
				  notified;
(d) Condition symptom
				  onset date (preferred), or alternatively, diagnosis date;
(e) Patient's date of birth; and
(f) Patient's sex.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-515 - Handling confidential information-Local health officers and local health jurisdictions

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Local health officers and local health jurisdiction employees shall maintain
				  the confidentiality of health care information consistent with chapter 70.02
				  RCW,
				  RCW
				     42.56.360(2), and any other
				  applicable confidentiality laws.
(2) Local health officers or local health
				  jurisdictions shall establish and implement confidentiality policies and
				  procedures related to employee handling of health care information.
(3) Local health officers shall :
(a) Require all local health jurisdiction
				  employees with access to health care information to sign confidentiality
				  agreements;
(b) Retain current
				  signed confidentiality agreements;
(c) Reference in confidentiality agreements
				  the penalties for violation of chapter 70.24 RCW and administrative actions
				  that may be taken by the local health jurisdiction if the confidentiality
				  agreement is violated; and
(d)
				  Renew confidentiality agreements at least annually.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-520 - Special conditions-AIDS and HIV-Local health officers and local health jurisdictions

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The local health officer and local health jurisdiction personnel shall maintain
				  individual case reports, laboratory reports, investigation reports, and other
				  data and supporting information for AIDS and HIV as confidential records
				  consistent with the requirements of
				  RCW
				     70.02.220 and any other applicable
				  confidentiality laws.
(2) The local
				  health officer and local health jurisdiction personnel shall:
(a) Use identifying information of
				  individuals tested, diagnosed, or reported with HIV only:
(i) To contact the individual tested,
				  diagnosed, or reported with HIV to provide test results or refer the individual
				  to social and medical services; or
(ii) To contact persons who have been
				  identified as sex or injection equipment-sharing partners; or
(iii) To link with other name-based public
				  health disease registries when doing so will improve ability to provide needed
				  care services and disease prevention, provided that the identity or
				  identifying information of the individual tested, diagnosed, or reported with
				  HIV is not disclosed outside of the local health jurisdiction; or
(iv) As specified in WAC
				  246-100-072;
				  or
(v) To provide case reports,
				  laboratory reports, or investigation reports to the department ; or
(vi) To conduct investigations under
				  RCW
				     70.24.022 or
				  70.24.024.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part V - NOTIFIABLE CONDITIONS - LOCAL HEALTH JURISDICTIONS › Section 246-101-525 - Special condition-Influenza-Local health jurisdictions

Current through Register Vol. 24-14, July 15, 2024
A local health jurisdiction shall:
(1) Maintain a surveillance system for
				  influenza during the influenza season which may include:
(a) Monitoring of excess school
				  absenteeism;
(b) Requesting
				  information from health care providers and health care facilities regarding
				  influenza-like illnesses; and
(c)
				  Monitoring workplace absenteeism and other mechanisms.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-605 - Duties-Department

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  shall:
(a) Upon request, provide consultation
				  and technical assistance to local health jurisdictions, the department of labor
				  and industries, and the department of agriculture when they are investigating
				  notifiable conditions.
(b) Upon
				  request, provide consultation and technical assistance to health care
				  providers, laboratories, health care facilities, and others required to comply
				  with this chapter.
(c) Develop,
				  maintain, and make available for local health jurisdictions guidance on
				  investigation and control measures for notifiable conditions.
(d) make case report, laboratory report,
				  specimen submittal forms, and investigation report forms available to local
				  health jurisdictions, health care providers, laboratories, health care
				  facilities, and others required to comply with this chapter.
(e) Maintain a twenty-four hour telephone
				  number to receive:
(i) Confirmation calls for
				  immediately notifiable condition case reports and laboratory reports;
				  and
(ii) Notification of
				  immediately notifiable conditions including outbreaks and suspected outbreaks
				  from local health jurisdictions.
(f) Develop routine data dissemination
				  mechanisms that describe and analyze notifiable conditions case investigations
				  and data in accordance with WAC
				  246-101-615.
(g) Conduct investigations and institute
				  infection control measures as necessary.
(h) Document the known environmental, human,
				  and other variables associated with a case of pesticide poisoning.
(i) Report the results of the pesticide
				  poisoning investigation to the principal health care provider named in the case
				  report or laboratory report and to the local health officer in whose
				  jurisdiction the case occurred.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-610 - Handling of confidential information and information exempt from public disclosure-State health officer and department

