Section 22.1 Supplementary reports of spontaneous abortions and fetal deaths for epidemiological surveillance; filing. Every physician and hospital shall file a supplementary report with the State Commissioner of Health of each spontaneous abortion or other fetal death occurring naturally. Such report shall be filed within 10 days of the occurrence of such event on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.
22.2 Supplementary reports of low birth weights for epidemiological surveillance; filing. Every physician, hospital, and person in attendance at live births shall file a supplementary report with the State Commissioner of Health of each live birth for which the birth weight is 2,500 grams (5.2 pounds) less. Such report shall be filed within 10 days of the birth and shall be on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.
22.3 Supplementary reports of certain birth defects for epidemiological surveillance; filing.
(a) Every physician, nurse practitioner authorized to diagnose birth defects, physician assistant authorized to diagnose birth defects, midwife, and hospital as defined in Article 28 of the Public Health Law, providing health care to a pregnant woman or a child under two years of age, who diagnoses an embryo, fetus or child as having one or more of the birth defects listed in Table 1 of this section shall file a supplementary report with the State Commissioner of Health within 10 days of diagnosis thereof. Such report shall be on such forms as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.
(b) Every physician, nurse practitioner authorized to diagnose birth defects, physician assistant authorized to diagnose birth defects, midwife, and hospital as defined in Article 28 of the Public Health Law, providing health care to a pregnant woman or a child under ten years of age, who diagnoses an embryo, fetus or child as having one or more of the birth defects listed in Table 2 of this section shall file a supplementary report with the State Commissioner of Health within 10 days of diagnosis thereof.
(c) Every clinical laboratory that conducts diagnostic testing on New York State residents to detect or confirm the diagnosis of genetic or chromosomal anomalies listed in Tables 1 and 2 shall, upon detecting or confirming such a genetic anomaly, file a supplementary report with the State Commissioner of Health within 30 days of detection or confirmation.
(d) Such report shall be on such forms, which may include electronic forms, as may be prescribed by the commissioner to facilitate epidemiological investigation and surveillance.
TABLE 1 – BIRTH DEFECTS AND GENETIC DISEASES FOR WHICH REPORTING IS REQUIRED TO AGE 2
Malignant neoplasm of kidney
Malignant neoplasm of eye
Malignant neoplasm of brain
Malignant neoplasm of other endocrine systems
Congenital leukemia
Hemangioma
Lymphangioma
Neurofibromatosis
Teratoma
Congenital hypothyroidism
Disorders of thyroid, congenital and hereditary
Diabetes Mellitus, neonatal
Disorders of the pituitary gland, congenital and hereditary
Adrenogenital syndrome
Testicular dysfunction, congenital and hereditary
Dwarfism
Other congenital endocrine disorders
Metabolic and Immunity Disorders, congenital and hereditary
Hereditary Hemolytic anemias
Aplasic anemias, congenital and hereditary
Coagulation defects, congenital and hereditary
Primary thrombocytopenia, congenital and hereditary
Diseases of white cells, congenital and hereditary
Methemoglobinemia, congenital and hereditary
Hereditary diseases of the central nervous system
Extrapyramidal disease and abnormal movement disorders, congenital and hereditary
Spinocerebellar Disease, congenital and hereditary
Anterior horn cell disease, congenital and hereditary
Infantile cerebral palsy
Infantile spasms
Cerebral cysts, congenital
Multiple cranial nerve palsies, congenital
Hereditary peripheral neuropathy
Hereditary muscular dystrophies and other myopathies
Hereditary optic atrophy
Duane’s syndrome
Endocardial fibroelastosis
Wolf-Parkinson-White syndrome
Major anomalies of jaw size
Inguinal hernia
Femoral hernia
Nephrotic syndrome, congenital
Nephrogenic diabetes insipidus, congenital
Dyschromia, congenital
Anencephalus and similar anomalies
Spina bifida
Birth defects of the nervous system
Birth defects of the eye
Birth defects of the ear, face, neck
Birth defects of the heart
Birth defects of the circulatory system
Birth defects of the respiratory system
Cleft palate and cleft lip
Birth defects of the upper alimentary tract
Birth defects of the digestive system
Birth defects of the urinary system
Birth defects of the genital organs
Birth defects of the limbs
Congenital musculoskeletal deformities
Other congenital musculoskeletal anomalies
Birth defects of the integument
Birth defects of the spleen
Birth defects of the adrenal gland
Birth defects of other endocrine glands
Multiple birth defects
Anomaly, multiple, Not Otherwise Specified
Deformity, multiple, Not Otherwise Specified
Genetic anomalies
Chromosomal anomalies
Fetal Alcohol Syndrome
Situs Inversus
Conjoined twins
Hamartoses
Birth defect syndromes affecting multiple systems
Noxious influences affecting the fetus via placenta
Amniotic band syndrome
Infections specific to the perinatal period
Hemolytic disease due to RH isoimmunization
Neonatal hepatitis
TABLE 2 – BIRTH DEFECTS AND GENETIC DISEASES FOR WHICH REPORTING IS REQUIRED TO AGE 10
Hereditary muscular dystrophies and other myopathies
Birth defects of the heart
Genetic anomalies
Chromosomal anomalies
Fetal Alcohol Syndrome
22.4 Report of occupational lung disease. Every physician, health facility and clinical laboratory in attendance on a person with clinical evidence of occupational lung disease, as categorized in section 22.5 of this Part, shall report such occurrence to the State Commissioner of Health within 10 days. Such report shall be on such forms as prescribed by the State Commissioner of Health.
