Why is CDC removing HIV infection from both the definition of “communicable disease of public health significance” and the scope of the screening examination?
The July 2008 legislation reauthorizing the President’s Emergency Plan for AIDS Relief (PEPFAR) removed language from the Immigration and Nationality Act which had previously mandated that HIV be on the list of “communicable diseases of public health significance.” This legislative change allows HHS/CDC to reassess whether HIV infection should be retained or removed from 42 CFR part 34 regulations. HIV infection is being removed from the definition of “communicable disease of public health significance” because its classification is no longer applicable based on current medical knowledge and practice, scientific knowledge, and public health practice. HIV infection is not spread by casual contact, through the air, or from food or water. HIV infection is also being removed from the scope of the examination. The medical screening relates directly to the definition of “communicable disease of public health significance” and provides testing requirements for these diseases. The proposed rul
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