Current through Register Vol. 24-14, July 15, 2024
(1) The state health officer and department
				  employees shall maintain the confidentiality of health care information in
				  accordance with chapter 70.02 RCW,
				  RCW
				     42.56.360(2), and any other
				  applicable confidentiality laws.
(2) The state health officer shall establish
				  and implement confidentiality policies and procedures related to employee
				  handling of health care information under this chapter.
(3) The state health officer or department
				  shall:
(a) Require all department employees,
				  contractors, and others with access to health information to sign
				  confidentiality agreement s ;
(b)
				  Retain current signed confidentiality agreements;
(c) Reference in confidentiality agreements
				  the penalties for violation of chapter 70.24 RCW and administrative actions
				  that may be taken by the department if the confidentiality agreement is
				  violated; and
(d) Renew
				  confidentiality agreements at least annually.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-615 - Data dissemination and notification-Department

Current through Register Vol. 24-14, July 15, 2024
The department shall:
(1) Distribute periodic epidemiological
				  summary reports and an annual review of public health issues to local health
				  officers, local health jurisdictions, and the department of labor and
				  industries.
(2) make available case
				  investigation documentation for notifiable conditions reported directly to the
				  department to local health officers or the department of labor and industries
				  within twenty-four hours of receipt by the department.
(3) Make other data necessary to conduct case
				  investigations or epidemiological summaries available within two business days
				  of a request from a public health authority.
(4) Periodically distribute statistical
				  summaries and epidemiological studies based on individual case reports,
				  laboratory reports, and investigation reports if no patient is identified or
				  identifiable.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-630 - Special condition-Antibiotic resistant disease-Department

Current through Register Vol. 24-14, July 15, 2024
The department shall:
(1) Maintain a surveillance system for
				  monitoring antibiotic resistant disease that may include:
(a) Development of a sentinel network of
				  laboratories to provide information regarding antibiotic resistant disease;
				  and
(b) Sample checks with health
				  care providers and health care facilities regarding antibiotic resistant
				  disease ; and
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-635 - Special conditions-AIDS and HIV-Department

Current through Register Vol. 24-14, July 15, 2024
The following provisions apply to the use of AIDS and HIV
					 notifiable conditions case reports, laboratory reports, and investigation
					 reports, related information, and data and is in addition to the requirements
					 established under WAC
					 246-101-610:
(1) Department personnel shall not disclose
				  health care information related to a case of AIDS or HIV unless:
(a) Explicitly and specifically required to
				  do so by state or federal law;
(b)
				  Permitted under
				  RCW
				     70.02.220; or
(c) Authorized by written patient
				  consent.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VI - NOTIFIABLE CONDITIONS- DEPARTMENT OF HEALTH › Section 246-101-640 - Special condition-Birth defects

Current through Register Vol. 24-14, July 15, 2024
The department shall enter into a data sharing agreement
					 with the office of the superintendent of public instruction (the
					 superintendent) to access data from databases maintained by the superintendent
					 containing student health information for the purpose of identifying cases of
					 autism or other conditions of public health interest.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VII - NOTIFIABLE CONDITIONS- DEPARTMENT OF LABOR AND INDUSTRIES › Section 246-101-705 - Duties-Department of labor and industries

Current through Register Vol. 24-14, July 15, 2024
(1) The department of labor and industries
				  shall:
(a) Be responsible for the
				  investigation of cases identified as notifiable to the department of labor and
				  industries under this chapter;
(b)
				  Provide consultation and technical assistance to local health jurisdictions and
				  the department investigating cases;
(c) Upon request, provide consultation and
				  technical assistance to health care providers, laboratories, health care
				  facilities, and others required to notify and cooperate with public health
				  authorities under this chapter;
(d)
				  Provide technical assistance to businesses and labor organizations for
				  understanding the use of notifiable conditions data collected and analyzed by
				  the department of labor and industries; and
(e) Develop routine data dissemination
				  mechanisms that describe and analyze notifiable conditions case investigations
				  and data. These may include annual and monthly reports and other mechanisms for
				  data dissemination as developed by the department of labor and
				  industries.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VII - NOTIFIABLE CONDITIONS- DEPARTMENT OF LABOR AND INDUSTRIES › Section 246-101-710 - Handling of confidential information-Department of labor and industries

