The following protocol shall be followed for any student who has a positive TB skin test:
\n\n\n\t
The parent/guardian must provide the school with the results of a chest x-ray before the student enters class. If no x-ray has been done, the parent/guardian shall be given a TB follow-up form to take to his/her personal physician or to the county public health office. The student must then obtain a chest x-ray and bring proof that the film was taken for school entry. \n\t
\n\t
If the TB form is not returned with x-ray results within two weeks, the Superintendent or designee shall contact the student and family for information about the x-ray report. \n\t
\n\t
If the student is found to have active infectious tuberculosis on chest x-ray and sputum tests, the student shall not be admitted to school until a physician's note is presented, showing that the student is free of communicable tuberculosis. (Health and Safety Code 121485, 121495) \n\t
\n\t
If the x-ray is negative and the student admitted, the Superintendent or designee may contact the student and family again in four to six weeks to determine that they have followed through with a medical appointment for the INH preventive medication program, if indicated.
\n\n\n\n",
"contentText": "The following protocol shall be followed for any student who has a positive TB skin test:\n\n- The parent/guardian must provide the school with the results of a chest x-ray before the student enters class. If no x-ray has been done, the parent/guardian shall be given a TB follow-up form to take to his/her personal physician or to the county public health office. The student must then obtain a chest x-ray and bring proof that the film was taken for school entry.\n\n- If the TB form is not returned with x-ray results within two weeks, the Superintendent or designee shall contact the student and family for information about the x-ray report.\n\n- If the student is found to have active infectious tuberculosis on chest x-ray and sputum tests, the student shall not be admitted to school until a physician's note is presented, showing that the student is free of communicable tuberculosis. (Health and Safety Code 121485, 121495)\n\n- If the x-ray is negative and the student admitted, the Superintendent or designee may contact the student and family again in four to six weeks to determine that they have followed through with a medical appointment for the INH preventive medication program, if indicated.",
"footnotes": [
{
"type": "State",
"references": [
{
"code": "22 CCR 41301-41329",
"description": "Tuberculosis tests for students",
"url": ""
},
{
"code": "5 CCR 202",
"description": "Exclusion of students with a contagious disease",
"url": "https://govt.westlaw.com/calregs/Document/I2A96B6834C6911EC93A8000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)"
},
{
"code": "5 CCR 3030",
"description": "Eligibility for special education; tuberculosis that adversely affects educational performance",
"url": "https://govt.westlaw.com/calregs/Document/I3042E4534C6911EC93A8000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)"
},
{
"code": "5 CCR 432",
"description": "Student records",
"url": "https://govt.westlaw.com/calregs/Document/I2B0900534C6911EC93A8000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)"
},
{
"code": "Ed. Code 48213",
"description": "Prior parent notification of exclusion; exemption",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=48213."
},
{
"code": "Ed. Code 49451",
"description": "Parent's refusal to consent to health examination",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49451."
},
{
"code": "H&S Code 120230",
"description": "Exclusion for communicable disease",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=120230."
},
{
"code": "H&S Code 121365",
"description": "Duties of local health officer re: tuberculosis control",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=121365."
},
{
"code": "H&S Code 121475-121520",
"description": "Tuberculosis tests for students",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=HSC&division=105.&title=&part=5.&chapter=2.&article="
},
{
"code": "H&S Code 124025-124110",
"description": "Child Health and Disability Prevention Program",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=HSC&division=106.&title=&part=2.&chapter=3.&article=6."
}
]
},
{
"type": "Management Resources",
"references": [
{
"code": "California Department of Public Health Publication",
"description": "California Immunization Handbook: Pre-Kindergarten (Child-Care) and School Immunization Requirements, 10th Edition, July 2019",
"url": "https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/IMM-365.pdf"
},
{
"code": "CDHC Services Publication",
"description": "CHDP School Handbook: School Entry Health Examination Requirements, rev. January 2006",
"url": "https://pan2.dhcs.ca.gov/formsandpubs/publications/Documents/CMS/CHDPPub108.pdf"
},
{
"code": "Website",
"description": "CSBA District and County Office of Education Legal Services",
"url": "https://legalservices.csba.org/"
},
{
"code": "Website",
"description": "Centers for Disease Control and Prevention, Tuberculosis",
"url": "http://www.cdc.gov/tb"
},
{
"code": "Website",
"description": "Health Officers Association of California",
"url": "http://www.calhealthofficers.org"
},
{
"code": "Website",
"description": "California Department of Public Health, Tuberculosis Control",
"url": "https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/TBCB.aspx"
},
{
"code": "Website",
"description": "American Lung Association",
"url": "http://www.lungusa.org"
},
{
"code": "Website",
"description": "California Department of Health Care Services",
"url": "http://www.dhcs.ca.gov"
}
]
}
],
"crossRefs": [
{
"code": "4231",
"title": "Staff Development",
"type": "AR"
},
{
"code": "5112.2",
"title": "Exclusions From Attendance",
"type": "AR"
},
{
"code": "5125",
"title": "Student Records",
"type": "AR"
},
{
"code": "5125",
"title": "Student Records",
"type": "AR"
},
{
"code": "5141.22",
"title": "Infectious Diseases",
"type": "AR"
},
{
"code": "5141.22",
"title": "Infectious Diseases",
"type": "AR"
},
{
"code": "5141.3",
"title": "Health Examinations",
"type": "AR"
},
{
"code": "5141.3",
"title": "Health Examinations",
"type": "AR"
},
{
"code": "5141.31",
"title": "Immunizations",
"type": "AR"
},
{
"code": "5141.31",
"title": "Immunizations",
"type": "AR"
},
{
"code": "5141.32",
"title": "Health Screening For School Entry",
"type": "AR"
},
{
"code": "5141.6",
"title": "School Health Services",
"type": "AR"
},
{
"code": "5148.3",
"title": "Preschool/Early Childhood Education",
"type": "AR"
},
{
"code": "5148.3",
"title": "Preschool/Early Childhood Education",
"type": "AR"
},
{
"code": "6164.6",
"title": "Identification And Education Under Section 504",
"type": "AR"
},
{
"code": "6164.6",
"title": "Identification And Education Under Section 504",
"type": "AR"
},
{
"code": "6173",
"title": "Education For Homeless Children",
"type": "AR"
},
{
"code": "6173",
"title": "Education For Homeless Children",
"type": "AR"
},
{
"code": "6173-E PDF(1)",
"title": "Education For Homeless Children",
"type": "AR"
},
{
"code": "6173.1",
"title": "Education For Foster Youth",
"type": "AR"
},
{
"code": "6173.1",
"title": "Education For Foster Youth",
"type": "AR"
},
{
"code": "6175",
"title": "Migrant Education Program",
"type": "AR"
},
{
"code": "6175",
"title": "Migrant Education Program",
"type": "AR"
}
],
"attachments": []
}