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Communicable Disease Reporting Rules

Oregon Administrative Rules (OARs): Investigation and Control of Disease

All Oregon physicians, other health care providers, and laboratorians are required by law to report certain diseases and conditions to local health departments. Some cases are subject to restrictions on school attendance, day care attendance, patient care, and food handling. There are civil penalties (333-124-0001) for failure to comply with the statutory and administrative rule requirements in divisions 100 through 123. See also clinical laboratory regulations, and requirements for Oregon lab reporting to local health departments.

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Rule Changes

OARs 333-017, -018, -019 and -056
Effective July 3, 2015

Rule changes involving reporting and control of communicable diseases and handling of infectious waste took effect July 3, 2015. Changes are summarized here; for the text of the changes, click on the links.

    • Definitions of "Children's facility," "School" and "School Administrator" were added for the rule regarding exclusion of susceptibles in 333-019.
    • The threshold blood level for "Lead Poisoning" among children under 18 years of age was lowered from 10µg/dL to 5 µg/dL.
    • Changes were made to the definition of "Non-Susceptible to any Carbapenem Antibiotic."
    • Definitions of "Specimen Source Site" and "Specimen Type" were added for the new rule in 333-019.
OAR 333-018 (Disease Reporting) (pdf)
    • Specimen source site and specimen type were added to the data required of laboratories reporting reportable diseases.
    • Amebic infection of the central nervous system and coccidioidomycosis are now reportable.
    • Submission of isolates of Coccioides spp. and novel influenza strains to the Oregon State Public Health Laboratories is now required.
    • Although both entities remain reportable, submission of serum from patients with anti-hepatitis IgM or anti-HBc IgM is no longer required.
    • Restrictable diseases were separated by facility (food service, schools, children's facilities, health care facilities).
    • The default requirement for exclusion of susceptibles in schools and children's facilities was limited to restrictable diseases that are also reportable diseases for which immunization is required under OAR 333-050-0050
    • The definition of "syringe" was restricted to those fitted with a hollow needle.


Current Rules

View the table of contents for all Public Health Division OARs

Communicable Disease Rules: Chapter 333, divisions 17, 18, 19, 26, 56

Disease Control (definitions and references)

  • 333-017-0000 Definitions
  • 333-017-0005 Reference documents

Disease Reporting (responsibilities and requirements)

  • 333-018-0000 Who is responsible for reporting
  • 333-018-0005 To whom reports shall be made
  • 333-018-0010 Form of the report
  • 333-018-0015 What is to be reported and when
  • 333-018-0018 Submission of isolates to the public health laboratory
  • 333-018-0020 Handling of Reports by the local public health authorities
  • 333-018-0030 Reporting of HIV test results
  • 333-018-0035 Procedures involving emergency response employees [renumbered from 333-018-0023

Investigation and Control of Diseases (general powers and responsibilities)

  • 333-019-0000 Responsibility of public health agencies to investigate reportable diseases
  • 333-019-0002 Cooperation with public health authorities
  • 333-019-0005 Conduct of special studies by the DHS; Disease-related school, child-care and worksite restrictions

Disease-Related School, Child Care, and Worksite Restrictions

  • 333-019-0010 Imposition of restrictions
  • 333-019-0014 Removal of restrictions

Pet licensing, animal bites and rabies

  • 333-019-0017 Rabies vaccination for animals
  • 333-019-0019 Dog licensing
  • 333-019-0022 Wolf-dog hybrids
  • 333-019-0024 Management of animal bites
  • 333-019-0027 Management of possibly rabid animals

Other Disease-Specific Provisions

  • 333-019-0031 Acquired Immunodeficiency Syndrome / Human Immunodeficiency Virus [renumbered from 333-019-0223] (Note specific rules regarding reporting requirements for HIV and AIDS may be found in OAR 333-018-0015. Rules regarding informed consent for HIV testing and confidentiality of HIV test results may be fond in OAR 333-012-0265 and 333-012-0270.)
  • 333-019-0036 Special precautions relating to pregnancy and childbirth
  • 333-019-0039 Sudden Infant Death Syndrome [renumbered from 333-018-0025]
  • 333-019-0041 Tuberculosis [renumbered from 333-019-0405]
  • 333-019-0046 Typhoid

Enforcement of Public Health Rules

  • 33-026-0030 Civil Penalties for Violations of OAR Chapter 333, Divisions 18 and 19

Infectious Waste

  • 333-056-0010 Purpose of infectious waste administrative rules
  • 333-056-0020 Definitions relating to infectious waste
  • 333-056-0030 Infectious waste treatment
  • 333-056-0040 Infectious waste storage times and temperatures
  • 333-056-0050 Prevention of disease transmission by blood-contaminated sharp objects

Related Oregon Health Authority Rules

Oregon Department of Education (ODE)

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