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(a) Each public school district and non-public school offering pre-elementary education through the 12th grade, or a combination of these grades, shall administer an intradermal purified protein derivative (PPD) skin test for tuberculosis within 90 days of enrollment to each child who enrolls in
(1) grades kindergarten and seven; or
(2) the district in grades kindergarten or higher for the first time.
(b) The division may require a district or a non-public school to administer PPD skin tests to enrolled children in addition to those tests required under (a) of this section. The division shall issue a notice to a district or a non-public school requiring enrolled children in additional grade levels, including potentially all grade levels, to be PPD skin tested if the division makes a determination that there is evidence of increased risk of spread of tuberculosis in the community or communities where the district or the non-public school is located. The division shall use the following criteria to determine the need for additional required testing required under this subsection:
(1) evidence that the results of prior PPD skin testing of school children in the local community or communities demonstrate tuberculosis transmission;
(2) evidence that tuberculosis disease is recognized to be occurring in the local community or communities;
(3) evidence that the local community or communities have a history of high rates of tuberculosis when compared to rates of tuberculosis for the nation or this state; or
(4) evidence that children from populations having a high risk of tuberculosis are enrolled in the district or the non-public school; in this paragraph, "populations having a high risk" include groups that historically have been medically underserved, homeless persons, foreign-born persons from countries with high rates of tuberculosis, and persons with immune deficiency conditions.
(c) If the result of a PPD skin test is positive, including a test result provided under (f)(1) of this section, the district or non-public school shall refer the child to a health care provider and notify the division at its office in Anchorage.
(d) The district or non-public school shall record the result of a PPD skin test administered under this section in the permanent health record of the child.
(e) The district or school shall suspend a child under AS 14.30.045 (4) if
(1) the child fails to submit to a PPD skin test required under this section; or
(2) the child or a person acting on behalf of the child fails to provide the district or non-public school, within 30 days after referral under (c) of this section, a written and signed statement of a health care provider stating that the child is not infectious from tuberculosis to others.
(f) Notwithstanding (a) - (e) of this section, a PPD skin test is not required under this section if the child or a person acting on behalf of the child provides the district or non-public school with
(1) documentation showing
(A) negative results of PPD skin test administered within the preceding six months; or
(B) positive results at any time on the PPD skin test; or
(2) the affidavit of a physician lawfully entitled to practice medicine or osteopathy in this state stating the opinion that the PPD skin test to be administered would be injurious to the health and welfare of the child or members of the family or household.
(g) A student whose PPD skin test obtained under (a) or (b) of this section has a positive result shall have a health evaluation, including a chest x-ray, by a health care provider. The health care provider shall report the case to the section of epidemiology in the division.
History: Eff. 9/2/82, Register 83; am 2/10/99, Register 149
Authority: AS 14.30.045
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Last modified 7/05/2006