Hawaii Administrative Code

(a) Prenatal screening of pregnant women for hepatitis B is required. A woman infected with the hepatitis B virus should be counseled by her practitioner to consent to an immunization series against hepatitis B for her baby. (b) The attending practitioner or other person permitte…

(a) Every hospital, clinic, and health care provider shall make available for inspection by the department of health all medical records relating to notifiable diseases listed in Exhibit A and other diseases and syndromes determined by the director to be a danger to the public he…

(a) Exhibit C, "Hawaii Isolation and Control Requirements (January, 2001)," located at the end of this chapter, is made a part of this chapter. The interventions prescribed in Exhibit C apply to diagnosed or suspected cases as well as contacts of diagnosed or suspected cases of t…

(a) Source and spread. With only very rare exception, STIs are spread by intimate body contact with infected individuals. To discover the source and possible spread of infection in every case of STI, interviewing of patients and tracing of sexual contacts are fundamental features…

(a) Any person who has been informed by the department, a private practitioner, or a hospital that he or she has been diagnosed or provisionally diagnosed with a communicable disease for which strict isolation is indicated in Exhibit C, shall remain in the person's residence or t…

(a) When any student has a communicable disease for which isolation or restriction from school attendance is required, it shall be the responsibility of the principal or director in charge of the school to prohibit the student from attending school until the expiration of the pre…

Notes Haw. Code R. § 11-156-7 R 10/23/97

Notes Haw. Code R. § 11-156-8.8

If any provision of this chapter, or its application to any person or circumstance, is held invalid, the application of such provision to other persons or circumstances, and the remainder of this chapter shall not be affected thereby." Notes Haw. Code R. § 11-156-9 [Eff 11/5/81; …

(a) Documentation of immunizations shall indicate the department of health or the name of the practitioner responsible for administering or reviewing each immunization. The documentation shall also bear the signature of the practitioner or the stamp or imprinted name of the depar…

(a) Valid certificates of TB clearance, immunization records, physical examination records, and certificates of medical or religious exemption (collectively "documents'') may be suspended or revoked if a preponderance of the evidence shows that a document contains a material inac…

(a) A student or child who does not have evidence of all of the required immunizations may attend school, post-secondary school, or a child care facility provisionally upon submitting written evidence from a practitioner or the department stating that the student or child is in t…

(a) If a student or child does not complete the required immunizations or examination within three months of the date of provisional attendance, the school or child care facility shall notify the parent or adult student by dated, written notice of exclusion that the student or ch…

(a) Each school and child care facility shall report to the department by October 10th and January 10th of each school year the names of all students or children who have been provisionally admitted, who have been excluded for failure to comply fully with the immunization or exam…

(a) Medical exemptions from the requirements for specific immunizing agents shall be granted upon certification by a practitioner in a form or format specified by the department, that a student or child has a stated contraindication or precaution to a vaccine, for a specific peri…

Notes Haw. Code R. § 11-157-6 R 10/23/97

Penalties and remedies for failure to comply with these rules are provided in sections 321-18, 321-20, 325-14, and 325-37, HRS. Notes Haw. Code R. § 11-157-7 [Eff 11/5/81; am and comp 6/17/93; comp 10/23/97; comp 8/27/01] (Auth: HRS §§ 302A-1162, 321-9, 321-11, 325-13, 325-32) (I…

If any provision of this chapter, or its application to any person or circumstance, is held invalid, the application of such provision to other persons or circumstances, and the remainder of this chapter, shall not be affected thereby. Notes Haw. Code R. § 11-157-8 [Eff 11/5/81; …

Notes Haw. Code R. § 11-164-1 [Eff: 11/5/81; am and comp 10/23/97; comp 8/27/01] (Auth: HRS §§ 321-1, 321-9, 321-10, 325-13) (Imp: HRS § 325-13) Rep3/17/2018

Notes Haw. Code R. § 11-164-10 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 321-11) (Imp: HRS §§ 321-1, 321-11) Rep3/17/2018

Notes Haw. Code R. § 11-164-11 [Eff: 11/5/81; am and comp 10/23/97; comp 8/27/01] (Auth: HRS §§ 321-9, 321-10, 325-13, 321-18) (Imp: HRS §§ 325-13, 321-18) Rep3/17/2018

Notes Haw. Code R. § 11-164-12 [Eff: 11/5/81; am and comp 10/23/97; comp 8/27/01] (Auth: HRS §§ 321-9, 325-13) (Imp: HRS §§ 321-9, 325-13) Rep3/17/2018

Notes Haw. Code R. § 11-164-2 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 321-10, 325-13) (Imp: HRS § 321-9) Rep3/17/2018

Notes Haw. Code R. § 11-164-3 [Eff: 11/5/81; comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 325-13, 325-71) (Imp: HRS §§ 325-2, 325-71) Rep3/17/2018

Notes Haw. Code R. § 11-164-4 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 325-13, 325-101) (Imp: HRS §§ 325-71, 325-101) Rep3/17/2018

Notes Haw. Code R. § 11-164-5 [Eff: 11/5/81; comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 321-10, 325-13) (Imp: HRS §§ 321-1, 325-13, 325-76) Rep3/17/2018

