Part 22 - Environmental Diseases

Effective Date: 
Wednesday, May 25, 2016
Doc Status: 
Complete
Statutory Authority: 
Public Health Law, Sections 225(5)(t), 206(1)(j))

Section 22.1 - Supplementary reports of spontaneous abortions and fetal deaths for epidemiological surveillance; filing

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.

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Section 22.2 - Supplementary reports of low birth weights for epidemiological surveillance; filing

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.

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Section 22.3 - Supplementary reports of certain birth defects for epidemiological surveillance; filing

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

 

 

Effective Date: 
Wednesday, May 25, 2016
Doc Status: 
Complete
Statutory Authority: 
Public Health Law, Sections 206(1)(d), 225(5)(t) and 2733

Section 22.4 - Report of occupational lung disease

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.

Effective Date: 
Wednesday, August 29, 1990
Doc Status: 
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Section 22.5 - Classification of occupational lung disease

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
 

Effective Date: 
Wednesday, August 29, 1990
Doc Status: 
Complete

Section 22.6 - Reporting heavy metal levels in blood and urine

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.

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Section 22.7 - Reportable levels of heavy metals in blood and urine

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
 

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Section 22.8 - Reporting of certain occupational exposures

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.
 

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Section 22.9 - Reports; place of filing

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.

 

Effective Date: 
Wednesday, May 25, 2016
Doc Status: 
Complete
Statutory Authority: 
Public Health Law, Sections 206(1)(d), 225(5)(t) and 2733

Section 22.10 - Effective dates

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.

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Section 22.11 - Reporting of pesticide poisoning

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.

Effective Date: 
Wednesday, August 29, 1990
Doc Status: 
Complete

Section 22.12 - Reportable laboratory tests for pesticide poisoning

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.
 

Effective Date: 
Wednesday, August 29, 1990
Doc Status: 
Complete