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Department of Human Services

Oregon Administrative Rules (OARS)
Chapter 333, Division 17 - Health Services



DIVISION 17


DISEASE CONTROL (DEFINITIONS AND REFERENCES)

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Filed through November 15, 2006

 

333-017-0000

Definitions

For purposes of OAR divisions 17, 18, and 19, the following definitions shall apply.

(1) "AIDS": AIDS is an acronym for acquired immunodeficiency syndrome. An individual is considered to have AIDS when their illness meets criteria published in Morbidity and Mortality Weekly Report, Volume 41, Number RR-17, pages 1-4, December 18, 1992.

(2) "Animal Suspected of Having Rabies": An animal is suspected of having rabies when:

(a) It is a dog, cat, or ferret not known to be satisfactorily vaccinated against rabies (as defined in OAR 333-019-0017), or it is any other mammal; and

(b) It exhibits one or more of the following aberrant behaviors or clinical signs: unprovoked biting of persons or other animals, paralysis or partial paralysis of limbs, marked excitation, muscle spasms, difficulty swallowing, apprehensiveness, delirium, or convulsions; and it has no other diagnosed illness that could explain the neurological signs.

(3) "Approved Fecal Specimen": a specimen of feces from a person who has not taken any antibiotic orally or parenterally for at least 48 hours prior to the collection of the specimen. Improper storage or transportation of a specimen, or inadequate growth of the culture suggestive of recent antibiotic usage can, at the discretion of public health microbiologists, result in disapproval.

(4) "Bite, Biting, Bitten": The words bite, biting, and bitten refer to breaking of the skin by the teeth of an animal, or mouthing a fresh abrasion of the skin by an animal.

(5) "Case": A case is a person who has been diagnosed by a Health Care Provider as having a particular disease, infection, or condition, or whose illness meets defining criteria published in the DHS's Investigative Guidelines.

(6) "Child Care Facility": A child care facility is any facility as defined in ORS 657a.250(5) where care is provided to three or more children.

(7) "DHS": DHS is the Oregon Department of Human Services.

(8) "Food Handler": A food handler is any business owner or employee who handles food utensils or who prepares, processes, handles or serves food for people other than members of their immediate household, for example restaurant, delicatessen, and cafeteria workers, caterers, and concession stand operators.

(9) "Food Service Facility": A food service facility is an establishment that processes or serves food for sale.

(10) "Health Care Facility": A health care facility means any facility as defined in ORS 442.015(16), any Local Public Health Authority, or any home health agency as defined in ORS 443.005.

(11) "Health Care Provider": A health care provider is any person who has direct or supervisory responsibility for the delivery of health care or medical services. This includes but is not limited to: licensed physicians, nurse practitioners, physician assistants, nurses, dentists, and administrators, superintendents and managers of clinics and Health Care Facilities.

(12) "HIV": The human immunodeficiency virus, the causative agent of AIDS.

(13) "HIV Test": A Food and Drug Administration (FDA)-approved test for the presence of HIV, or for antibodies or antigens that result from HIV infection, or for any other substance specifically associated with HIV infection and not with other diseases or conditions.

(14) "HIV Positive Test": A positive result on the most definitive HIV test procedure used to test a particular individual. In the absence of the recommended confirming tests, this means the results of the initial test done.

(15) "Licensed Laboratory": A licensed laboratory is a medical diagnostic laboratory that is inspected and licensed by the DHS or otherwise licensed according to the provisions of the federal Clinical Laboratory Improvement Amendments of 1988 (42 U.S.C. ¦ 263a). Any laboratory operated by the U.S. Centers for Disease Control and Prevention shall also be considered a Licensed Laboratory.

(16) "Licensed Physician": A licensed physician is any physician who is licensed by the Board of Medical Examiners for the State of Oregon, State Board of Podiatry Examiners, State Board of Chiropractic Examiners, or Naturopathic Board of Examiners.

(17) "Licensed Veterinarian": A licensed veterinarian is a veterinarian licensed by the Oregon Veterinary Medical Examining Board.

