Section R9-4-202. Pesticide Illness Reporting Requirements

A health care professional or medical director who participates in the diagnosis of or identifies an individual with pesticide illness shall file a report of pesticide illness with the Department as fol- lows:

1.        The health care professional or medical director shall report a pesticide illness within five working days from the date of diagnosis or identification, except:

a.         The health care professional or medical director shall report a pesticide illness where the individual with pesticide illness is hospitalized or dies no later than one  working day from the  time of hospital admission or death; and

b.        The health care professional or medical director shall report cluster illnesses no later than one work- ing day from the time the second individual with pesticide illness is diagnosed or identified.

2.        The health care professional or medical director shall submit the report to the Department by telephone; in per- son; in a writing sent by fax, delivery service, or mail; or by an electronic reporting system if an electronic report- ing system is developed by the Department. The report shall contain the following information:

a.         The name, address, and telephone number of the individual with pesticide illness;

b.        The date of birth of the individual with pesticide ill- ness;

c.         The gender of the individual with pesticide illness;

d.        The occupation of the individual with pesticide ill- ness, if the documented pesticide exposure is related to the occupation;

e.         The dates of onset of illness and of diagnosis or identification as pesticide illness;

f.         The name of the pesticide, if known;

g.        The name, business address, and telephone number of the health care professional or medical director making the report;

h.        A statement specifying whether the illness is caused by a documented pesticide exposure or is related to a documented pesticide exposure; and

i.         The health care professional’s or medical director’s reason for believing that the illness is caused by or related to documented exposure to a pesticide.

3.        The health care professional or medical director may des- ignate a representative to make the report to the Depart- ment on behalf of the health care professional or medical director.

Historical Note

New Section renumbered from R9-4-201 and amended by final rulemaking at 6 A.A.R. 2948, effective July 18, 2000 (Supp. 00-3).