Download Implementation Guidelines on Restriction of Infectious Tuberculosis

Implementation Guidelines on Restriction of Infectious Tuberculosis Patients
from Boarding Public Aircraft for Going Abroad
Announced by the Department of Health, the Executive Yuan, on August 28, 2007, under
Shu-Shou-Chi Order No. 0960000725; effective on September 1, 2007.
Amended and announced by the Department of Health, the Executive Yuan, on September 16, 2009,
under Shu-Shou-Chi Order No. 0980000584, regulations of Point Four and Attachments 3, 4, and 5,
effective on October 1, 2009
Amended and announced by the Ministry of Health and Welfare, on August 30, 2013, under
Bu-Shou-Chi Order No. 1020303095, regulations of Point 1, Point 5 and Attachments 2 and 4,
effective on September 1, 2013
Amended and announced by the Ministry of Health and Welfare, on May 19, 2014, under
Bu-Shou-Chi Order No. 1030300501, regulations of Point 5 and Attachments 1, 2 and 3, effective
on June 1, 2014
Amended and announced by the Ministry of Health and Welfare, on August 21, 2015, under
Bu-Shou-Chi Order No. 1040300879, effective on the day of promulgation
1. The Ministry of Health and Welfare, in order to enforce regulations of
Subparagraph 5, Paragraph 1 of Article 58 of the Communicable Disease Control Act
to restrict infectious tuberculosis patients from boarding public aircraft for going
abroad (leaving the border), has specifically formulated this set of Guidelines.
2. The targets restricted by this set of Guidelines are those listed for management in
the national tuberculosis patient information databases, and with one of the following
conditions:
1) Category A: tuberculosis patients with positive sputum acid-fast stained smear
examination;
2) Category B: infectious multidrug-resistant tuberculosis (MDR-TB) patients;
3) Category C: chronic tuberculosis cases.
3. Conditions of restriction of this set of Guidelines are as follows:
1) Category A: patients are barred from boarding public aircraft for one-way flight
exceeding eight hours and going abroad or leaving the border (Attachment 1).
2) Category B and C: patients are completely barred from boarding public aircraft for
going abroad or leaving the border.
4. For the following conditions, restrictions may be removed:
1) Category A: patients who have been on the DOTs program for 14 days or with
evidence to prove that they are free from the infection;
2) Category B: patients who are proved to be culture-negative.
3) Category C: patients who are proved to be culture-negative throughout the 2-year
follow-up period and have completed the required management procedures.
5. Operational procedures (Attachment 2):
1) Local competent authorities, on visits for case management, shall issue to
restricted targets notice of restriction of infectious tuberculosis patients from boarding
public aircraft for going abroad or leaving the border (Attachment 3) and ask them to
sign the receipt (if refused, note refusal).
2) The Centers for Disease Control of the Ministry of Health and Welfare (hereafter
referred to as the CDC) shall provide information files of restricted targets and
compile and input each day at fixed time to the information system of the National
Immigration Agency of the Ministry of the Interior.
3) The restricted targets shall be cross-checked at the arrivals and departures, and the
list shall be input to system of the CDC every day.
4) When the restricted targets are confirmed without error by personnel of the CDC,
they shall inform local competent authority to dispose according to law and do
evaluation of mandatory isolation according to practical situation of patients.
Attachment 1
Departure from:
Taiwan
Within 8 Hours of Flight
More than 8 Hours of Flight
HONG KONG、MACAU、
FUKUOKA、OSAKA、
SENDAI、NAGOYA、
TOKYO(NARITA)
SAPPORO、
SEOUL、MANILA、
SINGAPORE、BANGKOK、
HO CHI MINH、
PHNOM PENH、JAKARTA、
KUALA LUMPUR、
SURABAYA、DENPASAR、
ABU DHABI、
SHANGHAI、BEIJING、
XIAMEN、SHENZHEN、
Asia
Destination
URUMQI
North America
Europe
HAWAII、SAN FRANCISCO、
LOS ANGELES、
VANCOUVER、SEATTLE、
NEWYORK、ANCHORAGE
VIENNA、AMSTERDAM、
PARIS、LONDON、ROME
BRISBANE、AUCKLAND、
Oceania
SYDNEY
Public Aircraft Destinations and Flight Hours
Note: Places not on the list shall be decided by the flight time on the air ticket or that of the airline companies.