Current through Register Vol. 24-14, July 15, 2024
(1) The director of
				  the department of labor and industries and department of labor and industries
				  employees shall maintain the confidentiality of health care information
				  consistent with chapter 70.02 RCW,
				  RCW
				     42.56.360(2), and any other
				  applicable confidentiality laws.
(2) The director of the department of labor
				  and industries shall :
(a) Require all
				  employees, contractors, and others with access to health care information, to
				  sign confidentiality agreements;
(b) Retain signed confidentiality
				  agreements;
(c) Reference in
				  confidentiality agreements the administrative actions that may be taken by the
				  department of labor and industries if the confidentiality agreement is
				  violated; and
(d) Renew
				  confidentiality agreements at least annually.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VII - NOTIFIABLE CONDITIONS- DEPARTMENT OF LABOR AND INDUSTRIES › Section 246-101-715 - Data dissemination and notification-Department of labor and industries

Current through Register Vol. 24-14, July 15, 2024
The department of labor and industries shall:
(1) Distribute periodic epidemiological
				  summary reports and an annual review of public health issues to local health
				  officers, local health jurisdictions, and the department.
(2) Make available case investigation
				  documentation for notifiable conditions reported directly to the department of
				  labor and industries, data necessary to conduct case investigations, or
				  epidemiological summaries to local health officers or the department within two
				  business days of a request.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VII - NOTIFIABLE CONDITIONS- DEPARTMENT OF LABOR AND INDUSTRIES › Section 246-101-730 - Special condition-Hospitalized burns

Current through Register Vol. 24-14, July 15, 2024
The department of labor and industries shall maintain a
					 surveillance system for monitoring hospitalized burn patients that may
					 include:
(1) Development of a sentinel
				  network of burn treatment centers and hospitals to provide information
				  regarding hospitalized burn patients; and
(2) Sample checks with health care providers
				  and health care facilities regarding hospitalized burn patients.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-101 - Notifiable conditions › Part VIII - NOTIFIABLE CONDITIONS-DEPARTMENT OF AGRICULTURE › Section 246-101-810 - Content of animal case reports-Department of agriculture

Current through Register Vol. 24-14, July 15, 2024
(1) The state department of agriculture shall
				  provide the following information for each animal case required under WAC
				  246-101-805:
(a) Animal species;
(b) Animal county of current
				  residence;
(c) Diagnosis or
				  suspected diagnosis of the condition;
(d) Contact name;
(e) Contact address;
(f) Contact telephone number;
(g) Pertinent laboratory data, if available;
				  and
(h) Other information of public
				  health significance collected under chapter 16-70 WAC.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of the Washington state cancer registry is to
				  monitor the incidence of cancer in the state and report applicable limited data
				  according to federal requirements. Information collected through the cancer
				  registry system is used by research and public health professionals to
				  understand, control and reduce occurrences of cancer in residents of
				  Washington. This chapter establishes the criteria for identifying and reporting
				  cancer cases. It also defines the standards for access and release of cancer
				  case information.
Statutory Authority:
					 RCW
					 70.54.240 through
					 70.54.270. 11-20-107, §
					 246-102-001, filed 10/5/11, effective 11/5/11. Statutory Authority:
					 RCW
					    70.54.270,
					 43.20.050,
					 43.70.130. 01-04-086, §
					 246-102-001, filed 2/7/01, effective
					 3/10/01.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this chapter
				  unless the context clearly indicates otherwise.
(1) "Cancer case" means:
(a) Any malignant or cancerous neoplasm
				except basal and squamous cell carcinoma of the skin;
(b) Carcinoma of the external genital organ
				sites, including those with histology identified as basal or squamous cell
				type. External genital organ sites include the vulva, labia, clitoris, prepuce,
				penis and scrotum;
(c) Neoplasms
				noted as carcinoma in situ or noninvasive carcinomas, except carcinoma in situ
				of the cervix uteri;
(d) All
				benign, uncertain, borderline or malignant solid intracranial and central
				nervous system tumors, including the meninges and intracranial endocrine
				structures;
(e) All hematopoietic
				and lymphoid neoplasms including certain potentially malignant hematopoietic
				conditions;
(f) Other diagnoses
				that meet the reporting requirements of:
(i)
				The Center for Disease Control's National Program of Cancer
				Registries;
(ii) The National
				Cancer Institute's Surveillance Epidemiology and End Results Program;
(iii) The North American Association of
				Central Cancer Registries as described by the
International
				Classification of Disease for Oncology, Third Edition
				(ICD-O-3)
;
(iv) The North
				American Association of Central Cancer Registries as described by the
WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues,
				Fourth Edition, Volume 2
published by the World Health
				Organization.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-020 - Who must report

