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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.

On this page:

Temporary Rule: Implemented January 7, 2015

The Oregon Health Authority, Public Health Division, Acute and Communicable Disease Prevention section has temporarily amended OAR 333-019-0010 pertaining to control of communicable diseases through disease-related school, child care and worksite restrictions.  
This rule is effective January 7, 2015 – July 5, 2015. It is the Authority’s intention to begin the process to make these rules permanent.
Current Oregon law authorizes the Oregon Health Authority to exclude persons from work or attendance at school or child-care facilities if they have reportable diseases; and to exclude persons from attendance at school or child-care facilities if they are not immunized according to OAR 333-050-0050 or have a nonmedical exemption to immunization.
The form for claiming a nonmedical exemption to immunization requirements has parents sign a statement that reads, “I understand that my child may be excluded from school or child care attendance if there is a case of disease that could be prevented by vaccine” ( Moreover, ORS 433.260(1) reads, “Whenever any administrator has reason to suspect that any child or employee has or has been exposed to any restrictable disease and is required by the rules of the Oregon Health Authority to be excluded from a school or children’s facility, the administrator shall send such person home…” However, no rule explicitly addresses this exclusion of non-ill but exposed susceptible persons.
Chickenpox has recently broken out in an Ashland, Oregon school with a high rate of nonmedical exemptions to the statewide requirement for chickenpox vaccination. In such a situation, unimmunized children would typically be excluded, but questions have arisen as to who has authority to require such exclusion. We have been advised by our counsel to clarify this authority in rule as suggested by ORS 433.260. This temporary rule, which we would expect to make permanent, is intended to clarify public health’s authority to require such exclusions.
For more details, please see the following rulemaking documents and the full text of the temporary rules.

Proposed Rules-Mandatory HAI Reporting 


Notice of Proposed Rulemaking for OAR Chapter 333, Division 18: Changes to Mandatory HAI Reporting

The Oregon Health Authority, Public Health Division, Acute and Communicable Disease Prevention section is proposing to permanently amend administrative rules in chapter 18 relating to hospitals and dialysis facilities.  The purpose of the proposed rules is to update references and add clarification to OAR 333-018-0110(9) regarding health care acquired infection process measures.  As the Centers for Medicare and Medicaid Services (CMS) drops requirements for reporting specific process measures, the Oregon Health Authority (Authority) will drop the same measures from mandatory reporting (SCIP-Inf-1, SCIP-Inf-2, SCIP-Inf-3, SCIP-Inf-6 and SCIP-Inf-9.  The proposed rules will add dialysis facilities and inpatient psychiatric facilities (IPF) to the list of facilities that must submit an annual survey to the Authority regarding influenza vaccination of staff under OAR 333-018-0127.  These changes are a result of following CMS mandatory reporting changes in order for the Authority to view the same data, thereby minimizing additional burden to the reporting facilities.
You are invited to review and comment on the proposed rules.  Final rules will be filed after consideration of all comments.

How to Comment

Oral testimony

If you wish to present oral testimony, a public hearing will be held January 20, 2015 at 1:30pm in Portland, Oregon at 800 NE Oregon Street, Room 1A.  [map]

Written comments

You may file written comments before 5:00pm on January 27, 2015 to the Public Health Division Rules Coordinator:
                OHA, Public Health Division
                Brittany Sande, Administrative Rules Coordinator
                800 NE Oregon Street, Suite 930
                Portland, OR 97232
                FAX:  (971) 673-1299


If you have any questions or would prefer a hardcopy be sent, please contact Katherine Ellingson at 971-673-1074 or 

Rulemaking Documents

2014 Rules


Current Rules

Chapter 333, divisions 12, 17, 18, 19, 24, 26, 56

DIVISION 17 - Disease Control (definitions and references)

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


DIVISION 18 - 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]


DIVISION 19 - 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

 DIVISION 26 - Enforcement of Public Health Rules

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

DIVISION 56 - 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 Rules


Oregon Department of Education (ODE)


Also See


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