Current through Register Vol. 51, No. 3, September 1, 2024
RELATES TO:
KRS
211.180,
214.010,
214.020
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
211.180 mandates the Cabinet for Human
Resources to implement a statewide program for the detection, prevention and
control of communicable diseases. This administrative regulation insures
delineation of authority and responsibility for proper investigation and
control of communicable diseases throughout the Commonwealth.
Section 1. Community Control Procedures.
(1) Inspections. Authorized local health
department or Cabinet for Human Resources personnel shall inspect any premises
that they have reasonable grounds to believe are in a condition conducive to
the spread of any communicable disease.
(2) Control procedures. Local health
departments or the Cabinet for Human Resources shall:
(a) Make or cause to be made such
investigations as may be necessary for the purpose of securing data regarding
clinical diagnosis, reservoir, and time, place and source of infection and
contacts.
(b) Establish and
maintain quarantine, isolation or other measures as required by law or by
administrative regulations of the Cabinet for Human Resources relating to
communicable disease control.
(c)
Provide, or cause to be provided, for the instruction of persons affected and
their attendants in the proper methods of such concurrent and terminal
disinfection as may be required by the Cabinet for Human Resources or local
board of health having jurisdiction.
(d) Afford all contacts of persons suffering
from those diseases for which there is a reliable and approved means of
immunization the opportunity to be immunized.
(e) Make inquiry or investigation to see that
control measures are being properly observed during the period of
communicability.
(f) Introduce such
other measures, not inconsistent with law or the administrative regulations of
the Cabinet for Human Resources and the local board of health having
jurisdiction, as are necessary because of widespread infection or threatened
epidemic.
(3) Uncertain
diagnosis. Whenever a case of unrecognized illness shall be reported to, or
otherwise brought to the attention of the local health department or Cabinet
for Human Resources which upon investigation presents symptoms of a
communicable disease but in which sufficient time has not elapsed to render a
positive diagnosis, the local health department or the Cabinet for Human
Resources may establish the control measures applicable in actual cases of the
suspected communicable disease, until such time as a positive diagnosis can be
established. If the disease proves to be noncommunicable the temporary control
measures shall be terminated at once.
Section 2. Control Procedures by Attending
Physician.
(1) Isolation by attending
physician. It shall be the duty of every physician, immediately upon
discovering a case or suspected case of any communicable disease, for which
isolation procedures are specified, to secure such isolation of the patient as
will minimize the possibility of spread of the disease.
(2) Submission of laboratory specimens. It
shall be the duty of each and every physician who shall be in attendance on any
person having or reasonably suspected as having any of the diseases specified
as reportable, to submit suitable specimens to a laboratory approved by the
Cabinet for Human Resources for examination, when such examination is deemed
necessary by local health department or Cabinet for Human Resources
authorities, for investigation or control of such disease.
Section 3. Isolation of Persons in
Institutions. Every institution which provides for care or treatment of the ill
shall be provided with at least one (1) isolation ward or room so related to
the rest of the building as to make proper isolation therein
practicable.
STATUTORY AUTHORITY:
KRS 195.040,
211.090
