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NEW! -- State Temporarily Suspends Tuberculosis Clearance Requirements

April 11, 2013: The state has temporarily suspended all tuberculosis (TB) clearance requirements that are mandated in Hawaii Administrative Rules, Title 11, Chapter 164, for school personnel, students, food handlers, and workers in health care, domiciliary care, daycare, and residential care facilities. The state will not restrict attendance at work or school due to the absence of a TB clearance.

The suspension is in response to a nationwide shortage of testing solution required for tuberculin skin testing. DOH anticipates the temporary suspension of state TB clearance requirements may be in effect for up to 120 days or until the PPD shortage has ended. Public notice will be issued when the suspension is lifted and a grace period or catch-up date will be announced for individuals whose TB clearance was postponed to meet their requirement.




SUMMARY OF STATE TB CLEARANCE REQUIREMENTS

In accordance with Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis, only the categories of people listed in the table below are eligible for TB testing at no cost to clients through the State of Hawaii Department of Health TB testing locations.

Client Category

When Needed

Type of TB Test Needed

Duration of Validity

Foodhandlers

Prior to first time working as a food handler in the state

Single TST

Does Not Expire

Note: Once obtained, this TB clearance can be used for any future employment as a foodhandler at different food establishments in the state

School personnel (includes teachers, substitute teachers, bus drivers, and volunteers)

Prior to first time employment

Single TST

Does Not Expire

Note: Once obtained, this TB clearance can be used for any future employment as a school employee at different schools in the state

Students (seeking first time attendance in daycare, preschool, or K-12)

Prior to first time attendance

Single TST

Until High School Graduation

Note: Once obtained, this TB clearance can be used when transferring to different schools in the state

Students (seeking first time attendance in a post-secondary school for a course of study longer than six months)

Prior to first time attendance

Single TST

Does Not Expire

Note: Once obtained, this TB clearance can be used when transferring to different post-secondary schools in the state

Child-Caring Institutions
(employees and children)

Prior to entry

Single TST

Does Not Expire

Family Child Care Homes
(household members)

Prior to licensing

Single TST

Does Not Expire

Foster Family Homes for Children
(household members and foster child)

Prior to licensing for foster home

Prior to placement for foster child

Single TST

Does Not Expire

Group Child Care Centers and Group Child Care Homes
(children applying for entry)

Prior to entry

Single TST

Does Not Expire

Home and Community-Based Case Management Agencies and Community Care Foster Family Homes (employees and clients)

Prior to entry

Single TST

Does Not Expire



Employees, Volunteers, and Residents of

When Needed

Type of TB Test Needed

Duration of Validity

Adult day care facilities
Adult residential care homes
Assisted living facilities
Domiciliary care facilities
Hospitals
Home health agencies
Hospice
Intermediate care facilities
Long term care facilities
Nursing facilities
Skilled nursing facilities
Special treatment facilities
Therapeutic living programs

Prior to employment or entry

Two-Step TST

1 year


NOTE:

  • TST = tuberculin skin test
  • For persons needing a single TST, the entire testing process takes a minimum of 2 calendar days. After your TST is administered, you must return to the same DOH TB testing location within 48-72 hours to have your TST read.
  • For persons needing a two-step TST, the entire process takes a minimum of 9 calendar days and you will receive a total of two TST's. If your first TST is negative, a second TST is administered 1-3 weeks later.
  • Please bring a form of picture identification to the DOH TB testing location
  • Children under 18 years of age must be accompanied by a parent orlegal guardian
  • To save time, fill out the TB Registration Form and bring it with you
  • Click here to view and download Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis.


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This page last updated: May 21, 2013


Hawaii Tuberculosis Control Program
(Temporarily Moved to Pearl City)
(Scheduled to Move Back to 1700 Lanakila Avenue on 5/28/2013)
2385 Waimano Home Road, Building 4
Pearl City, HI 96782
Phone: (808) 832-5731   Fax: (808) 832-5846
TB Info Line: (808) 832-5738