Notes Haw. Code R. § 11-164-6 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 302A-1162, 321-9, 321-10, 321-11, 325-13) (Imp: HRS §§ 302A-1162, 321-1, 325-13) Rep3/17/2018

Notes Haw. Code R. § 11-164-7 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 321-11, 321-31, 325-13) (Imp: HRS §§ 321-1, 321-11, 321-31, 325-13, 325-76) Rep3/17/2018

Notes Haw. Code R. § 11-164-8 [Eff: 11/5/81; am and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§ 321-9, 325-13) (Imp: HRS §§ 321-1, 321-311.5, 325-4, 325-13) Rep3/17/2018

Notes Haw. Code R. § 11-164-9 R 8/27/01 Rep3/17/2018

The purpose of this chapter is to establish minimum requirements for the control of tuberculosis in the State. Notes Haw. Code R. § 11-164.2-1 [Eff 3/17/2018] (Auth: HRS §§ 321-1, 321-9, 325-13) (Imp: HRS §§ 302A-1162, 321-1, 321-9, 325-13)

(a) Any practitioner, individual in charge of an inpatient or outpatient health care facility, laboratory director, or infection control officer who makes a diagnosis of TB disease or identifies a person suspected of having TB disease shall report this to the department using the…

Upon request, any practitioner, individual in charge of an inpatient or outpatient health care facility, laboratory director, or infection control officer treating a person for TB disease shall provide the department any additional information relative to the person's case as is …

Notwithstanding a person's possession of a TB clearance, any person who is: (1) Known to have TB disease; (2) Reported to the department as having TB disease; (3) Reasonably suspected by the department of having TB disease; or (4) Reasonably suspected by the department to have be…

For purposes of evaluating persons required by this chapter to obtain a TB clearance, practitioners and the department shall follow the instructions and procedures in the document entitled "DOH TB Clearance Manual", dated 07/18/2017. This document is available from the department…

Notes Haw. Code R. §§ 11-164.2-14 to 11-1642-19 [Res 3/17/2018]

As used in this chapter: "Annually" means within the range of three hundred thirty-five to three hundred ninety-six days. "Child care facility" has the same meaning as defined in section 346-151, Hawaii Revised Statutes (HRS) and includes child care facilities licensed by the Dep…

(a) Prior to starting employment at a child care facility or school, employees shall present to the administrator of the child care facility or school:(1) A TB clearance obtained within twelve months prior to the start date; or (2) A TB clearance obtained after age sixteen. (b) E…

(a) Prior to attending a child care facility or school in the State a child shall present to the administrator of the child care facility or school a TB clearance; provided that if a TB clearance was obtained before the child was twelve months of age, the child shall obtain a new…

(a) Prior to starting employment at a post-secondary school, post-secondary school personnel shall present to the administrator of the post-secondary school: (1) A TB clearance obtained within twelve months prior to the start date; or (2) A TB clearance obtained after age sixteen…

(a) Prior to attending a post-secondary school in the State for a course of study longer than one hundred twenty days, a person shall present to the administrator of the school: (1) A TB clearance obtained within twelve months prior to the start date; or (2) A TB clearance obtain…

(a) Employees, contract workers, and volunteers working more than ten hours per week in health care facilities or residential care settings licensed or otherwise regulated by the department and residents of health care facilities or residential care settings licensed or otherwise…

(a) Prior to starting employment as a food handler, a person shall present to the employer a copy of: (1) A TB clearance obtained within twelve months prior to the start date; or (2) A TB clearance obtained after age sixteen. (b) Persons engaged in food handling only at carnivals…

(a) Any person who violates any provision of this chapter shall be guilty of a misdemeanor, and subject to the fines and penalties provided by law for a misdemeanor. (b) Any person who fraudulently obtains a TB clearance shall be subject to the penalties in subsection (a) and sha…

If any provision of this chapter or the application thereof to any person or circumstance is held invalid, the invalidity does not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this end the p…

The director may suspend any or all of these rules in the event of a shortage of diagnostic or treatment materials, or in the event of a public health emergency as declared by the director. Notes Haw. Code R. § 11-164.2-5 [Eff 3/17/2018] (Auth: HRS §§ 321-9, 325-13) (Imp: HRS §§ …

Notes Haw. Code R. §§ 11-164.2-6 to 11-1642-9 [Res3/17/2018]

The purpose of this chapter is to establish rules governing the care and treatment of persons afflicted with Hansen's Disease. Notes Haw. Code R. § 11-168-1 [Eff. NOV 05 1981] (Auth: HRS § 326-24) (Imp: HRS § 326-24)

There shall be no restriction on the type of employment that may be engaged in by any person with the non-communicable form or stage of Hansen's disease. Notes Haw. Code R. § 11-168-10 [Eff. NOV 05 1981] (Auth: HRS §§ 326-21, 326-22, 326-24) (Imp: HRS §§ 326-21, 326-22, 326-24)…

Patients shall continue on outpatient follow-up care until the likelihood of any further complications of Hansen's disease have passed. Contacts may be discharged from the outpatient service after medical examinations show no evidence of Hansen's disease. Notes Haw. Code R. § 11-…