DISEASE CONTROL (DEFINITIONS AND REFERENCES)
For purposes of OAR chapter 333, divisions 17, 18, and 19, unless the context requires otherwise or a rule contains a more specific definition, 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" means 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 specimen rejection.
(4) "Authority" means the Oregon Health Authority.
(5) "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.
(6) "Case" means 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 Authority's Investigative Guidelines.
(7) "Child Care Facility" means any facility as defined in ORS 657A.250 where care is provided to three or more children.
(8) "Control" has the meaning given that term in ORS 433.001.
(9) "Disease outbreak" has the meaning given that term in ORS 431.260.
(10) “Enterobacteriaceae family” means the family of bacteria that includes but is not limited to the following genera and taxonomic groups:
(f) Enteric Group 58;
(g) Enteric Group 59;
(h) Enteric Group 60;
(i) Enteric Group 63;
(j) Enteric Group 64;
(k) Enteric Group 68;
(l) Enteric Group 69;
(m) Enteric Group 137;
(11) "Food Handler" means 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.
(12) "Food Service Facility" means an establishment that processes or serves food for sale.
(13) "Health Care Facility" has the meaning given that term in ORS 442.015.
(14) "Health Care Provider" has the meaning given that term in ORS 433.443.
(15) "HIV" means the human immunodeficiency virus, the causative agent of AIDS.
(16) "HIV Test" means a Food and Drug Administration (FDA)-approved test for the presence of HIV (including RNA testing), 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.
(17) "HIV Positive Test" means a positive result on the most definitive HIV test procedure used to test a particular individual. In the absence of the recommended confirmation tests, this means the results of the initial test done.
(18) "Lead Poisoning" means a blood lead level of least 10 micrograms per deciliter.
(19) "Licensed Laboratory" means a medical diagnostic laboratory that is inspected and licensed by the Authority 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.
(20) "Licensed Physician" means any physician who is licensed by the Oregon Medical Board or the Board of Naturopathic Medicine.
(21) "Licensed Veterinarian" means a veterinarian licensed by the Oregon Veterinary Medical Examining Board.
(22) “Local Public Health Administrator” has the meaning given that term in ORS 431.260.
(23) "Local Public Health Authority" has the meaning given that term in ORS 431.260.
(24) “Non-Susceptible to any Carbapenem Antibiotic” means the finding of any of the following:
(a) Gene sequence specific for carbapenemase;
(b) Phenotypic test (e.g., Modified Hodge) positive for production of carbapenemase; or
(c) Resistance to all third-generation cephalosporin antibiotics tested, along with any of the following elevated minimum inhibitory concentrations (MIC) for a carbapenem antibiotic:
(A) MIC for imipenem greater than or equal to 2 ?g/ml; or
(B) MIC for meropenem greater than or equal to 2 ?g/ml.
(25) “Novel Influenza” means influenza A virus that cannot be subtyped by commercially distributed assays.
(26) "Onset": Unless otherwise qualified, onset refers to the earliest time of appearance of signs or symptoms of an illness.
(27) "Pesticide Poisoning" means 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.
(28) “Public Health Division (Division)” means the Public Health Division within the Oregon Health Authority.
(29) "Suspected Case" means a person whose illness is thought by a health care provider to have a significant likelihood of being due to a reportable disease, infection, or condition, based on facts such as but not limited to the patient's signs and symptoms, possible exposure to a reportable disease, laboratory findings, or the presence or absence of an alternate explanation for the illness.
(30) "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;
(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.
(31) “Veterinary Laboratory” means a laboratory whose primary function is handling and testing diagnostic specimens of animal origin.
[Publications: Publications referenced are available from the Agency.]
Stat. Auth.: ORS 413.042, 433.004, 437.010,
616.745 & 624.080
Stats. Implemented: ORS 433.004, 433.360, 437.030, 616.745 & 624.380
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; PH 5-2010, f. & cert. ef. 3-11-10; PH 7-2011, f. & cert. ef. 8-19-11; PH 16-2013, f. 12-26-13, cert. ef. 1-1-14
The following publication, which is available for inspection at the Public Health Division, is incorporated by reference in whole or in part in OAR chapter 333, divisions 12, 17, 18, and 19: "Investigative Guidelines": Investigative Guidelines for Reportable Diseases, published on an ongoing basis by the Division's Center for Public Health Practice.
[Publications: Publications referenced are available from the agency.]
Stat. Auth.: ORS 413.042, 433.004,
437.010, 616.745 & 624.080
Stats. Implemented: ORS 413.042, 433.004, 437.010, 616.745 & 624.080
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; PH 5-2010, f. & cert. ef. 3-11-10; PH 7-2011, f. & cert. ef. 8-19-11
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