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• <br /> ' N.C. Department of Environment, Health, and Natural Resources Page 3 of7 <br /> . Division of General Services FY 93 <br /> CONTRACT ADDENDUM <br /> Communicable Disease Control 'Section ' <br /> ` 93 4510 068 - <br /> Office, Section or Branch Contract Number <br /> Orange County Health Department Communicable Disease <br /> Contractor Activity <br /> b) a plan for making medical and psychosocial referrals when services <br /> needed for conmmunicable disease (STD, TB, HIV, vaccine-preventable <br /> disease) clients are not provided at the local health department. <br /> 4) local health departments should have an infection control policy, <br /> including: <br /> a) management of clients so that airborne diseases (measles, TB) are <br /> not transmitted in the clinic; <br /> b). blood and body fluid precautions are followed .with -all patients; <br /> c) routine aseptic technique is followed to prevent nosocomial <br /> infection and infection of staff; <br /> d) staff with direct patient contact are required to be immunized <br /> against measles, mumps, rubella, and influenza, and, those at high <br /> risk, against hepatitis B; <br /> e) • management of blood exposures for patients or staff; <br /> 5) local health departments assures that protocols for jail inmates health <br /> care include appropriate screening, and treatment and reporting for TB, <br /> STDs, and other communicable diseases are consistent with control <br /> measures. <br /> JO . <br /> Reviewed by <br /> D DiR 3300 (Revised 2/90) (7L) i-{-)(y, c4?) <br /> General Services Division (Review 1/95) Initials Date <br /> • <br /> • <br /> • <br />