(18) "Local Public Health Authority": The Local Public Health Authority is the agency to which has been delegated the authority at the county or local level to administer and enforce the public health laws of Oregon under ORS 431.416.

(19) "Onset": Unless otherwise qualified, onset refers to the earliest time of appearance of signs or symptoms of an illness.

(20) "Outbreak": An outbreak is an increased number of cases of a particular disease that is or may be due to common or related exposures. Outbreaks are defined with respect to time interval, location, the normal frequency of the disease, and the characteristics of the persons or animals affected.

(21) "Pesticide Poisoning": Illness in a human that is caused by acute or chronic exposure to:

(a) Any substance or mixture of substances intended for preventing, destroying, repelling, or mitigating any pest; or

(b) Any substance or mixture of substances intended for use as a plant regulator, defoliant, or desiccant as defined in ORS 634.006(8).

(22) "Suspected Case": A suspected case is a person whose illness is thought by a Health Care Provider to be likely due to a reportable disease, infection, or condition. This suspicion may be based on signs, symptoms, or laboratory findings.

(23) "Suspected Lead Poisoning": A person with Suspected Lead Poisoning is any person who may be at risk for having elevated blood lead levels, defined as the presence of at least 25 micrograms of lead per deciliter of blood for individuals at least eighteen years old; or at least 10 micrograms of lead per deciliter of blood for individuals less than 18 years old. Suspected lead poisoning also includes blood lead tests done to monitor those persons who have had previously documented blood lead levels in excess of these limits.

(24) "Uncommon Illness of Potential Public Health Significance": These illnesses include:

(a) Any infectious disease with potentially life-threatening consequences that is exotic to or uncommon in Oregon, for example, variola (smallpox) or viral hemorrhagic disease; or

(b) Any illness related to a contaminated medical device or product; or

(c) Any acute illness suspected to be related to environmental exposure to any infectious or toxic agent or to any household product.

[Publications: Publications referenced are available from the DHS Office for Disease Prevention and Epidemiology, (503) 731-4024.]

Stat. Auth.: ORS 431, 432, 433.001, 433.004, 433.006, 433.235 - 433.284, 437, 443, 616 & 624
Stats. Implemented: ORS 431.110 & 431.120
Hist.: HD 15-1981, f. 8-13-81, ef. 8-15-81; HD 12-1983, f. & ef. 8-1-83; HD 4-1987, f. 6-12-87, ef. 6-19-87; HD 13-1990(Temp), f. 3-25-90, cert. ef. 8-1-90; HD 5-1991, f. 5-29-91, cert. ef. 4-1-91; HD 10-1991, f. & cert. ef. 7-23-91; HD 9-1992, f. & cert. ef. 8-14-92; HD 29-1994, f. & cert. ef. 12-2-94; OHD 2-2002, f. & cert. ef. 3-4-02; PH 11-2005, f. 6-30-05, cert. ef. 7-5-05

 

333-017-0005

Reference Documents

The following publication, which is available for inspection at DHS, is incorporated by reference in whole or in part in OAR 333, divisions 12, 17, 18, and 19: "Investigative Guidelines": Investigative Guidelines for Reportable Diseases, published on an ongoing basis by the DHS's Office for Disease Prevention and Epidemiology.

[Publications: Publications referenced are available from the DHS Office for Disease Prevention and Epidemiology, (971-673-1111.]

Stat. Auth.: ORS 431, ORS 432, ORS 433.001, ORS 433.004, ORS 433.006, ORS 433.235 - ORS 433.284, ORS 616 & ORS 624
Stats. Implemented:
Hist.: HD 15-1981, f. 8-13-81, ef. 8-15-81; HD 4-1987, f. 6-12-87, ef. 6-19-87; HD 9-1992, f. & cert. ef. 8-14-92; HD 29-1994, f. & cert. ef. 12-2-94; OHD 2-2002, f. & cert. ef. 3-4-02

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