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MRS. PEGGY BROCKMEIER, RN |
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immunizations
Bethany School Tuberculosis Screening Policy for Students and Staff The following policy is based on requirements from the Hamilton County Public Health TB Control Unit in accordance with Ohio Revised Codes 3313.71 and 3701.13, and Ohio Administrative Code 3701-15-02. 1. The following students and staff must provide documented evidence of having a negative TB test within 90 days of their first day of employment or enrollment in the school. · All foreign-born, newly enrolled students who have been in the USA for 5 years or less. · All foreign-born, newly hired staff who have been in the USA for 5 years or less. 2. The TB test that is required must be either a Mantoux Test 5 TU PPD (skin test) or a QuantiFERON blood test. 3. Students and staff in the process of completing the TB testing may begin attendance or employment for no more than 30 days as long as they do not have TB symptoms as verified by a licensed physician or nurse. 4. If the TB skin test or blood test is positive, the person may remain in the school, but must provide proof of the following: within 90 days of their first day of attendance or employment with the school. · a normal chest x-ray · verification from a physician of the absence of communicable tuberculosis
***** Please note: A positive skin test does not indicate active TB disease. Only those persons who display signs and symptoms of active TB disease, with or without a positive skin test, will be removed from school.
5. Any person with either: (1) a documented history of tuberculosis, or (2) a positive PPD or blood test and a normal chest x-ray, must provide documented proof of the absence of TB symptoms, as determined by symptom screening by a licensed physician or nurse. Repeated chest x-rays are not required in the absence of symptoms of tuberculosis. 6. Any current staff member or currently enrolled student who travels at any time to a *high-risk country, as defined by World Health Organization Global TB Control*, in a non-tourist capacity, must provide documented evidence of having a negative skin test or blood test in no less than 60 days but no more than 90 days after their return from travel. 7. Retesting is not required unless the person returns to a high-risk country for at least one week in a non-tourist capacity. · A “non-tourist capacity” is defined as:
· a mission trip,
· staying with family/friends in a private residence, · spending most of the travel time in a home or facility where the residents of the foreign country live. *For a complete, up to date list of the “High-Risk” countries as defined by the World Health Organization Global TB Control please see following list.*
Countries with a high rates of tuberculosis (TB)
* World Health Organization, Global Tuberculosis Control: Estimated burden of TB http://www.who.int/tb/publications/global_report/2007/xls/global.xls Countries with TB case rate of 50 or more per 100,000 people ** Countries with TB case rate <50 per 100,000 but contribute to TB cases in the US
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