Current through Register Vol. 24-14, July 15, 2024
(1) Reporting
				entities that diagnose, or provide first course treatment to a patient with a
				cancer case or potentially reportable cancer case shall report the cancer case
				to the state cancer registry.
(2)
				If a health care provider refers patients to a health care facility with cancer
				registry staffing for diagnostic or first course treatment services, then the
				health care facility is responsible for reporting the case to the state cancer
				registry.
(3) For purposes of this
				section "health care facility with cancer registry staffing" means those health
				care facilities with in-house cancer registries or contracted registry staff
				services.
Statutory Authority:
					 RCW
					 70.54.240 through
					 70.54.270. 11-20-107, §
					 246-102-020, filed 10/5/11, effective 11/5/11. Statutory Authority:
					 RCW
					    70.54.270,
					 43.20.050,
					 43.70.130. 01-04-086, §
					 246-102-020, filed 2/7/01, effective
					 3/10/01.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-030 - Cancer case identification

Current through Register Vol. 24-14, July 15, 2024
The state cancer registry shall:
(1) Publish a reportable list
				annually.
(2) Publish a recommended
				case finding list annually.
(3)
				Publish a list of required data items annually.
(4) Publish recommended reporting guidelines
				as needed.
Statutory Authority:
					 RCW
					 70.54.240 through
					 70.54.270. 11-20-107, §
					 246-102-030, filed 10/5/11, effective 11/5/11. Statutory Authority:
					 RCW
					    70.54.270,
					 43.20.050,
					 43.70.130. 01-04-086, §
					 246-102-030, filed 2/7/01, effective
					 3/10/01.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-040 - Data collection and submission requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Reporting entities shall prepare and
				submit case reports in a format provided by the state cancer
				registry.
(2) Reporting entities
				shall submit completed case reports to the state cancer registry within six
				months of the date of diagnosis or date patient is first seen for first course
				treatment, if the diagnosis was made at another health care facility or by
				another health care provider.
(3)
				Case reports shall include the following information from the patient's medical
				records:
(a) Patient information:
(i) Name (last, first, middle);
(ii) Address at time of diagnosis;
(iii) Sex;
(iv) Race(s);
(v) Spanish/hispanic origin;
(vi) Birthdate;
(vii) Age at time of diagnosis;
(viii) Social Security number;
(ix) State or country of birth;
(x) Usual occupation, or if retired, primary
				occupation before retirement;
(xi)
				Primary payor;
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-060 - Data quality assurance

Current through Register Vol. 24-14, July 15, 2024
(1) To
				assure accurate monitoring of the incidence of cancer in Washington, the state
				cancer registry shall review the overall quality of all cases received using
				national guidelines.
(2) The state
				cancer registry shall follow up with reporting entities for additional case
				information as needed to ensure the completeness and quality of a case
				report.
(3) The state cancer
				registry shall provide education and training related to identifying and
				reporting cases. The state cancer registry shall:
(a) Offer education and training
				opportunities to certified tumor registrars on staff at health care
				facilities.
(b) Offer education and
				training opportunities to individuals not certified as a certified tumor
				registrar, but who report cancer cases to the state.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-102 - Cancer registry › Section 246-102-070 - Access and release of information

