NYS Reporting Regulations
CHAPTER I STATE SANITARY CODE
Part 22
Environmental Diseases
(Statutory authority: Public Health Law, §§225[5][t], 206[1][j])
| Sec. | |
|---|---|
| 22.1 | Supplementary reports of spontaneous abortions and fetal deaths for epidemiological surveillance; filing |
| 22.2 | Supplementary reports of low birth weights for epidemiological surveillance; filing |
| 22.3 | Supplementary reports of certain congenital anomalies for epidemiological surveillance; filing |
| 22.4 | Reporting of occupational lung disease |
| 22.5 | Classification of occupational lung disease |
| 22.6 | Reporting of heavy metals in blood and urine |
| 22.7 | Reportable levels of heavy metals in blood and urine |
| 22.8 | Reporting of certain occupational exposures |
| 22.9 | Reports: place of filing |
| 22.10 | Effective dates |
| 22.11 | Reporting of pesticide poisoning |
| 22.12 | Reportable laboratory tests for pesticide poisoning |
Historical Note
Part (§§ 22.1-22.10) filed May 14, 1981 eff.
May 14, 1981. See sec. 22.10 for exceptions.
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.
Historical Note
Sec. filed May 14, 1981 eff. Oct. 1, 1982
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.
Historical Note
Sec. filed May 14, 1981 eff. Oct. 1, 1982
22.3 Supplementary reports of certain congenital anomalies for epidemiological surveillance; filing. Every physician and hospital in attendance on an individual diagnosed within two years of birth as having one or more of the congenital anomalies listed in 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.
- Anencephalus and similar anomalies
- Spina bifida
- Congenital anomalies of the nervous system
- Congenital anomalies of the eye
- Congenital anomalies of ear, face, neck
- Congenital anomalies of heart
- Congenital anomalies of circulatory system
- Congenital anomalies of respiratory system
- Cleft palate and cleft lip
- Congenital anomalies of upper alimentary tract
- Congenital anomalies of digestive system
- Congenital anomalies of urinary system
- Congenital anomalies of genital organs
- Congenital anomalies of limbs
- Congenital musculoskeletal deformities
- Other congenital musculoskeletal anomalies
- Congenital anomalies of the integument
- Congenital anomalies of the spleen
- Congenital anomalies of the adrenal gland
- Congenital anomalies of other endocrine glands
- Multiple congenital anomalies
- anomaly, multiple NOS
- deformity, multiple NOS
Historical Note
Sec. filed May 14, 1981 eff. Oct. 1, 1982
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.
Historical Note
Sec. filed May 14, 1981; amd. filed Aug. 14, 1990
eff. Aug. 29, 1990
22.5 Classification of occupational lung disease. For the purpose of reporting occupational lung disease as required by section 22.4 of this Part, occupational lung disease shall be categorized according to the following probable causative agents or nomenclature as applicable.
| Coal workers lung disease | Byssinosis |
| Silicosis | Bronchitis due to occupational exposure |
| Asbestosis/Asbestos-related disease | Hypersensitivity Pneumonitis (occupational) |
| Berylliosis | Occupational Asthma |
| Talcosis | Other occupational lung disease |
| Hard metals disease (Tungsten, Cobalt) |
Historical Note
Sec. filed May 14, 1981; repealed, new filed Aug. 14, 1990 eff. Aug. 29, 1990
22.6 Reporting heavy metals 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.
Historical Note
Sec filed May 14, 1981 eff. Dec. 1, 1981.
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:
| Metal | Sample | Reportable at or above |
|---|---|---|
| Lead | Blood | 25 ug/dl |
| Cadmium | Blood Urine |
10 ng/ml 5 ug/l |
| Mercury | Blood Urine |
5 ng/ml 20 ng/ml |
| Arsenic | Urine | 50 ug/l |
Historical Note
Sec filed May 14, 1981, amd. filed Sept. 11, 1986 eff. Sept. 11, 1986
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 chemiclas and compounds listed in subdivision (a) of this section during the previous year. The listing shall be on such forms as may be prescribed by the State Commissioner of Health.
(a) None.
Historical Note
Sec. filed May 14, 1981; repealed, new filed Aug. 16, 1982; amds. filed Dec. 31, 1982;
Dec. 30, 1983; Nov. 24, 1986, eff. Nov. 24, 1986
22.9 Reports: place of filing. All required by this part shall be filed with the Director of the Bureau of Environmental Epidemiology and Occupational Health, Division of Epidemiology, New York State Department of Health, Empire State Plaza, Tower Building, Albany, New York 12237.
Historical Note
Sec. filed May 14, 1981 eff. May 14, 1981
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, 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.
Historical Note
Sec. filed May 14, 1981 eff. May 14, 1981
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.
Historical Note
Sec. filed Aug. 14, 1990 eff. Aug. 29, 1990
22.12 Reportable laboratory tests for pesticide poisoning. For the 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.
Historical Note
Sec. filed Aug. 14, 1990 eff. Aug. 29, 1990
Public Health Law
Department of Health
Article 2, Title I
§ 206. Commissioner; general powers and duties
1. The commissioner shall:
(j) cause to be made such scientific studies and research which have for their purpose the reduction of morbidity and mortality and the improvement of the quality of medical care through the conduction of medical audits within the state. In conducting such studies and research, the commissioner is authorized to receive reports on forms prepared by him and the furnishing of such information to the commissioner, or his authorized representatives, shall not subject any person, hospital, sanitarium, rest home, nursing home, or other person or agency furnishing such information to any action for damages or other relief. Such information when received by the commissioner, or his authorized representatives, shall be kept confidential and shall be used solely for the purposes of medical or scientific research or the improvement of the quality of medical care through the conduction of medical audits. Such information shall not be admissible as evidence in any action of any kind in any court or before any other tribunal, board, agency, or person.
(n) by rule and regulation establish criteria for identification of areas and conditions involving high risk of lead poisoning, specify methods of detection of lead in dwellings, provide for the administration of prescribed tests for lead poisoning and the recording and reporting of the results thereof, and provide for professional and public education, as may be necessary for the protection of the public health against the hazards of lead poisoning.
Article 2, Title II
§ 225. Public health council; powers and duties; sanitary code
5. The sanitary code may:
(t) facilitate epidemiological research into the prevention of environmental diseases, when such research is conducted pursuant to paragraph (j) of subdivision one of section two hundred six of this chapter, by establishing regulations designating as environmentally related diseases those pathological conditions of the body or mind resulting from contact with toxins, mutagens or teratogens in solid, liquid or gaseous form, or in the form of ionizing radiation or nonionizing electromagnetic radiation, and by requiring the reporting of these diseases or suspected cases of such diseases to the department by physicians, medical facilities and clinical laboratories. Any information provided to the department pursuant to such regulations shall be in the form required by the department, and shall be kept confidential and used by the commissioner pursuant to the provisions of paragraph (j) of subdivision one of section two hundred six of this chapter, and other applicable laws relating to the confidential treatment of patient and medical data.


