7 AAC 27.215. Tuberculosis screening of school employees

Each employee of each public school district, and of each non-public school, offering pre-elementary education through 12th grade education, or any combination of these grades, shall be evaluated annually, except as provided otherwise in this subsection, to detect active cases of pulmonary tuberculosis, as follows:

(1) an employee who has never had a positive tuberculin skin test result shall obtain a tuberculin skin test;

(2) an employee who has previously had a positive tuberculin skin test result, or an employee whose tuberculin skin test obtained under (1) of this subsection has a positive result,

(A) shall have a health evaluation by a health care provider to identify symptoms suggesting that tuberculosis disease is present; the health evaluation must also include evaluation for the presence of any of the following risk factors: evidence of inadequately treated past tuberculosis disease, history of close exposure to a case of communicable pulmonary tuberculosis within the previous two years, history of a negative tuberculin test within the previous two years, diabetes mellitus (severe or poorly controlled), diseases associated with severe immunologic deficiencies, immunosuppressive therapy, silicosis, gastrectomy, excessive alcohol intake, or human immunodeficiency virus infection; if symptoms suggesting tuberculosis disease are present, or if any of the risk factors is present, a chest x-ray shall be obtained as part of the health evaluation and the health care provider shall report the case to the section of epidemiology, division of public health; and

(B) if the employee has previously received appropriate antituberculosis chemotherapy and has no symptoms suggesting that tuberculosis is present, the employee need not have further annual tuberculosis evaluation under this subsection.

History: Eff. 7/17/87, Register 103

Authority: AS 18.05.040

AS 18.15.145 (d)

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