Current through Register Vol. 24-14, July 15, 2024
(1) Information collected by the state cancer
				registry shall be used only for statistical, scientific, medical research and
				public health purposes.
(2) The
				department may release state cancer registry information for research purposes:
(a) After the research project has been
				reviewed and approved by the Washington state institutional review board;
				and
(b) After a written agreement
				between the department and the researcher is in place regarding state cancer
				registry information accessed, used or disclosed. Written agreements shall
				incorporate:
(i) The confidentiality
				requirements in
				RCW
				   42.48.020; and
(ii) The department's data security
				requirements.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-010 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this rule is to protect children and the
				  public against certain vaccine-preventable diseases. Under the authority of the
				  board of health, this rule describes the immunization requirements of children
				  attending schools and child care centers.
Statutory Authority:
					 RCW
					 28A.210.140. 09-02-003, § 246-105-010,
					 filed 12/26/08, effective 1/26/09.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-020 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
				  chapter unless the context clearly indicates otherwise:
(1) "Certificate of exemption (COE)" means a
				form for the purpose of documenting an exemption to the school or child care
				immunization requirements that is approved by the department and consistent
				with the requirements of WAC
				246-105-050(4).
(2) "Certificate of immunization status
				(CIS)" means a form for the purpose of documenting a person's immunization
				status that is approved by the department and consistent with the requirements
				of WAC
				246-105-050(2).
(3) "Chief administrator" means:
(a) The person with the authority and
				responsibility for supervising the immediate operation of a school or child
				care center; or
(b) A person
				designated in writing by the statutory or corporate board of directors of the
				school district or school; or
(c)
				If (a) and (b) of this subsection do not apply, a person or persons with the
				authority and responsibility for supervising the general operation of the
				school district or school.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-030 - Vaccine-preventable diseases children must be protected against for full immunization

Current through Register Vol. 24-14, July 15, 2024
In accordance with the conditions of this chapter, a child is
				  required to be vaccinated against, or show proof of acquired immunity for, the
				  following vaccine-preventable diseases before attending school or a child care
				  center:
(1) Chickenpox
				(Varicella);
(2)
				Diphtheria;
(3) German Measles
				(Rubella);
(4) Haemophilus
				influenzae type B disease;
(5)
				Hepatitis B;
(6) Measles
				(Rubeola);
(7) Mumps;
(8) Pneumococcal disease;
(9) Polio (Poliomyelitis);
(10) Tetanus; and
(11) Whooping Cough (Pertussis).
Statutory Authority:
					 RCW
					    28A.210.140. 09-02-003, § 246-105-030,
					 filed 12/26/08, effective 1/26/09.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-040 - Requirements based on national immunization guidelines

Current through Register Vol. 24-14, July 15, 2024
The department shall develop and distribute implementation
				  guidelines for schools and child care centers that are consistent with the
				  national immunization guidelines described in this section and the requirements
				  in WAC
				  246-105-090.
(1) Unless otherwise stated in this section,
				a child must be vaccinated against, or provide documentation of immunity
				against, each vaccine-preventable disease listed in WAC
				246-105-030
				at ages and intervals according to the national immunization guidelines in the
				"
Advisory Committee on Immunization Practices (ACIP) Recommended
				Immunization Schedule for Children and Adolescents Aged 18 Years or
				Younger-United States, 2019
"; as published in the
Morbidity
				and Mortality Weekly Report
(MMWR) 2019; 68(5):112-114.
(2) As part of the implementation guidelines,
				the department shall align the ages and intervals specified in the national
				immunization guidelines and this chapter with a corresponding grade
				level.
(3) In addition to the ages
				and intervals required by subsections (1) and (2) of this section, the
				following vaccine administration guidelines shall apply.
(a) Schools shall accept proof of
				immunization status by grade level as required by subsection (2) of this
				section.
(b) Schools and child care
				centers may accept one of the following as proof of a child's immunization
				status against varicella:
(i) Documentation
				on the CIS form that the child received age appropriate varicella vaccine;
				or
(ii) Diagnosis or verification
				of a history of varicella disease by a health care provider acting within their
				scope of practice; or
(iii)
				Diagnosis or verification of a history of herpes zoster by a health care
				provider acting within their scope of practice; or
(iv) Serologic proof of immunity against
				varicella; or
(v) Documentation by
				the parent that a child has a history of varicella. This type of proof will be
				accepted only for certain grade levels described in the department's
				implementation guidelines according to WAC
				246-105-090(2).
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-050 - Required documentation of immunization status

