20080514-IR-410060425FRA Adds 410 IAC 1-2.3-37.5 to define pandemic influenza activity. Amends 410 IAC 1-2.3-47 to require the reporting of influenza associated human deaths to the department. Effective 30 days after filing ...
- TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH
Final Rule LSA Document #06-425(F)
DIGEST
Adds410 IAC 1-2.3-37.5 to define pandemic influenza activity. Amends410 IAC 1-2.3-47 to require the reporting of influenza associated human deaths to the department. Effective 30 days after filing with the Publisher.
SECTION 1.410 IAC 1-2.3-37.5 IS ADDED TO READ AS FOLLOWS:
Authority:410 IAC 1-2.3-37.5 "Pandemic influenza activity" definedIC 16-41-2-1 Affected:IC 16-41-2 ;IC 16-41-9
Sec. 37.5. "Pandemic influenza activity" means influenza infection caused by a novel influenza virus for humans, which is efficiently transmitted from person to person, and that results in moderate or severe illness.(Indiana State Department of Health;410 IAC 1-2.3-37.5 ; filed Apr 16, 2008, 2:21 p.m.:20080514-IR-410060425FRA )
SECTION 2.410 IAC 1-2.3-47 IS AMENDED TO READ AS FOLLOWS:
Authority:410 IAC 1-2.3-47 Reporting requirements for physicians and hospital administratorsIC 16-41-2-1
Sec. 47. (a) It shall be the duty of each:(1) physician licensed underIC 25-22.5 ; and(2) administrator of a hospital licensed underIC 16-21 , or the administrator's representative;to report all cases and suspected cases of the diseases listed in subsection (d). Reporting of specimen results by a laboratory to health officials does not nullify the physician's or administrator's obligations to report said case.
(b) The report required by subsection (a) shall be made to the local health officer in whose jurisdiction the patient was examined at the time the diagnosis was made or suspected. If the patient is a resident of a different jurisdiction, the local health jurisdiction receiving the report shall forward the report to the local health jurisdiction where the patient resides. If a person who is required to report is unable to make a report to the local health officer within the time mandated by this rule, a report shall be made directly to the department within the time mandated by this rule.
(c) Any reports of diseases required by subsection (a) shall include the following:(1) The patient's:(A) full name;(B) street address;(C) city;(D) zip code;(E) county of residence;(F) telephone number;(G) age or date of birth;(H) sex; and(I) race and ethnicity, if available.(2) Date of onset.(3) Diagnosis.(4) Definitive diagnostic test results, for example:(A) culture;(B) IgM;(C) serology; or(D) Western Blot.(5) The name, address, and telephone number of the attending physician.(6) Other epidemiologically necessary information requested by the local health officer or the commissioner.(7) Persons who are tested anonymously at a counseling and testing site cannot be reported using personal identifiers; rather, they are to be reported using a numeric identifier code. The following shall also be reported:(A) Age.(B) Race.(C) Sex.(D) Risk factors.(E) County of residence.(8) The name, address, and telephone number of the person completing report.
