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OREGON HEALTH AUTHORITY,

PUBLIC HEALTH DIVISION

 

DIVISION 17
DISEASE CONTROL (DEFINITIONS AND REFERENCES)

333-017-0000
Definitions
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) "Children’s facility"
means:
(a) A certified child care
facility as described in ORS 329A.030 and 329A.250 to 329A.450, except an "exempted
children’s facility" as defined in OAR 333-050-0010;
(b) A program operated by,
or sharing the premises with, a certified child care facility, school or post-secondary
institution where care is provided to children, six weeks of age to kindergarten
entry, except an "exempted children’s facility" as defined in OAR 333-050-0010;
or
(c) A program providing child
care or educational services to children, six weeks of age to kindergarten entry,
in a residential or nonresidential setting, except an "exempted children’s
facility" as defined in OAR 333-050-0010.
(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:
(a) Budvicia;
(b) Buttiauxella;
(c) Cedecea;
(d) Citrobacter;
(e) Edwardsiella;
(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;
(n) Enterobacter;
(o) Escherichia;
(p) Ewingella;
(q) Hafnia;
(r) Klebsiella;
(s) Kluyvera;
(t) Leclercia;
(u) Leminorella;
(v) Moellerella;
(w) Morganella;
(x) Obesumbacterium;
(y) Pantoea;
(z) Photorhabdus;
(aa) Plesiomonas;
(bb) Pragia;
(cc) Proteus;
(dd) Providencia;
(ee) Rahnella;
(ff) Salmonella;
(gg) Serratia;
(hh) Shigella;
(ii) Tatumella;
(jj) Trabulsiella;
(kk) Xenorhabdus;
(ll) Yersinia;
(mm) Yokenella.
(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) A confirmed blood lead
level of at least 5 micrograms per deciliter for children under 18 years of age;
or
(b) A confirmed blood lead
level of at least 10 micrograms per deciliter for people 18 years of age and older.
(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 (for
example, Carba NP) positive for production of carbapenemase; or
(c) Resistance to any carbapenem
antibiotic with elevated minimum inhibitory concentration (MIC):
(A) MIC for imipenem greater
than or equal to 4 mcg/ml; or
(B) MIC for meropenem greater
than or equal to 4 mcg/ml; or
(C) MIC for ertapenem greater
than or equal to 2 mcg/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) "School" means a public,
private, parochial, charter or alternative educational program offering kindergarten
through grade 12 or any part thereof.
(30) "School Administrator"
means the principal or other person having general control and supervision of a
school or children’s facility and has the same meaning as "administrator"
in ORS 433.235.
(31) "Specimen Source Site"
means the source from which the specimen was obtained.
(a) For environmental samples,
"specimen source site" means the location of the source of the specimen.
(b) For biological samples,
"specimen source site" means the anatomical site from which the specimen was collected.
(32) "Specimen Type" means
the description of the source material of the specimen.
(33) "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.
(34) "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.
(35) "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; PH
10-2015, f. 7-2-15, cert. ef. 7-3-15
333-017-0005
Reference Documents
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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