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SCHEDULE 1. SCOPE: This schedule lists records unique to Department of Public Health and is used in conjunction with the General Records Retention Schedules and other relevant Records Retention Schedules. 2. AUTHORITY: The issues this Records Retention Schedule under the authority granted by 11-8 and 11-8a of the General Statutes of Connecticut (CGS). 3. RETENTION PERIODS: Retention periods listed on this schedule are based on the records' administrative, fiscal, legal, and historical values, as well as statutory or regulatory requirements. In most instances the established period sets the minimum retention requirement. However, some records have maximum retention periods set by Federal or State statutes or regulations. Please note that any statute or regulation listed in brackets in the "Retention" column indicates the legal citation for that retention requirement. If a records series states, "/Archival," the agency should request approval to transfer the records to the State Archives or an approved archival repository once the records are inactive. If a records series states, "May contain historical value," the agency should contact the State Archives for archival appraisal before requesting disposition of the records. Not all such records will be determined to be archival; conversely, some records without this statement might have archival value. See General Letter #2009-1 for guidelines on transferring records to the State Archives. 4. FORMAT: Retention periods listed on this schedule apply to the official record copy, whether in paper, electronic, or other format. If records are maintained only in an electronic system, the records custodian must be able to retrieve and interpret the content for the retention period. 5. DISPOSITION AUTHORIZATION: This schedule is used concurrently with the Records Authorization (Form RC-108), which is used to request permission to destroy or transfer records that have met their retention period. The agency Records Management Liaison Officer (RMLO), the State Archivist, and the Public Records Administrator must sign the authorization form prior to destruction or transfer of public records. The cannot grant continuing approval to destroy records on an ongoing basis. No records may be destroyed if there are pending or active Freedom of Information Act (FOIA) requests; litigations; investigations; audits; or other cases, claims, or actions. Note that if there is a destruction hold placed on records, the retention period does not change and once the hold is lifted, the records may be destroyed after receipt of the. 6. DISPOSITION DUE TO REFORMATTING: Records custodians may request permission to dispose of original records that have been scanned provided the retention period is 10 years or less and the agency has submitted a Certificate of Compliance in accordance with the State Library's Standards for the Use of Imaging Technology for Storage, Retrieval, and of Public Records. With certain exceptions, custodians may request permission to dispose of original records that have been microfilmed provided the agency has submitted a Certificate of Compliance in accordance with the State Library's Required Minimum Microfilming Standards for Public Records. 7. AUDIT REQUIREMENTS: Under the Single Audit Act (31 USC 7501) audit requirements apply to Federal, State, and Local programs. The retention requirement,"_ years, or until audited, whichever is later," requires further explanation. In most instances "audit" refers to the general agency audit conducted by the State Auditors of Public Accounts or the general town or municipal audit conducted by an outside auditing agency, unless otherwise noted. The specific record itself may or may not have been examined as part of the audit process. The requirement of "until audited" is fulfilled when the official audit report is issued. The auditors may recommend that certain records be corrected. Such records, even when they meet retention requirements, must be retained during the period that any review is pending. 8. FOIA DISCLOSURE: This retention schedule governs the retention of public records- not the disclosure of public records. Refer to CGS 1-200 et seq. or contact the Office of Governmental Accountability, Freedom of Information Commission (FOIC), regarding the disclosure of public records. 9. ESSENTIAL RECORDS: Records designated as "Essential" are those records necessary to respond to an emergency; to reestablish normal operations after any such emergency; to protect the rights and interests of the agency; and to protect the rights and interests of individuals for whom it has responsibility. 10. OBSOLETE RECORDS: Records designated as "OBSOLETE" or "SERIES CLOSED" are no longer created or received in the normal course of business. Records custodians should request approval for the appropriate disposition of any records so designated as soon as the retention period has passed. 11. RECORDS CREATION REQUIREMENT: Nothing on this schedule mandates the creation of a record or records series if the agency does not already create or receive it in the normal course of business. However, agencies should be aware of any additional record keeping requirements established by state or federal statute or regulation. Page1of5

SCHEDULE AGENCY: Department of Public Health (DPH) DIVISION, UNIT, OR FUNCTION: Infectious Disease RELEVANT STATUTES & REGULATIONS AND ACRONYMS USED ON THIS SCHEDULE: Connecticut General Statutes 19a-2a thru 19a-215; Public Health Code 9a-36-A3 thru 19a-36-A4 RMLO (type or print): Lisa Kessler S. tt 1 enes.. JOB TITLE OF RMLO (type or print): Staff Attorney DATE SIGNE,D: 1b3 ;3 A. INFECTIOUS DISEASE SECTION (Administration) 01. Annual Disease Reports 02. Annual Disease Summary 1 1 Retention This series documents infectious disease statistics from 1895 to present. Data are arranged by town and disease and by year. The report includes, but is not limited to: Epidemiology, Sexually Transmitted Diseases [STD] and Tuberculosis. This series summarizes infectious disease statistics by disease and by year from 1895 to present. This report is inclusive, but not limited to: Epidemiology, Sexually Transmitted Diseases [STD] and Tuberculosis. B. EPIDEMIOLOGY AND EMERGING INFECTIONS PROGRAM 03. Reportable Disease and This series documents the investigation of Outbreak Investigation Files reportable diseases and outbreaks pursuant to Conn. Agencies Regs. 19a-36-A6. Including but not limited to: written reports, surveys including prevalence studies, background materials, questionnaires, databases and previous studies. AGENCY ADDRESS: 410 Capitol Avenue, Hartford, CT 06106 10 years from the date DPH is informed of an outbreak This schedule is: 0 ORIGINAL!XI REVISED Superseded schedule number(s): #00-4-2, Epidemiology (p. 2), STD (p. 3), and Pulmonary (p. 4) DATE SIGNED: EFFECTIVE DATE OF SCHEDULE: The date the DPH is informed of an outbreak is the date to be used as the start date of the outbreak. Page 2 of 5

