Section 693.10 Definitions

Section 693

Section 693.10  Definitions

"Act"

means Illinois Sexually Transmissible Disease Control Act [410 ILCS 325].

"Acquired Immunodeficiency Syndrome" or

"AIDS"

means, as defined by the Centers for Disease Control and

Prevention, the most severe stage of HIV infection.

"Blood

Bank" means any facility or location at which blood or plasma is procured,

furnished, donated, processed, stored or distributed.

"Certified

Local Health Department" means a local health department that is certified

pursuant to 77 Ill. Adm. Code 600.210 of the Certified Local Health Department

Code.

"Contact"

means:

An individual

who has been in direct sexual contact with an individual infected with a

sexually transmitted infection (STI);

An individual

who has been in direct sexual or needle contact with a person with AIDS or living

with human immunodeficiency virus (HIV); or

An individual

who has undergone artificial insemination, a blood transfusion or an organ or

tissue transplantation donated by a person living with HIV.

"Critical Period" means

the time interval for which an individual infected with an STI is asked to

recall sexual or needle-sharing contacts. Ideally, the critical period covers

the time from the earliest date an individual could have been infected with an

STI up to the date of diagnosis or treatment.

The critical

period for syphilis is based on the disease stage at the time of diagnosis:

Primary − four months and one week;

Secondary − eight months (34 weeks);

Early non-primary non-secondary

(NPNS) – 12 months, unless a credible primary or secondary history can be

established.

The critical period for chlamydia,

gonorrhea and chancroid is 60 days before the date of specimen collection and

should be extended through the date of      treatment if the patient was not

treated at the time the specimen was collected.

The critical period for HIV is 12

months before the date of diagnosis.

"Department"

means the

Illinois Department of Public Health

tory can be

established.

The critical period for chlamydia,

gonorrhea and chancroid is 60 days before the date of specimen collection and

should be extended through the date of      treatment if the patient was not

treated at the time the specimen was collected.

The critical period for HIV is 12

months before the date of diagnosis.

"Department"

means the

Illinois Department of Public Health

. (Section 3 of the Act)

"Designated Agent" means

an organization designated by the Department, or a local health department in

cities with a population of 1,000,000 or more, to conduct public health

activities under a written agreement with the Department.

"Epidemiologic Information" means information, obtained through

the counseling and partner services process, regarding possible exposure to an STI.

"Expedited Partner Therapy" or "EPT" means to prescribe,

dispense, furnish or otherwise provide prescription antibiotic drugs to the

partner or partners of persons clinically diagnosed as infected with a sexually

transmissible infection, without physical examination of the partner or

partners.

"Health

Care Contact" means any the following:

An individual

who has

undergone invasive procedures performed by

a

health care

professional

living with HIV when

the Department has determined that there is or may have

been potential risk of HIV transmission from the health care

professional

to that individual

;

A

health

care

professional

who

has

performed invasive procedures for

a

person living

with HIV

when

the Department has determined that there

is or may have been potential risk of HIV transmission from the infected person

to the health care

professional.  (Section 5.5(c) of the Act)

"Health

Care Facility" means any institution, building or agency or portion of any

institution, building or agency, whether public or private (for-profit or

nonprofit), that is used, operated or designed to provide health services,

medical treatment or nursing, rehabilitative or preventive care to any person

or persons

cted person

to the health care

professional.  (Section 5.5(c) of the Act)

"Health

Care Facility" means any institution, building or agency or portion of any

institution, building or agency, whether public or private (for-profit or

nonprofit), that is used, operated or designed to provide health services,

medical treatment or nursing, rehabilitative or preventive care to any person

or persons.

"Health

Care Professional"

means any of the following:

A physician licensed to

practice medicine in all its branches;

a licensed physician assistant;

a licensed advanced practice registered

nurse;

[410 ILCS 325/3(4)]

a licensed dentist

;

a licensed podiatrist;

a licensed nurse

or other person licensed or certified to provide health care services of any

kind; or

an individual

certified to provide HIV testing and counseling by a state or local public health

department.

"HIV

Test" means an HIV test method approved by the federal Food and Drug

Administration (FDA) or validated under a laboratory's Clinical Laboratory

Improvement Amendments of 1988 (CLIA) certification.

"Human Immunodeficiency

Virus" or "HIV" means, as defined by the Centers for Disease

Control and Prevention,

a retrovirus

that can be transmitted through sexual contact, sharing needles to inject

drugs, or during pregnancy, birth, or breastfeeding.  HIV attacks the body's

immune system and when left untreated, can lead to

AIDS

.

"Invasive

Procedure" means skin penetration or surgical entry into tissues, cavities

or organs or repair of major traumatic injuries associated with any of the

following or other settings, including but not limited to:

An operating

or delivery room, emergency department, or outpatient setting, including both

physicians' and dentists' offices;

Cardiac

catheterizations and angiographic procedures;

Vaginal or

cesarean delivery or other invasive obstetrical procedure during which bleeding

may occur; or

Manipulation

or excision of any oral or perioral tissue, including tooth structure, during

which bleeding or the

perating

or delivery room, emergency department, or outpatient setting, including both

physicians' and dentists' offices;

Cardiac

catheterizations and angiographic procedures;

Vaginal or

cesarean delivery or other invasive obstetrical procedure during which bleeding

may occur; or

Manipulation

or excision of any oral or perioral tissue, including tooth structure, during

which bleeding or the potential for bleeding exists.

"Isolation"

means the physical separation and confinement of an individual who is infected

or reasonably believed to be infected with an STI from non-isolated individuals

to prevent the transmission of the STI to non-isolated individuals.

"Laboratory"

means a CLIA-approved or -licensed facility, other than a blood bank, at which

tests are performed to determine the presence of infection with an STI.

"Living

with HIV" means infected with HIV, as evidenced by a positive or reactive

supplemental laboratory HIV test result.

"

Local

Health

Department" means

the full-time official health department

or board of health having jurisdiction over a particular area

. (Section 3

of the Act)

"Noncompliant" means

that a person who is infected with an STI and is aware of his/her infection and

is engaging in behaviors or activities that place others at risk of exposure to

the STI.

"Partner Services" means

services offered to persons diagnosed with HIV, syphilis, gonorrhea or chlamydia

and to their partners.  These services include, but are not limited to,

interviewing infected individuals to elicit and subsequently notify sex and

needle sharing partners of possible exposure or potential risk of exposure to

infection, facilitating testing and treatment of exposed partners, and

providing referrals to support services as needed.

"Quarantine"

means the act of making a place or a location

off limits to the public to

prevent the probable spread of

syphilis, gonorrhea, chlamydia, HIV or

chancroid

subsequently notify sex and

needle sharing partners of possible exposure or potential risk of exposure to

infection, facilitating testing and treatment of exposed partners, and

providing referrals to support services as needed.

"Quarantine"

means the act of making a place or a location

off limits to the public to

prevent the probable spread of

syphilis, gonorrhea, chlamydia, HIV or

chancroid. (Section 7(a) of the Act)

"Self-Refer" means for a

person infected with an STI to notify his/her contacts of their possible

exposure to an STI and to refer contacts to appropriate health care

professionals for counseling, testing and treatment, if indicated.

"Sexually

Transmissible Infection" or "STI" means, as defined by the

Centers for Disease Control and Prevention, an infection that can be acquired

or transmitted through sexual activity.

"Suspected

Case" means a person who is reasonably believed to be infected with an STI,

based on medical or epidemiologic information.

"Treatment" means

services for prevention, diagnosis and medical management of STIs, including

examination, laboratory testing, medication, counseling and immunization.