DHS 145.04(4)(b)(b) At the close of each week, the local health officer shall notify the state epidemiologist in writing on a form provided by the department of all cases of reported diseases listed in Appendix A. DHS 145.04(4)(c)(c) Local health departments serving jurisdictions within the same county may, in conjunction with the department, establish a combined reporting system to expedite the reporting process. DHS 145.04 HistoryHistory: Cr. Register, April, 1984, No. 340, eff. 5-1-84; am. (1), (2) (a) to (c), (3) (a) and (b), cr. (1m), Register, February, 1989, No. 398, eff. 3-1-89; correction in (1m) made under s. 13.93 (2m) (b) 7., Stats., Register, August, 1995, No. 476; renum. and am. (1m) to be (1) (g), am. (3) (a), (4) (a) and cr. (4) (c), Register, March, 2000, No. 531, eff. 4-1-00; CR 07-090: cr. (1) (bg), (br) and (cm), am. (2) (b), r. (3) (c) Register February 2008 No. 626, eff. 3-1-08. DHS 145.05DHS 145.05 Investigation and control of communicable diseases. DHS 145.05(1)(1) The local health officer shall use all reasonable means to confirm in a timely manner any case or suspected case of a communicable disease and shall ascertain so far as possible all sources of infection and exposures to the infection. Follow-up and investigative information shall be completed by the local health officer and reported to the state epidemiologist on forms provided by the department. DHS 145.05(2)(2) Local health officers shall follow the methods of control set out in official reports of the American Public Health Association and the American Academy of Pediatrics, unless specified otherwise by the state epidemiologist. Specific medical treatment shall be prescribed by a physician or an advanced practice nurse prescriber. DHS 145.05(3)(3) Any person licensed under ch. 441 or 448, Stats., attending a person with a communicable disease shall instruct the person in the applicable methods of control contained in official reports of the American Public Health Association and the American Academy of Pediatrics, unless specified otherwise by the state epidemiologist, and shall cooperate with the local health officer and the department in their investigation and control procedures. DHS 145.05(4)(4) The department in cooperation with the local health officer shall institute special disease surveillances, follow-up reports and control measures consistent with contemporary epidemiologic practice in order to study and control any apparent outbreak or unusual occurrence of communicable diseases. DHS 145.05 NoteNote: The official report of the American Public Health Association entitled Control of Communicable Diseases Manual, 20th edition (2015), edited by David L. Heymann, is available for purchase from the American Public Health Association, Publications Sales, PO Box 933019, Atlanta, GA 31193-3019. The official report of the American Academy of Pediatrics entitled Red Book: 2015 Report of the Committee on Infectious Diseases, 30th edition (2015), edited by David W. Kimberlin is available for purchase from the American Academy of Pediatrics, 141 Northwest Point Blvd, Elk Grove Village, IL 60007-1019. These reports are on file in the Department’s Division of Public Health and the Legislative Reference Bureau.
DHS 145.05 HistoryHistory: Cr. Register, April, 1984, No. 340, eff. 5-1-84; am. (2) and (3), Register, February, 1989, No. 398, eff. 3-1-89; am. (2) and (3), Register, March, 2000, No. 531, eff. 4-1-00; CR 03-033: am. (2) and (3) Register December 2003 No. 576, eff. 1-1-04; CR 07-090: am. (2) and (3) Register February 2008 No. 626, eff. 3-1-08; CR 17-014: am. (2), (3), Register June 2018 No. 750 eff. 7-1-18. DHS 145.06DHS 145.06 General statement of powers for control of communicable disease. DHS 145.06(1)(1) Applicability. The general powers under this section apply to all communicable diseases listed in Appendix A of this chapter and any other infectious disease which the chief medical officer deems poses a threat to the citizens of the state. DHS 145.06(2)(2) Persons whose substantiated condition poses a threat to others. A person may be considered to have a contagious medical condition which poses a threat to others if that person has been medically diagnosed as having any communicable disease and exhibits any of the following: DHS 145.06(2)(a)(a) A behavior which has been demonstrated epidemiologically to transmit the disease to others or which evidences a careless disregard for the transmission of the disease to others. DHS 145.06(2)(b)(b) Past behavior that evidences a substantial likelihood that the person will transmit the disease to others or statements of the person that are credible indicators of the person’s intent to transmit the disease to others. DHS 145.06(2)(c)(c) Refusal to complete a medically directed regimen of examination and treatment necessary to render the disease noncontagious. DHS 145.06(2)(d)(d) A demonstrated inability to complete a medically directed regimen of examination and treatment necessary to render the disease noncontagious, as evidenced by any of the following: DHS 145.06(2)(d)1.1. A diminished capacity by reason of use of mood-altering chemicals, including alcohol. DHS 145.06(2)(d)2.2. A diagnosis as having significantly below average intellectual functioning. DHS 145.06(2)(d)3.3. An organic disorder of the brain or a psychiatric disorder of thought, mood, perception, orientation or memory. DHS 145.06(2)(d)4.4. Being a minor, or having a guardian appointed under ch. 54, Stats., following documentation by a court that the person is incompetent. DHS 145.06(2)(e)(e) Misrepresentation by the person of substantial facts regarding the person’s medical history or behavior, which can be demonstrated epidemiologically to increase the threat of transmission of disease. DHS 145.06(2)(f)(f) Any other willful act or pattern of acts or omission or course of conduct by the person which can be demonstrated epidemiologically to increase the threat of transmission of disease to others. DHS 145.06(3)(3) Persons whose suspected condition poses a threat to others. A person may be suspected of harboring a contagious medical condition which poses a threat to others if that person exhibits any of the factors noted in sub. (2) and, in addition, demonstrates any of the following without medical evidence which refutes it: DHS 145.06(3)(a)(a) Has been linked epidemiologically to exposure to a known case of communicable disease. DHS 145.06(3)(b)(b) Has clinical laboratory findings indicative of a communicable disease. DHS 145.06(3)(c)(c) Exhibits symptoms that are medically consistent with the presence of a communicable disease. DHS 145.06(4)(4) Authority to control communicable diseases. When it comes to the attention of an official empowered under s. 250.02 (1), 250.04 (1) or 252.02 (4) and (6), Stats., or under s. 252.03 (1) and (2), Stats., that a person is known to have or is suspected of having a contagious medical condition which poses a threat to others, the official may direct that person to comply with any of the following, singly or in combination, as appropriate: DHS 145.06(4)(a)(a) Participate in a designated program of education or counseling.