Missouri Revised Statutes
Chapter 199
Rehabilitation Center--Head Injury--Tuberculosis Testing and Commitment
←199.051
Section 199.170.1
199.180→
August 28, 2015
Definitions.
199.170. The following terms, as used in sections 199.170 to 199.350,
mean:
(1) "Active tuberculosis", tuberculosis disease caused by the
mycobacterium tuberculosis complex that is demonstrated to be contagious by
clinical, bacteriological, or radiological evidence. Tuberculosis is
considered active until cured;
(2) "Cure" or "treatment to cure", the completion of a recommended
course of therapy as defined in subdivision (11) of this section and as
determined by the attending physician in conjunction with the local public
health authority or the department of health and senior services;
(3) "Department", the department of health and senior services;
(4) "Directly observed therapy" or "DOT", a strategy in which a health
care provider or other trained person watches a patient swallow each dose of
prescribed antituberculosis medication;
(5) "Facility", any hospital licensed under chapter 197, any public
nonlicensed hospital, any long-term care facility licensed under chapter 198,
any health care institution, any correctional or detention facility, or any
mental health facility approved by the local public health authority or the
department;
(6) "Immediate threat", a rebuttable presumption that a person has
active tuberculosis and:
(a) Is not taking medications as prescribed;
(b) Is not following the recommendations of the treating physician,
local public health authority, or the department;
(c) Is not seeking treatment for signs and symptoms compatible with
tuberculosis; or
(d) Evidences a disregard for the health of the public;
(7) "Isolation", the physical separation in a single-occupancy room to
isolate persons with suspected or confirmed infectious tuberculosis disease.
An isolation should provide negative pressure in the room, an airflow rate of
six to twelve air changes per hour, and direct exhaust of air from the room to
the outside of the building or recirculation of the air through a high
efficiency particulate air (HEPA) filter;
(8) "Latent tuberculosis infection", infection with mycobacterium
tuberculosis without symptoms or signs of disease. Patients with such
infection do not have tuberculosis disease, are not infectious and cannot
spread tuberculosis infection to others;
(9) "Local public health authority", any legally constituted local city
or county board of health or health center board of trustees or the director
of health of the city of Kansas City, the director of the Springfield-Greene
County health department, the director of health of St. Louis County or the
commissioner of health of the City of St. Louis, or in the absence of such
board, the county commission or the county board of tuberculosis hospital
commissioners of any county;
(10) "Potential transmitter", any person who has the diagnosis of
pulmonary or laryngeal tuberculosis but has not begun a recommended course of
therapy, or who has the diagnosis of pulmonary tuberculosis and has started a
recommended course of therapy but has not completed the therapy. This status
applies to any individual with tuberculosis, regardless of his or her current
bacteriologic status;
(11) "Recommended course of therapy", a regimen of antituberculosis
chemotherapy in accordance with medical standards of the American Thoracic
Society, the Centers for Disease Control and Prevention, the Infectious
Diseases Society of America, or the American Academy of Pediatrics;
(12) "Targeted testing program", a program that screens all faculty and
students to identify those at high risk for latent tuberculosis infection and
persons at high risk for developing tuberculosis disease, and includes testing
of identified high-risk populations to determine those that would benefit from
treatment. Screening shall require the completion of a tuberculosis risk
assessment questionnaire form recommended by the American College of Health
Association or the Centers for Disease Control and Prevention. High-risk
populations include students from countries where tuberculosis is endemic or
students with other risk factors for tuberculosis as identified by the Centers
for Disease Control and Prevention.
(L. 1961 p. 518 § 1, A.L. 1986 H.B. 1554 Revision, A.L. 1990 H.B. 1739
merged with S.B. 742, A.L. 1999 H.B. 721 merged with S.B. 261,
A.L. 2001 S.B. 266, A.L. 2013 S.B. 197)
2001
1999
2001
199.170. The following terms, as used in sections 199.170 to 199.270,
mean:
(1) "Active tuberculosis", tuberculosis disease that is demonstrated to
be contagious by clinical, bacteriological, or radiological evidence.
Tuberculosis is considered active until cured;
(2) "Cure" or "treatment to cure", the completion of a recommended
course of therapy as defined in subdivision (5) of this section and as
determined by the attending physician;
(3) "Local board", any legally constituted local city or county board of
health or health center board of trustees or the director of health of the
city of Kansas City, the director of the Springfield-Greene County health
department, the director of health of St. Louis County or the commissioner of
health of the City of St. Louis, or in the absence of such board, the county
commission or the county board of tuberculosis hospital commissioners of any
county;
(4) "Potential transmitter", any person who has the diagnosis of
pulmonary tuberculosis but has not begun a recommended course of therapy, or
who has the diagnosis of pulmonary tuberculosis and has started a recommended
course of therapy but has not completed the therapy. This status applies to
any individual with tuberculosis, regardless of his or her current
bacteriologic status;
(5) "Recommended course of therapy", a regimen of antituberculosis
chemotherapy in accordance with medical standards of the American Thoracic
Society and the Centers for Disease Control and Prevention.
1999
199.170. The following terms, as used in sections 199.170 to 199.270,
mean:
(1) "Active tuberculosis", tuberculosis disease that is demonstrated to
be contagious by clinical, bacteriological, or radiological evidence.
Tuberculosis is considered active until cured;
(2) "Cure" or "treatment to cure", the completion of a recommended
course of therapy as defined in subdivision (5) of this section and as
determined by the attending physician;
(3) "Local board", any legally constituted local city or county board of
health or health center board of trustees or the director of health of the
city of Kansas City or the commissioner of health of the city of St. Louis, or
in the absence of such board, the county commission or the county board of
tuberculosis hospital commissioners of any county;
(4) "Potential transmitter", any person who has the diagnosis of
pulmonary tuberculosis but has not begun a recommended course of therapy, or
who has the diagnosis of pulmonary tuberculosis and has started a recommended
course of therapy but has not completed the therapy. This status applies to
any individual with tuberculosis, regardless of his or her current
bacteriologic status;
(5) "Recommended course of therapy", a regimen of antituberculosis
chemotherapy in accordance with medical standards of the American Thoracic
Society and the Centers for Disease Control and Prevention.
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