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(a) All staff members must have a physical examination not more than three months before initial employment and every three years after that. It is the responsibility of the operator to maintain a personnel file for each employee, in which the results of the current physical examination must be kept. This file is subject to inspection by the department.
(b) All employees and volunteers who work in the classroom or who provide direct services to children in the pre-elementary school shall be evaluated annually, except as provided otherwise in this subsection, to detect active cases of pulmonary tuberculosis, as follows:
(1) a person who has never had a positive tuberculin skin test result shall obtain a tuberculin skin test;
(2) a person who has previously had a positive tuberculin skin test result, or a person 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, Department of Health and Social Services; and
(B) if the person has previously received appropriate antituberculosis chemotherapy and has no symptoms suggesting that tuberculosis is present, the person need not have further annual tuberculosis evaluation under this subsection.
(c) A school subject to the provisions of this chapter shall comply with all applicable statutes and regulations concerning labor and employment practices.
History: Eff. 5/20/77, Register 62; am 12/13/87, Register 104
Authority: AS 14.07.020
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Last modified 7/05/2006