# Title 33 — State Department of Health

## Article 33-06 — Reportable Conditions

## Chapter 33-06-04 — Control of Specific Diseases

### § 33-06-04-01. Scientific guidance.

In the control of infectious diseases, the department, local public health units, local law
enforcement agencies, and veterinarians shall apply applicable guidelines set forth by the centers for
disease control and prevention, advisory committee on immunization practices, American academy of
pediatrics, American public health association, and other applicable experts.
History: Amended effective January 1, 2018.
General Authority: NDCC 23-01-03
Law Implemented: NDCC 23-01-03
### § 33-06-04-02. Measles.

Repealed effective January 1, 2018.
### § 33-06-04-03. Mumps.

Repealed effective January 1, 2018.
### § 33-06-04-04. Pertussis.

Repealed effective January 1, 2018.
### § 33-06-04-05. Poliomyelitis.

Repealed effective January 1, 2018.
### § 33-06-04-06. Rabies.

1. How reported. If any physician or veterinarian has knowledge that any person has been
bitten or scratched by, or otherwise exposed to a dog, other domestic animal, or a wild
mammal, infected or suspected of being infected with rabies, the physician or veterinarian
shall report these facts within forty-eight hours to the state department of health. The
requirements of this subsection do not apply to dog or cat bites, scratches, or saliva exposure
if there is a standing order or agreement with health care providers to report animal bites or
possible exposure to rabies to a local law enforcement agency.

2. Vaccine replacement. The state health officer, or the health officer's designee, in that
person's discretion may provide for the replacement of rabies vaccine and rabies immune
globulin used to treat possible exposure to rabies. Any request for rabies vaccine and rabies
immune globulin must be in writing, must be signed by the person who received postexposure
vaccine or the person's parent or guardian, and must indicate that the person was possibly
exposed to rabies, not through the person's own fault or that of the person's parent or
guardian, and is financially unable to pay for the vaccine and immune globulin. A person will
not be considered financially unable to pay if:
a. An insurer or a governmental agency other than the state department of health includes
as a covered benefit, or another person is liable for, rabies vaccine or rabies immune
globulin;
b. The person is eligible for complimentary vaccine or immune globulin from a vaccine
manufacturer; or
c. The person, or the person's family, has an adjusted gross income of more than one
hundred thirty-three percent of the poverty line determined in accordance with 42 U.S.C.
9902(2) applicable to a family of the size involved or assets in excess of those permitted
under section 75-02-02.1-26, including the exceptions allowed under section
75-02-02.1-27.
Notwithstanding the limitations of this subsection, the state health officer, or the state health
officer's designee, in that person's discretion also may supply rabies vaccine and immune
globulin to a person if more than one person in a family requires postexposure treatment or
some other hardship would prevent a person from receiving medically necessary treatment.
History: Amended effective July 1, 1987; October 1, 1988; May 1, 1989; January 1, 1990; February 1,
2000; January 1, 2018.
General Authority: NDCC 23-36
Law Implemented: NDCC 23-36
### § 33-06-04-07. Rubella.

Repealed effective January 1, 2018.
### § 33-06-04-08. Tuberculosis.

Repealed effective January 1, 2018.
### § 33-06-04-09. Typhoid fever, paratyphoid fever.

Repealed effective January 1, 2018.
### § 33-06-04-10. Sexually transmitted diseases.

1. Contact tracing is appropriate for the following sexually transmitted diseases:
a. Human immunodeficiency virus (HIV) infection;
b. Acquired immunodeficiency syndrome (AIDS);
c. Chlamydia;
d. Gonorrhea;

e. Hepatitis B virus (HBV); and
f. Syphilis.
2. Individuals infected with a sexually transmitted disease for which contact tracing is appropriate
shall disclose information concerning the source of the infection to their attending physician or
public health officer.
3. Information obtained pursuant to this section will be used solely for epidemiological purposes.
History: Amended effective January 1, 1990.
General Authority: NDCC 23-01-03
Law Implemented: NDCC 23-07-07(3), 23-07-07(4)
### § 33-06-04-11. Vaccines.

Administrative charges by physicians, private or public clinics, and hospitals for the administration
of any vaccine obtained from the state department of health through the federal vaccines for children
program are limited to no more than the charges established by the federal regional fee caps as set
forth in 59 Federal Register 50235 (October 3, 1994).
History: Effective January 1, 1990; amended effective December 1, 1993; January 1, 2008; April 1,
2012.
General Authority: NDCC 23-01-04.2, 28-32-02
Law Implemented: NDCC 23-01-04.2
