902 KAR 2:030. Inspections and control procedures.
RELATES TO: KRS 211.180, 214.010, 214.020
STATUTORY AUTHORITY: KRS 195.040, 211.090
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. (CDS-3; 1 Ky.R. 187; eff. 12-11-74.)