HAR §11-104.1-2. Definitions

As used in this chapter: "Animal waste" means materials including carcasses, body parts, body fluids, blood, or bedding originating from: (1) Animals known to be contaminated with infectious zoonotic organisms; or (2) Animals inoculated during research. "Authorized disposal site" means the location, other than the site of generation, where final treatment, processing, or the deposit of solid waste occurs as permitted in accordance with chapter 11-58.1 Solid Waste Management Control regulations. "Autoclaving" means rendering sterile by exposing to steam at prescribed temperatures under prescribed pressure for appropriate time periods using Bacillus spp. spore kill time as a guide in accordance with current Clinical Laboratory Standards Institute waste management guidelines. "Blood, blood products, and other body fluids" means all waste blood and blood products such as serum, plasma, and other blood components, and all body fluids. It includes items saturated or dripping with blood or with body fluids and those caked with dried blood or with dried body fluids. "Body fluids" means semen, vaginal secretions, cerebrospinal, synovial, pleural, peritoneal, and amniotic fluid. It does not mean nasal secretions, sputum, tears, urine, and vomitus unless they contain visible blood. "CDC" means Centers for Disease Control and Prevention, United States Department of Health and Human Services. "CLSI" means Clinical Laboratory Standards Institute. "Community" means a group of people living in the same locality under the same government. 104.1-3 27.65 §11-104.1-2 "Contaminated sharps" means all sharp items, including but not limited to hypodermic needles, syringes, Pasteur pipettes, scalpel blades, lancets, capillary tubes, slides, and broken glass which have been used in the diagnosis, treatment or immunization of human beings or animals in research pertaining thereto, or in the production, use or testing of biologicals. "Cultures and stocks of infectious agents" includes cultures and stocks of infectious agents from medical, clinical, and pathological laboratories, research and industrial laboratories, as well as wastes from the production of biologicals, discarded live and attenuated vaccines, culture dishes and devices used to transfer, inoculate, or mix cultures, and glassware which has contained infectious agents. "Department" means the department of health, State of Hawaii. "Disinfect" means to render inactive virtually all recognizable pathogenic microorganisms but not necessarily all microbial forms (e.g., bacterial endospores). "Embalm" means to inject arterially or into a cavity a fluid or other agent of sufficient strength and quantity to accomplish a thorough disinfection and preservation of a dead human body. "EPA" means the United States Environmental Protection Agency. "Facility" means a building within which infectious waste is generated. "Foreign bodies" means objects or articles introduced into the human body that require removal in a health care setting (i.e., toys, coins, metal, plastic, etc.). "Generator" means any person who, or entity that, produces, or causes to be produced, infectious waste including, but not limited to, hospitals, clinics, laboratories, health care facilities, physicians, dentists, veterinarians, and podiatrists. "HRS" means Hawaii Revised Statutes. 104.1-4 2765 §11-104.1-2 "Human pathological waste" means all tissue, organs (including placenta, tonsils, and gall bladder), and body parts, including fetal remains, appendages, and amputated limbs (other than teeth and the contiguous structures of bone and gums, and body fluids), that are removed during surgery, autopsy, or other medical procedure, or specimens of body fluids and their containers, and discarded material saturated with body fluids other than urine. This waste shall not include urine or fecal materials submitted for other than diagnosis of infectious disease. All human pathological waste, except corpses or dead human bodies, shall be considered infectious waste and shall be subject to this chapter. "Incineration" means a process by which waste undergoes complete combustion and becomes carbonized or mineralized sterile ash under a permit issued pursuant to chapters 11-60.1, Air Pollution Control, and 11-58.1 Solid Waste Management Control. "Infectious isolation waste" means biological waste and discarded material contaminated with blood, body fluids, excretions, exudates, or secretions from a patient or patients with diseases considered communicable and requiring isolation as defined by the current CDC's guidelines for environmental infection control in health care facilities, Morbidity and Morality Weekly Report at www.cdc.gov/. "Infectious waste" means any waste which may contain pathogens capable of causing an infectious disease and shall include, but not be limited to, waste categorized in section 11-104.1-4. "OSHA" means Occupational Safety and Health Administration, United States Department of Labor. "Point of generation" means the location at which infectious waste is produced. "Sterilization" means the use of physical or chemical procedures, including but not limited to autoclave, microwave, vitrification, and pyrolysis, to destroy all microbial life including highly resistant bacterial endospores. "Storage" means the holding of infectious or treated infectious waste which is awaiting treatment, transport, or disposal, in such a manner as not to 104.1-5 2765