Public Health (Infectious and Notifiable Diseases) Regulations (Amendment) (ACT)

AUSTRALIAN CAPITAL TERRITORY

Public Health (Infectious and Notifiable Diseases) Regulations1 (Amendment)

Subordinate Law No. 27 of 19922

The Australian Capital Territory Executive makes the following Regulations under the Public Health Act 1928.

Dated 12 November 1992.

WAYNE BERRY

Minister

BILL WOOD

Minister

Principal Regulations

1.  In these Regulations, “Principal Regulations” means the Public Health (Infectious and Notifiable Diseases) Regulations.

Interpretation

2.  Regulation 3 of the Principal Regulations is amended by inserting in subregulation (1) the following definition:

“ ‘HIV’ means Human Immuno-deficiency Virus;”.

Notification by medical practitioner

3.  Regulation 4 of the Principal Regulations is amended—

(a)by omitting from subregulation (1) “the form in Schedule 1” and substituting “subregulation (2)”; and

(b)by inserting after subregulation (1) the following subregulation:

“(2)  For the purposes of subregulation (1), the notification shall—

(a)except where the disease is HIV—be in accordance with Form 1 in Schedule 1;

(b)where the disease is HIV (Category 1, 2 or 3)—be in accordance with Part A of Form 2 in Schedule 1; and

(c)where the disease is HIV (Category 4—Acquired Immune Deficiency Syndrome)—be in accordance with Parts A and B of Form 2 in Schedule 1.”.

Notification by pathologist

4.  Regulation 4A of the Principal Regulations is amended—

(a)by omitting from paragraph (1) (b) “is positive,” and substituting “indicates the presence of an infectious or a notifiable disease;”;

(b)by omitting from subregulation (1) all the words after “the pathologist shall” and substituting “furnish to the Medical Officer of Health a notification in accordance with Form 3 in Schedule 1.”; and

(c)by omitting subregulation (2).

Notification in respect of in-patient of hospital

5.  Regulation 4B of the Principal Regulations is amended—

(a)by omitting from subregulations (1) and (2) “Schedule 1” and substituting “subregulation (4)”; and

(b)by adding at the end the following subregulation:

“(4)  For the purposes of subregulations (1) and (2), the notification shall—

(a)except where the disease is HIV—be in accordance with Form 1 in Schedule 1;

(b)where the disease is HIV (Category 1, 2 or 3)—be in accordance with Part A of Form 2 in Schedule 1; and

(c)where the disease is HIV (Category 4—Acquired Immune Deficiency Syndrome)—be in accordance with Parts A and B of Form 2 in Schedule 1.”.

Schedule 1

6.  Schedule 1 to the Principal Regulations is amended—

(a)by omitting—

“SCHEDULE 1                 Regulations 4 and 4B ”

and substituting—

“SCHEDULE 1              Regulations 4, 4A and 4B

FORMS

FORM 1  Subregulations 4 (1)
  and 4B (1) and (2)”;

(b)by inserting “(OTHER THAN HIV)” after “NOTIFIABLE DISEASE”; and

(c)by adding at the end the forms in the Schedule to these Regulations.

Schedule 4

7.  Schedule 4 to the Principal Regulations is amended—

(a)by omitting “Acquired Immune Deficiency Syndrome”; and

(b)by inserting after “Dengue”, “HIV (Category 1, 2 or 3)” and “HIV (Category 4—Acquired Immune Deficiency Syndrome)” respectively.

Form 2  Subregulations 4 (1)

Australian Capital Territory  and 4B (1) and (2)

Public Health Act

Public Health (Infectious and Notifiable Diseases) Regulations

Attending Doctor    Name

National Number
(If known)

Address

Notes for Attending Doctor

Please indicate HIV infection status of the person

Hospital Name (if appropriate)

Diagnosed HIV infection (Category 1, 2, or 3)

Complete Part A Only

Signature (Medical Practitioner)

  /        /

Diagnosed HIV infection (Category 4 -

Acquired Immune Deficiency Syndrome)

