Section 693.50  Physical Examination and Medical Treatment for Syphilis, Gonorrhea, Chlamydia

The provisions of this Section shall apply only to syphilis, gonorrhea, chlamydia.

a)         Concurrent with or in addition to the contact interview and investigation process, a Local Health Authority, Designated Agency or the Department, where applicable, shall:

1)         Attempt to determine whether an identified person within its jurisdiction whose laboratory test indicates STD infection, or who has been sexually exposed to an STD, has received a physical examination;

2)         If a physical examination or tests for an STD have been performed on such an individual, attempt to determine whether any medical treatment was prescribed and rendered to the extent that the STD is no longer communicable by that person, as determined by clinical and laboratory examinations;

3)         If a physical examination or necessary laboratory examination has not been performed, request that individual to report for such examinations at a specific date, time and location or otherwise submit verifiable proof of such examinations by a specific date, and to complete any medical treatment prescribed pursuant to such examinations;

4)         If the individual is known to have been exposed to a treatable STD, within the maximum incubation period, request that individual to seek early preventive treatment as a means of avoiding the reinfection of treated patients and the infection of additional persons;

5)         Document all unsuccessful and successful attempts to secure physical and laboratory examinations and appropriate medical treatment for such an individual on a voluntary basis.  Documentation shall include the dates, times, locations and forms of communications, including the individual's responses, and a detailed narrative of the process.

b)         A Local Health Authority or Designated Agency shall notify the Department of any case in which it:

1)         knows on the basis of laboratory or epidemiologic evidence that a person within its jurisdiction is presently infectious to others, is engaging in conduct or activities which place others at risk of exposure to the STD or has stated his or her intention to do so, and has refused the examination or medical treatment which has been prescribed for the contagion control of that STD, and

2)         has exhausted its means of obtaining compliance with this Section.

c)         Upon receipt of such notification, the Department shall promptly investigate to determine whether adequate grounds exist for seeking a court-issued warrant for such individual's apprehension, physical examination and/or medical treatment pursuant to Section 6(c) of the Act. The Department shall also seek such a warrant, if appropriate, in cases which are not assigned to a Local Health Authority or Designated Agency.