22.5 Classification of occupational lung disease. For purposes of reporting occupational lung disease as required by section 22.4 of this Part, occupational lung disease shall be categorized according to the following probably causative agents or nomenclature as applicable.
Coal workers lung disease
Silicosis
Asbestosis/Asbestos-related lung disease
Berylliosis
Talcosis
Hard metal diseases (Titanium, Cobalt)
Byssinosis
Bronchitis due to occupational exposure
Hypersensitivity Pneumonitis (occupational)
Occupational asthma
Other occupational lung disease
22.6 Reporting heavy metal levels in blood and urine. Every physician, clinical laboratory and health facility in attendance of a person with a blood or urine test resulting in a value at or above those listed in section 22.7 of this Part, shall report such occurrence to the State Commissioner of Health within 10 days of the receipt of the results of such test. The report shall be on such forms as prescribed by the State Commissioner of Health.
22.7 Reportable levels of heavy metals in blood and urine. For purposes of section 22.6 of this Part, the following levels of heavy metals in blood and urine samples are reportable to the State Commissioner of Health:
Reportable at
Metal Sample or above
Lead Blood 25 ug/dl
Cadmium Blood 10 ng/ml
Urine 5 ug/l
Mercury Blood 5 ng/ml
Urine 20 ng/ml
Arsenic Urine 50 ug/l
22.8 Reporting of certain occupational exposures. Every employer who employs 100 or more persons shall file annually with the State Commissioner of Health a listing of those employees who, in the course of their employment, used, made, or were otherwise exposed to the chemicals and compounds listed in subdivision (a) of this section during the previous year. The listing of employees shall be on such forms as may be prescribed by the State Commissioner of Health.
(a) None.
22.9 Reports: place of filing.
All reports required by Section 22.3 of this Part shall be filed with the Director of the Bureau of Environmental and Occupational Epidemiology, Center for Environmental Health, New York State Department of Health, Empire State Plaza, Corning Tower, Albany, NY 12237.
22.10 Effective dates. The provisions of sections 22.6 and 22.7 of this Part shall be effective on December 1, 1981; the provisions of sections 22.4 and 22.5 of this Part shall be effective on April 1, 1982; the provisions of section 22.8 of this Part, which require the annual reporting of certain occupational exposures not later than September 1st of each year, shall be effective September 1, 1982 for the initial reporting period January 1, 1982 through June 30, 1982; and the provisions of sections 22.1, 22.2 and 22.3 of this Part shall be effective on October 1, 1982.
22.11 Reporting of pesticide poisoning. Every physician, health facility, and clinical laboratory in attendance on a person with confirmed or suspected pesticide poisoning or with any of the clinical laboratory results as described in section 22.12 of this Part, shall report such occurrence to the State Commissioner of Health within 48 hours. This report shall be on such forms or in such manner as prescribed by the State Commissioner of Health.
22.12 Reportable laboratory tests for pesticide poisoning. For purposes of section 22.11 of this Part the following laboratory tests are reportable to the State Commissioner of Health:
(a) Blood cholinesterase levels which are below the normal range established by the clinical laboratory performing the test in accordance with quality assurance requirements established by the permit-issuing agency.
(b) Levels of pesticides in human tissue samples which exceed the normal range established by the clinical laboratory performing the test in accordance with quality assurance requirements established by the permit-issuing agency.