Attachment 2
Flow of Restriction of Infectious Tuberculosis Patients from Boarding
Public Aircraft for Going Abroad or Leaving the Border
†Tuberculosis patients reported as
category A, B, or C.
†Category A: tuberculosis patients’ sputum
smear examination positive with
an acid-fast stain;
Category B: infectious multidrug-resistant
tuberculosis (MDR-TB) patients;
Category C: chronic case.
Information of patients is put in
the database of the CDC
Public health system
District nurses home-visit and
hand over notice of restriction
from going abroad (leaving the
border); education is performed
through various channels such
as medical care institutions,
mass media, airline companies
and travel agents.
Information of patients is
transferred by batch every
morning at 2:00 to the security
check information system of the
National Immigration Agency;
infectious tuberculosis patients
and multidrug-resistant
tuberculosis patients are noted
separately.
yes
Upon departure, the information
system matches and makes
judgment.
Has the patient
gone abroad?
no
Patients in category A flight exceeding
8 hours
Patients in category B or
C
The restricted targets shall be
cross-checked at the arrivals and
departures
The restricted targets shall be
cross-checked at the arrivals and
departures
The list shall be input to
system of the CDC
every day
*Confirm
whether the case is
infectious and if
certificate of
negative transfer is
available.
yes
Inform local competent
authority, violators could be
disposed directly according to
Communicable Disease
Control Act
Do evaluation of mandatory isolation
according to practical situation of patients.
Continue DOTS
treatment and
case management
by public health
nurses.
The list shall be input to
system of the CDC
every day
no
Not
restricte
d targets
no
*Confirm whether
the case is MDR-TB
and if certificate of
negative is
available; or
whether the case is
chronic TB case
under management
yes
Inform local competent authority,
violators could be disposed directly
according to Communicable Disease
Control Act
Do evaluation of mandatory
isolation according to
practical situation of patients
*Personnel of the CDC check if
the person concerned is
restricted from National
Surveillance Network of
Communicable Diseases.
**Evaluation of mandatory
isolation according to practical
situation of patients is done by
local competent authority.
Attachment 3
Serial No.:
Notice of Restriction of Infectious Tuberculosis Patients from Boarding Public Aircraft for
Going Abroad or Leaving the Border
You are diagnosed□Category A: general infectious tuberculosis;□Category B: Multidrug-Resistant Tuberculosis;□Category C:
chronic tuberculosis case. Currently, effective drugs are available for tuberculosis; the disease can be cured by regular medication.
When the sputum of tuberculosis patient is laboratory-tested positive, the patient is infectious. To protect your health and that of
others, we request that you self-monitor your health status in accordance with regulations of Subparagraph 5, Paragraph 1 of Article
58 of the Communicable Disease Control Act to suspend your departure from border. It is hereby regulated that:
1. By your current disease conditions, the regulations of the government are that□Category A patients are barred from boarding
public aircraft for one-way flight exceeding eight hours (inclusive); □Category B patients are completely barred from boarding
any aircraft of any flight duration; □Category C patients are completely barred from boarding any aircraft of any flight duration.
2. For those who meet conditions of removal, the system will automatically remove their restriction:
□Category A: patients who have been on the DOTs program for 14 days or with evidence to prove that they are free from the
infection.
□Category B: patients who are proved to be culture-negative.
□Category C: patients who are proved to be culture-negative throughout the 2-year follow-up period and have completed the
required management procedures.
3. For inquiries as to whether you are currently under restriction, contact your district liaison officer.
4. If the fact that restricted targets going abroad or leaving the border is confirmed, violators could be disposed directly according
to Communicable Disease Control Act, and evaluated for mandatory isolation according to practical situation.
County/City Government
District Liaison Officer of Health Authority (or Case Manager) :
Tel:
Date: ____ year____ month____ day
…………………………………………………………………………………………………………………………………………..
(Tear off and safe-keep this part) Notice of Restriction of Infectious Tuberculosis Patients from Boarding Public Aircraft for Going
Abroad or Leaving the Border
Signed by person notified:
ID No. :
Signed by contact person:
Date: ____ year____ month____ day
This slip shall be safe-kept until the tuberculosis patient has completed cure and the case is closed.