For the purpose of these guidelines, the following definitions and clarifications shall apply:

A. "Approved TB Screening Tests" means tests for the detection of TB disease and/or latent TB infection approved by the United States Food and Drug Administration and recommended by the Centers for Disease Control and Prevention.
B. "Department" means the South Carolina Department of Health and Environmental Control.
C. "DHEC 1420" means the form designated by the Department for documenting and certifying tuberculosis evaluation, including results of Approved TB Screening Tests, disposition and preventive measures.
D. "Disposition" means the plan for continuing healthcare of a person following evaluation for tuberculosis.
E. "Employee" means any person working in a public or private school, kindergarten, nursery or day care center for infants and children, whether a new hire or currently employed, whether a direct employee or an independent contractor, and whether full-time, part-time, temporary or in any other capacity. Examples of employees to whom these guidelines apply include, but are not limited to, teachers, substitute teachers, teacher aides, student teachers, administrators, school psychologists, custodians, bus drivers, coaches, trainers, guidance counselors, school nurses and cafeteria workers, among others.
F. "Latent TB infection" means a person has become infected with the bacterium that causes TB, but does not have TB in an active stage. A person with latent TB infection does not feel sick, does not have symptoms and cannot spread TB bacteria to others.
G. "Preventive treatment" means treatment to prevent latent TB infection in an individual from developing into TB disease.
H. "Tuberculosis" or "TB" means generally a bacterial infection caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any part of the body such as the kidneys, spine, and brain. TB bacteria can live in the body without making you sick. This is called "latent TB infection." For most people who breathe in TB bacteria and become infected, the body is able to fight the bacteria to stop them from growing. For others, TB bacteria become active in the body and multiply. In those instances, people will go from having latent TB infection to being sick with "TB disease" or "TB in an active stage."
I. "TB disease" or "TB in an active stage" means a person has become infected with the bacterium that causes TB and the bacterium has become active and has multiplied. People with TB disease usually have symptoms and may spread TB bacteria to others.


Replaced and amended by State Register Volume 40, Issue No. 06, eff. 6/24/2016; State Register Volume 41, Issue No. 05, eff. 5/26/2017.

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