Laws and Legal Intervention
A document declaring the deceased body is free from communicable disease
Port of Entry
Condylomata lata
Alopecia
Plantar and palmar rashes
General body rashes
Secondary syphilis
Casewatch
DMV Records
Social media
Postal office
certified mail
5 sources of locating information used for investigations
The time frame during which the patient could have contracted the STD in question
Source period
Doxycycline 100 mg PO bid x7days
or
Azithromycin 7g PO x1dose
Tx for Chlamydia
Subpoenas for records, legal documents issued by a court used to obtain certified copies of DPH business records
Subpoena duces tecum
Corneal scarring due to chronic inflammation of the corneal stroma
Interstitial keratitis
-Aware of the disease for which they are at risk
-know the information provided is valid and that risk is real
-Informed of medical options
-sufficiently motivated to act promptly
-Responds to the referral and receives medical care
5 Field investigation objectives
28 days average 15 days
incubation period for HAV
Ceftriaxone 500mg IM x 1 dose
or
Gentamicin 240 mg IM x1dose PLUS Azithromycin 2g POx1dose
Tx for Gonorrhea
Type of personal appearance subpoena. Requests DPH send the most appropriate person to court to testify
Person Most Knowledgeable (PMK)
Mucopurulent discharge
Urethritis
cervitis
Dysuria
GC in women
Professional thoroughness
promptness
effective communication
confidentiality
4 basic principals of field investigation
0-10 weeks average 4 weeks
Incubation period between primary and secondary syphilis
Aqueous crystalline penicillin G 18-24 mu daily x10-14 days given as 3-4mu IV q 4hrs or continous infusion
or
Procaine Penicillin G 2.4 mu IM x10-14 days PLUS probenecid 500mg PO qid x10-14 days
Tx for Neurosyphilis
Mandates hospitals and correctional facilities coordinate discharge with TB control
Gotch Act
Rectal pain
constipation
blood in stool
Anorectal GC
letter of witness
utility bills
rental agreement
3 documents needed for homebirth verification
7-21 days average 14 days
incubation period for chlamydia
Rifampin
Isoniazid
Pyrazinamide
Ethambutol
Tx for TB
Requires Health officer to take such measures as maybe necessary to prevent the spread of disease or occurrences of additional cases
Health and safety code 120175
Weight loss
blood in sputum
pain in chest
fever
persistent cough
TB
Charged phone
park in well lit area
check maps
dont park infront of pt residence
dont leave valuables in car
5 examples of staying safe in the field
6 1/2 months prior to the onset of secondary symptoms up to the date of adequate treatment
interview period for 720
Benzathine penicillin G2.4 million units IMx1dose
Tx for Early syphilis (710,720,730)