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Detail in regulatory language. these should only be implemented as a last resort after a clinician has exhausted all other avenues of contacting an individual, not as a first step as the regulations suggest. communitybased organizations should be included in these interventions. response the department has not changed the regulations in response to this comment. the term ``public health intervention'' does not appear in the regulations and only appears in the preamble to proposed rulemaking in language discussing the department's reasons for requiring the reporting of low cd4 t-lymphocyte counts that may ultimately prove not to be connected to hiv or aids. the department has not included descriptions of ``best practices'' for public health interventions in the regulations. public health practices change with changing science and the development of new and more effective methodologies for preventing and controlling the spread of disease. the department will not tie itself to practices which might become outmoded. the department consistently acts within cdc guidelines in carrying out its public health function. with respect to the manner in which the department will interact with private providers in the context of hiv cases, the department has said that it will not directly contact the individual. the department will use the provider as the point of contact, and will not intervene in the case without offering its services to the infected individual through the auspices of the provider. comment the department should add a penalty for those reporters who do not report in violation of the regulations. allegheny county health department makes failure to report a summary offense and a civil penalty of up to 0. response the department has not changed the regulation in response to this comment. this rulemaking is a part of the department's communicable disease regulations and is being promulgated under the act. the act includes the same 0 penalty and summary offense referenced by the commentator for any violation of the act or regulations promulgated under the act. section 20 of the act 35 p. s. 521.20 ; . for the department to impose an additional penalty would require action on the part of the general assembly. comment the discrepancy between this rulemaking and the rulemaking relating to communicable and noncommunicable diseases will make who is to report aids unclear. response the department has not changed the regulations in response to this comment. there will be no discrepancy in chapter 27 of the department's regulations regarding who is to report aids. the department had proposed to delete language from its regulations requiring hospitals to report cases of aids. see 30 pa. b. 2715 may 27, 2000 ; . that deletion was inadvertent. the department addressed that issue in its final rulemaking published at 32 pa.b. 491. as discussed previously in this preamble, the department has taken steps to coordinate this rulemaking with the january 26, 2002, amendments to chapter 27. c. affected persons.
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