Current through Register Vol. 24-14, July 15, 2024
(1)
(a)
				Before a child may attend a school or child care center, a parent must provide
				proof of immunization status using either a CIS or a COE form, or both.
				Information provided on these forms is to be used by a school nurse, child care
				health consultant, or the chief administrator to determine the immunization
				status of a child as: Fully immunized, out of compliance, conditional, or
				exempt.
(b) Any child identified as
				experiencing homelessness under the McKinney-Vento Homeless Assistance Act
				42 U.S.C.
				11431 et seq., or in foster care under
				20
				U.S.C. 6311(g)(1)(E) lacking
				documentation of immunization status on or before the first day of attendance
				must be immediately enrolled and allowed to fully participate in all school
				activities.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-055 - Philosophical and personal exemption for measles, mumps, and rubella vaccine prohibited

Current through Register Vol. 24-14, July 15, 2024
A philosophical or personal exemption may not be used to
				  exempt a child from the measles, mumps, and rubella immunization
				  requirement.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-060 - Duties of schools and child care centers

Current through Register Vol. 24-14, July 15, 2024
(1) Schools and child care centers shall
				require on or before the first day of attendance either a CIS or COE form that
				documents a child's immunization status as required by WAC
				246-105-050:
(a) For new enrollees registering for
				admission into preschool and kindergarten through grade twelve or a child care
				center as a requirement of admission;
(b) Annually for continued enrollment in a
				child care center; and
(c) Any
				child identified as experiencing homelessness under the McKinney-Vento Homeless
				Assistance Act
				42 U.S.C.
				11431 et seq., or in foster care under
				20
				U.S.C. 6311(g)(1)(E) lacking
				documentation of immunization status on or before the first day of attendance
				must be immediately enrolled and allowed to fully participate in all school
				activities.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-070 - Duties of health care providers or organizations

Current through Register Vol. 24-14, July 15, 2024
A health care provider administering immunizations, or the
				  organizations he or she works for, either public or private, shall furnish each
				  person immunized, or their parent, with a medically verified immunization
				  record containing information required by this chapter.
Statutory Authority:
					 RCW
					    28A.210.140. 09-02-003, § 246-105-070,
					 filed 12/26/08, effective 1/26/09.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-080 - Criteria for excluding children from schools or child care centers

Current through Register Vol. 24-14, July 15, 2024
For any child excluded under subsection (1), (2), or (3) of
				  this section, schools must use procedures consistent with chapters 180-38 and
				  392-380 WAC. A school or child care center shall exclude a child if one or more
				  of the following applies:
(1)
				Parent(s) fail to provide documentation of immunization status as required in
				WAC
				246-105-050
				on or before the child's first day of attendance.
(2) A child attending under conditional
				status fails to make progress toward full immunization as required in WAC
				246-105-060(2)(a).
(3) A child has been admitted under a
				temporary medical exemption and the particular vaccine for which the exemption
				was granted is no longer contraindicated and the child fails to make progress
				toward full immunization as required in WAC
				246-105-060(2)(a).
(4) A local health officer excludes a child
				from school or a child care center under chapter 246-110 WAC during an outbreak
				of a vaccine-preventable disease if the child has not been fully immunized
				against that disease due to:
(a) Conditional
				status;
(b) Out of compliance
				status;
(c) Medical
				exemption;
(d) Religious
				exemption;
(e) Philosophical
				exemption; or
(f) Personal
				exemption.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-105 - Immunization of child care and school children against certain vaccine-preventable diseases › Section 246-105-090 - Implementation