SCHEDULE Form RC-050 (Revised 02/2012} 04. 05. 06. Reportable Disease Forms Reportable Disease and Outbreak Investigation Files -Supporting Documentation Reportable Disease Special Research Projects This series documents diseases reported by persons or laboratories required to report or where laboratory evidence suggests a Reportable Disease found on the current Reportable Diseases List pursuant to CGS 19a- 2a. Including but not limited to: Reportable Disease Confidential Case Report Form (PD-23} and Laboratory Report of Significant findings form (OL-15C} and DPH summaries. This series documents the investigation of reportable diseases and outbreaks pursuant to Connecticut Agencies Regs. Sections 19a-36-A6. Including, but not limited to supporting documentation including surveys, background materials, questionnaires, databases and previous studies. This series documents special research projects (e.g. Lyme disease, emerging infections}, either federally or outside funded, including, but not limited to Yale Emerging Infections Program. Including, but not limited to surveys, background materials, questionnaires, databases and previous studies. C. HEALTHCARE ASSOCIATED INFECTIONS (HAl) PROGRAM 07. Healthcare Associated Infections (HAl) Reportable Disease Validation Records This series documents data collected during chart audits of health facility patients who may be eligible to be reported to DPH as a case of healthcare associated infection. These records are distinct from standard reportable disease forms. They are used to determine the accuracy and completeness of healthcare facility reporting of publicly reportable HAis from date reported 1 year from the date DPH is informed of an outbreak after DPH notification of outbreak \:2r\-7_ The date the DPH is informed of an outbreak is the date to be used as the start date of the outbreak. Page3of5

SCHEDULE Form RC-050 (Revised 02/2012} 08. 09. 10. 11. 12. Annual Public Health Reports to the Legislature This series documents legislatively mandated annual reports to the chairs of the Public Health Committee summarizing data on publicly reportable HAis in healthcare facilities in Connecticut. D. SEXUALLY TRANSMITTED DISEASE (STD} PROGRAM STD Case Reporting Forms STD Epidemiological Records Syphilis Case Reports, Monthly STD Summary Morbidity Reports This series documents sexually transmitted diseases reported by persons or laboratories required to report or where laboratory evidence suggests an STD. lnclurips but is not limited to STD Case Report (STD-23} and Laboratory Report of Significant Findings (OL-lSC} that are specific for STDs. This series documents reports to the federal Center for Disease Control [CDC] of individual cases of STDs including Syphilis. Includes but is not limited to field and interview records used to gather information on individual patients. [Obsolete] This series documents internal program monthly and annual summaries of syphilis cases reported in the state, 2000-2010. [Obsolete] This series documents summaries of STD cases diagnosed in the state as well as quarterly and annual reports made to CDC. This includes but is not limited to STD Quarterly/Annual Morbidity Report, Annual Report, Civilian Cases of Primary, Secondary and Early Latent Syphilis and Gonorrhea and Quarterly Epidemiological Activity for Venereal Disease Report. Retain in agency \3- \ - These reports are also posted to the DPH website pursuant to CGS 19a- 490o. The agency also retains the records of Advisory Committee on Healthcare Associated Infections established by CGS 19a-490n. See 51 for retention requirements. Page 4 of 5

SCHEDULE 13. 14. 15. 16. 17. 18. 19. E. TUBERCULOSIS (TB) CONTROL PROGRAM Patient Files, Active TB (Numerical) Patient Files, latent TB (Alphabetical) Patient Files, Active TB - Master Index Cards Verified TB Cases Reports Federal Grant I Programmatic Materials Refugee Health Assessment Records Refugee Arrival Forms/Class A/B Immigrant Arrival Forms This series documents information for patients diagnosed with tuberculosis disease. This includes but is not limited to physician and laboratory report forms, clinical information, contact investigation forms and master index card with medication information. This series documents information for patients diagnosed with latent tuberculosis infection. This includes but is not limited to physician and laboratory report forms, clinical information, contact investigation forms and master index cards with medication information. [Obsolete] This series documents a variety of finding aids for access to files of patients with diagnosed tuberculosis disease. This series documents reports to the federal Center for Disease Control [CDC] of individual tuberculosis cases. This series documents federal program and grant management. This includes but is not limited to grant and program activity reports made to CDC This series documents medical follow-up for persons entering Connecticut as refugees. This includes but is not limited to health care provider forms and test results. This series documents information received informing the state of refugees and immigrants arriving in Connecticut with overseas TB classifications that require medical and public health follow-up. This includes but is not limited to notification forms and support documents from CDC and other organizations. from the date of the last expenditure report submitted for the funding period [45 CFR 92.42] 10 years \ 3-\ ~ /~ *It is necessary to retain TB patient records for up to 70 years because persons who have latent TB infection or TB disease have a life-time risk of developing active TB or recurrent TB. *It is necessary to retain TB patient records for up to 70 years because persons who have latent TB infection or TB disease have a life-time risk of developing active TB or recurrent TB. The master card indexes end in 2013 when the last file index was computerized. Page 5 of 5