(d) The dangerous communicable diseases and conditions described in this subsection shall be reported within the time specified. Diseases or conditions that are to be reported immediately to the local health officer shall be reported by telephone or other instantaneous means of communication on first knowledge or suspicion of the diagnosis. Diseases that are to be reported within seventy-two (72) hours shall be reported to the local health officer within seventy-two (72) hours of first knowledge or suspicion of the diagnosis by telephone, electronic data transfer, other confidential means of communication, or official report forms furnished by the department. During evening, weekend, and holiday hours, those required to report should report diseases required to be immediately reported to the after-hours duty officer at the local health department. If unable to contact the after-hours duty officer locally, or one has not been designated locally, those required to report shall file their reports with the after-hours duty officer at the department at (317) 233-1325 or (317) 233-8115.DANGEROUS COMMUNICABLE DISEASES AND CONDITIONS Disease When to Report Disease Intervention Methods (from probable diagnosis) (section in this rule) Acquired immunodeficiency syndrome See HIV Infection/Disease Sec. 76 Animal bites Within 24 hours Sec. 52 Anthrax Immediately Sec. 53 Babesiosis Within 72 hours Sec. 54 Botulism Immediately Sec. 55 Brucellosis Within 72 hours Sec. 56 Campylobacteriosis Within 72 hours Sec. 57 Chancroid Within 72 hours Sec. 58 Chlamydia trachomatis, genital infection Within 72 hours Sec. 59 Cholera Immediately Sec. 60 Cryptosporidiosis Within 72 hours Sec. 61 Cyclospora Within 72 hours Sec. 62 Diphtheria Immediately Sec. 63 Ehrlichiosis Within 72 hours Sec. 64 Encephalitis, arboviral, Calif, EEE, WEE, SLE, West Nile Immediately Sec. 65 Escherichia coli, infection (including E. coli 0157:H7 and other enterohemorrhagic types) Immediately Sec. 66 Gonorrhea Within 72 hours Sec. 67 Granuloma inguinale Within 72 hours Sec. 68 Haemophilus influenzae invasive disease Immediately Sec. 69 Hansen's disease (leprosy) Within 72 hours Sec. 70 Hantavirus pulmonary syndrome Immediately Sec. 71 Hemolytic uremic syndrome, postdiarrheal Immediately Sec. 66 Hepatitis, viral, Type A Immediately Sec. 72 Hepatitis, viral, Type B Within 72 hours Sec. 73 Hepatitis, viral, Type B, pregnant woman (acute and chronic), or perinatally exposed infant Immediately (when discovered at or close to time of birth) Sec. 73 Hepatitis, viral, Type C (acute) Within 72 hours Sec. 74 Hepatitis, viral, Type Delta Within 72 hours Sec. 73 Hepatitis, viral, unspecified Within 72 hours Histoplasmosis Within 72 hours Sec. 75 HIV infection/disease Within 72 hours Sec. 76 HIV infection/disease, pregnant woman, or perinatally exposed infant Immediately (when discovered at or close to time of birth) Sec. 76 Influenza See subsection (f) Legionellosis Within 72 hours Sec. 77 Leptospirosis Within 72 hours Sec. 78 Listeriosis Within 72 hours Sec. 79 Lyme disease Within 72 hours Sec. 80 Lymphogranuloma venereum Within 72 hours Sec. 81 Malaria Within 72 hours Sec. 82 Measles (rubeola) Immediately Sec. 83 Meningitis, aseptic Within 72 hours Sec. 84 Meningococcal disease, invasive Immediately Sec. 85 Mumps Within 72 hours Sec. 86 Pertussis Immediately Sec. 88 Plague Immediately Sec. 89 Poliomyelitis Immediately Sec. 90 Psittacosis Within 72 hours Sec. 91 Q Fever Immediately Sec. 92 Rabies in humans or animals (confirmed and suspect animal with human exposure) Immediately Sec. 93 Rabies, postexposure treatment Within 72 hours Secs. 93 and 52 Rocky Mountain spotted fever Within 72 hours Sec. 94 Rubella (German measles) Immediately Sec. 95 Rubella congenital syndrome Immediately Sec. 95 Salmonellosis, other than typhoid fever Within 72 hours Sec. 96 Shigellosis Immediately Sec. 97 Smallpox (variola infection) Immediately Sec. 97.5 Adverse events or complications due to smallpox vaccination (vaccinia virus infection) or secondary transmission to others after vaccination. This includes accidental implantation at sites other than the vaccination site, secondary bacterial infections at vaccination site, vaccinia keratitis, eczema vaccinatum, generalized vaccinia, congenital vaccinia, progressive vaccinia, vaccinia encephalitis, death due to vaccinia complications, and other complications requiring significant medical intervention. Immediately Sec. 97.5 Staphylococcus aureus, Vancomycin resistance level of MIC > 8 μg/mL Immediately Sec. 98 Streptococcus pneumoniae, invasive disease, and antimicrobial resistance pattern Within 72 hours Sec. 99 Streptococcus, Group A, invasive disease Within 72 hours Sec. 100 Streptococcus, Group B, invasive disease Within 72 hours Sec. 101 Syphilis Within 72 hours Sec. 102 Tetanus Within 72 hours Sec. 103 Toxic shock syndrome (streptococcal or staphylococcal) Within 72 hours Sec. 104 Trichinosis Within 72 hours Sec. 105 Tuberculosis, cases and suspects Within 72 hours Sec. 106 Tularemia Immediately Sec. 107 Typhoid fever, cases and carriers Immediately Sec. 108 Typhus, endemic (flea borne) Within 72 hours Sec. 109 Varicella, resulting in hospitalization or death Within 72 hours Sec. 110 Yellow fever Within 72 hours Sec. 111 Yersiniosis Within 72 hours Sec. 112
(e) Reporting of HIV infection/disease shall include classification as defined in the CDC Morbidity and Mortality Weekly Report, Volume 41, No. RR-17, 1993 Revised Classification System for HIV Infection and Expanded Surveillance Case Definition for AIDS among Adolescents and Adults. Reporting of HIV infection/disease in children less than thirteen (13) years of age shall include classification as defined in the CDC Morbidity and Mortality Weekly Report, Volume 43, No. RR-12, 1994 Revised Classification System for Human Immunodeficiency Virus Infection in Children Less Than 13 Years of Age. Supplemental reports shall be provided by the physician when an individual's classification changes. The CD4+ T-lymphocyte count and percentage or viral load count, or both, shall be included with both initial and supplemental reports.