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				shall develop and distribute implementation guidelines for schools and child
				care centers that:
(a) Meet the requirement
				of WAC
				246-105-040(2);
				and
(b) Reflect national
				immunization guidelines for children who did not receive required immunizations
				prior to entry into kindergarten or first grade, and for whom a full series of
				immunizations is not recommended.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-110 - Contagious disease - School districts and day care centers › Section 246-110-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The following regulations are adopted by the board of health
				  for the purpose of governing the presence on or about any school or day care
				  center premises of susceptible persons who have, or have been exposed to, a
				  communicable disease. These regulations are in addition to other requirements
				  imposed by chapter 246-100 WAC.
In furtherance of the purpose and intent of the law and these
				  regulations, it is recommended that parents of students whose medical
				  supervision seems inadequate should be encouraged to obtain the services of a
				  physician for the child. When the economic situation warrants, the parents
				  should be guided to the appropriate source of community-sponsored medical care.
				  These regulations are not intended to imply that any diagnosis or treatment
				  will be performed by school or day care center personnel.
Statutory Authority:
					 RCW
					 43.20.050. WSR 92-02-019 (Order 225B), §
					 246-110-001, filed 12/23/91, effective 1/23/92; WSR 91-02-051 (Order 124B),
					 recodified as § 246-110-001, filed 12/27/90, effective 1/31/91; WSR
					 90-21-056 (Order 095), § 248-101-011, filed 10/15/90, effective
					 10/15/90.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-110 - Contagious disease - School districts and day care centers › Section 246-110-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
As used in this portion of these regulations, these terms
				  shall mean:
(1) "Contact" means a
				person exposed to an infected person, animal, or contaminated environment which
				might provide an opportunity to acquire the infection.
(2) "Exposure" means such association with a
				person or animal in the infectious stage of a disease, or with a contaminated
				environment, as to provide the opportunity to acquire the infection.
(3) "Susceptible" means a person who does not
				possess sufficient resistance, whether natural or induced, to a pathogenic
				agent or disease to prevent contracting that disease when exposed
				thereto.
(4) "Communicable disease
				(contagious disease)" means an illness caused by an infectious agent which can
				be transmitted from one person, animal, or object to another person by direct
				or indirect means including transmission via an intermediate host or vector,
				food, water, or air. Communicable (contagious) diseases include, but are not
				limited to:
(a) Chickenpox
(b) Conjunctivitis (bacterial)
(c) Diphtheria
(d) Giardiasis
(e) Hepatitis A
(f) Invasive Haemophilus influenza disease
				(excluding otitis media)
(g)
				Measles
(h) Meningitis
				(bacterial)
(i) Mumps
(j) Pediculosis
(k) Pertussis
(l) Rubella
(m) Salmonellosis
(n) Shigellosis
(o) Tuberculosis
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-110 - Contagious disease - School districts and day care centers › Section 246-110-020 - Control of contagious disease

Current through Register Vol. 24-14, July 15, 2024
(1) When there is an outbreak of a contagious
				disease, as defined in WAC
				246-110-010, such that there is
				the potential for a case or cases within a school or day care center, the local
				health officer, if appropriate, after consultation with the secretary of health
				or designee shall take all medically appropriate actions deemed to be necessary
				to control or eliminate the spread of the disease, including, but not limited
				to:
(a) Closing the affected school(s) or day
				care center(s), or part(s) thereof;
(b) Closing other schools or day care centers
				in the local health officer's jurisdiction;
(c) Causing the cessation of selected school
				or day care center activities or functions;
(d) Excluding from schools or day care
				centers in the local health officer's jurisdiction any students, staff, and
				volunteers who are infected with, or deemed to be susceptible to, the
				disease.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-120 - CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › Section 246-120-010 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to describe the procedures
					 and conditions by which the secretary must issue civil penalties to health
					 carriers and third-party administrators. This chapter is adopted under
					 RCW
					    70.290.060.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-120 - CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › Section 246-120-020 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
					 chapter unless the context clearly requires otherwise:
(1) "Health carrier" has the same meaning as
				  defined in
				  RCW
				     70.290.010.
(2) "Secretary" means the secretary of the
				  department of health.
(3)
				  "Third-party administrator" has the same meaning as defined in
				  RCW
				     70.290.010.
(4) "Washington vaccine association" or
				  "association" means the association created under chapter 70.290 RCW. The
				  association collects and remits adequate funds from health carriers and
				  third-party administrators for the cost of vaccines provided to certain
				  children in Washington state.