Section 696.210  Potential Recipients of Directives

The local TB control authority shall document information used to identify potential recipients of directives.  The local TB control authority or the Department may identify potential recipients of directives.  The local TB control authority may seek the cooperation of the Department to identify potential recipients of directives.

a)         Potential Recipients Based Upon Past or Present Behavior.  A potential recipient shall be any person who has, or is suspected of having, TB infection or disease and who has demonstrated, in the opinion of the local TB control authority or the Department, through past or present behavior that he or she has a substantial likelihood of:

1)         not initiating or completing a diagnostic evaluation to determine if TB infection or disease is present;

2)         transmitting, or being able to transmit, disease to others;

3)         not participating in DOPT for TB infection;

4)         not participating in DOT for treatment of disease; or

5)         not following disease isolation procedures.

b)         Potential Recipients Based Upon Not Completing Treatment.  A potential recipient shall be any person who has been reported to the local TB control authority or the Department as having TB disease and as not completing a prescribed course of treatment.

c)         Potential Recipients Based Upon Being High-Risk for Nonadherence to a Prescribed Treatment Regimen.  A potential recipient shall be any person who has a history of treatment nonadherence; whose treatment has failed (treatment failure); whose disease has relapsed; who uses alcohol or controlled substances; who has mental, emotional, or physical impairments that interfere with the ability to self-administer medications; who is a child or adolescent.