(f) Influenza shall be reported within seventy-two (72) hours of either of the following occurrences:(1) A human death in which an influenza diagnosis has been detected in the deceased by:(A) commercial rapid antigen testing;(B) viral culture;(C) direct fluorescent antibody (DFA);(D) indirect fluorescent antibody (IFA);(E) enzyme immunoassay;(F) reverse transcriptase-polymerase chain reaction (RT-PCR); or(G) immunohistochemistry (IHC).(2) A human death in which a strong probability of influenza has been detected in the deceased based on clinically compatible symptoms under any of the following circumstances:(A) An influenza pandemic has been declared by the World Health Organization (WHO).(B) Known pandemic influenza activity is occurring in the United States as determined by the Centers for Disease Control and Prevention (CDC).(C) Known pandemic influenza activity is occurring in the local community as determined by the commissioner.
(f)(g) The department, under the authority ofIC 4-22-2-37.1 , may adopt emergency rules to include mandatory reporting of emerging infectious diseases. Reports shall include the information specified in subsection (c).
(g)(h) Outbreaks of any of the following shall be reported immediately upon suspicion:(1) Any disease required to be reported under this section.(2) Diarrhea of the newborn (in hospitals or other institutions).(3) Foodborne or waterborne diseases in addition to those specified by name in this rule.(4) Streptococcal illnesses.(5) Conjunctivitis.(6) Impetigo.(7) Nosocomial disease within hospitals and health care facilities.(8) Influenza-like illness.(9) Unusual occurrence of disease.(10) Any disease, that is:(A) anthrax;(B) plague;(C) tularemia;(D) Brucella species;(E) smallpox; or(F) botulinum toxin;or chemical illness that is considered a bioterrorism threat, importation, or laboratory release.
(Indiana State Department of Health;(h)(i) Failure to report constitutes a Class A infraction as specified byIC 16-41-2-8 .410 IAC 1-2.3-47 ; filed Sep 11, 2000, 1:36 p.m.: 24 IR 339; filed Oct 23, 2003, 4:10 p.m.: 27 IR 865; readopted filed Nov 8, 2006, 1:53 p.m.:20061122-IR-410060424RFA ; filed Jan 2, 2007, 2:49 p.m.:20070131-IR-410050189FRA ; filed Apr 16, 2008, 2:21 p.m.:20080514-IR-410060425FRA )
LSA Document #06-425(F)Notice of Intent:20061004-IR-410060425NIA Proposed Rule:20071114-IR-410060425PRA Hearing Held: February 4, 2008Approved by Attorney General: April 7, 2008Approved by Governor: April 16, 2008Filed with Publisher: April 16, 2008, 2:21 p.m.Documents Incorporated by Reference: None Received by PublisherSmall Business Regulatory Coordinator: Robert Teclaw, Indiana State Department of Health, 2 North Meridian Street, 5K, Indianapolis, Indiana 46204, (317) 233-7807, rteclaw@isdh.in.govPosted: 05/14/2008 by Legislative Services Agency
DIN: 20080514-IR-410060425FRAComposed: Nov 01,2016 12:24:24AM EDTA PDF version of this document.