Complete Parts A and B

A1  Identification of Person with HIV infection			A3  Exposure Category
Person was interviewed with regard to exposure
Family Name (first 2 letters only)			Not at all (Detail)
Given Name (first 2 letters only)			To a certain extent (Answer questions below)
Date of Birth                 /         /			In depth (Answer questions below)
Sex                 Male                      Female			More than one exposure category may be ticked Sexual Exposure - at least one box should be ticked
Male Transexual       Female Transexual    Postcode of current residence			Sexual contact only with person of same sex Sexual contact with both sexes (if female see A4)
A2 Diagnosis of HIV infection Date of first diagnosis of HIV infection        /        /			Sexual contact only with person of opposite sex (see A4) From a specified country (Pattern - II or other Country1)       Country
State/Territory of first diagnosis of HIV infection			No sexual contact Sexual exposure not known
CD + 4 count at first diagnosis of HIV infection		Blood Exposure
Did the person present with a seroconversion illness?		Yes       No	Injecting drugs - Detail
Date of seroconversion illness		/           /	Recipient of blood, blood products or tissue - Detail
Haemophilia/coagulation disorder - Detail
Has the person had a previous negative antibody test?		Yes       No	Vertical Transmission
Date of last negative antibody test		/           /	Mother with/at risk of HIV infection - (see A5)
Source of last negative test		Patient	Other Exposure
Doctor	Exposure other than those above applies - Detail
Laboratory	Exposure could not be established - Detail
A4  Sexual contact with person of opposite sex				A5  Vertical Transmission
Please indicate category of source person				Mother with / at risk of HIV infection due to
Injecting drug use
Bisexual male (women only)			Recipient of blood transfusion, blood components or tissue
Injecting drug user			Origin in Pattern - II Country 1
Person who received blood transfusion, blood products or tissue			Country
Person with haemophilia/coagulation disorder			Has HIV infection, exposure not specified
Person from Pattern - II or other country 1			Sex with bisexual male
Country			Sex with injecting drug user
HIV infected person whose exposure is other than those above			Sex with person who received blood transfusion, blood products or tissue
Specify			Sex with person with haemophilia/coagulation disorder
HIV infected person, exposure not specified			Sex with person from Pattern - II or other country 1      Country
Other exposure			Sex with HIV infected person, exposure not specified
Detail			Other exposure       Detail

B1  Diagnosis of HIV infection (Category 4 - Acquired Immune Deficiency Syndrome2)		B5  Diseases indicative of Category 4 Diagnosis      At lease one must be ticked Definitive Prescriptive
Date of Category 4 diagnosis  /        /		Pneumocystis carinii pneumonia
Has the person been previously diagnosed as Category 4 elsewhere?              Yes            No/Unknown		Oesophageal
(1)   If YES and diagnosis was in another State/Territory      Specify		Kaposi’s Sacoma Herpes simplex virus > 1 month duration   Site
(2)   If YES and diagnosis was overseas, write country		Cryptococcosis        Site
Cryptosporidiosis (diarrhoea > 1 month)
B2  Other characteristics of Category 4		Toxoplasmosis        Site
Country of Birth  Australia		Cytomegalovirus       Site
Other specify		Mycobacteriosis       Type
If OTHER, state year of arrival in Australia		Lymphoma             Site   Type
Current Status of Person		HIV encephalopathy
(1)   Person is alive.  Date of most recent contact       /        / (2)   Person has died.  Date of death                 /        /		HIV wasting syndrome
B3  Laboratory Tests for Category 4 Diagnosis		Other specify
Date of first diagnosis of HIV infection              /        /	Footnote 1			Pattern - II countries
CD4 + count at Category 4 Diagnosis CD4 + results to be forwarded when available	The original Pattern - II countries were sub-Saharan Africa and the Caribbean, where transmission is thought to be predominantly heterosexual.  This definition should now be expanded to include countries from South East Asia and India.
Date of specimen collection for CD4 + count analysis  /        /	Footnote 2			Case definition for AIDS
B4  Antiviral Therapy	1987 revision of case definition for AIDS for surveillance purposes.  MMWR Vol 36 No. 15, 1978
Indicate if the person has been treated with any of the following retroviral agents (If YES, Specify month/year when started)	ACT Health - Office Use Only
19         Zidovudine            19         ddl	Initials of ACT Health Officer
19         ddC                   19         Other	Territory Case No.
Date notification received at Health						Date Forwarded to National Centre
specify	/          /						/          /
h2560(8/92)

Form 3  Subregulation 4A (1)

Australian Capital Territory

Public Health Act

Public Health (Infectious and Notifiable Diseases) Regulations

*Pathologist includes a laboratory assistant and a technical officer employed in a laboratory.

Infection				Referring Doctor Details
The specimen taken from the person whose name and address appear below indicates infection with Method of identification (Please tick) antigen/antibody detected               microscopy   serology   culture   Species/subtype Specimen/site Comments Patient Details Surname (first 2 letters ONLY for HIV infection)             Given name (first 2 letters ONLY for HIV infection)           Full name of patient (do not include for HIV infection) Address (do not include for HIV infection)				Name Telephone Address Pathology/Laboratory (Write or Stamp) Name Address Telephone
Postcode (include for HIV infection)
Date of Birth	Age		Sex
Date of Collection	Date of Notification

NOTES

1. Reprinted as at 31 October 1991.  See also Regulations 1992 No. 8 and Subordinate Law No. 22, 1992.

2. Notified in the ACT Gazette on 17 November 1992.

©  Australian Capital Territory 1992