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<regulation prefix="Regulation" num=".02" citation="COMAR 10.06.06.02" title_num="10" subtitle_num="06" chapter_num="06" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Anatomical material” means human or animal body parts, including tissues and organs.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Autoclaving” means a process by which an article is subjected to steam under pressure for documented periods of time, temperature, and pressure that render the article incapable of transmitting disease to humans.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Blood” means human blood, human blood components, and products made from human blood.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Bloodborne Pathogens.</text>
      <paragraph num="(a)">
        <text>“Bloodborne pathogens” means pathogenic microorganisms that:</text>
        <paragraph num="(i)">
          <text>Are present in human blood; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Can cause disease in humans.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Bloodborne pathogens” includes, but is not limited to:</text>
        <paragraph num="(i)">
          <text>Human immunodeficiency virus;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Hepatitis B virus; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Hepatitis C virus.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Chemical disinfection” means the application of a chemical agent to an article, so that the article is rendered incapable of transmitting disease to humans.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Contaminated” means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Cremation” means the incineration of human or animal remains.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Decontamination” means the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on an article to render the article incapable of transmitting disease to humans.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Disinfection” means a method that inactivates:</text>
      <paragraph num="(a)">
        <text>Vegetative bacteria, fungi, lipophilic/hydrophilic viruses, parasites, and mycobacteria at a 6 log reduction or greater; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Bacillus stearothermophilus spores and Bacillus subtilis spores at a 4 log reduction or greater.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Encapsulation” means a process by which:</text>
      <paragraph num="(a)">
        <text>An article is sealed in a material that renders the article no longer recognizable or capable of transmitting disease to humans; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The sealed material:</text>
        <paragraph num="(i)">
          <text>Is decontaminated or disinfected during the encapsulation process; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Remains sealed under physical stress.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Incineration” means a process during which an article is burned:</text>
      <paragraph num="(a)">
        <text>In an incinerator that meets the requirements of the Department of the Environment as set forth in COMAR 26.11.08;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To carbonized or mineralized ash that is capable of disposal as solid waste; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>So the article is rendered incapable of transmitting disease to humans.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Infectious agent” means an organism, including viral, rickettsial, bacterial, fungal, protozoal, or helminthic, that is capable of producing infection or infectious disease in humans.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Interment” means burial in a location, other than a landfill, that is approved for that purpose under applicable law.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Mechanical destruction” means a physical process that renders an article no longer recognizable as the original article.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Microbiological laboratory waste” means waste from a microbiological laboratory that:</text>
      <paragraph num="(a)">
        <text>Contains an infectious agent; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Includes cultures and stocks of infectious agents and associated biologicals.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Occupational exposure” means skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials, that results from the performance of an employee's duties.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Other potentially infectious material” means:</text>
      <paragraph num="(a)">
        <text>The following human body fluids:</text>
        <paragraph num="(i)">
          <text>Amniotic fluid;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A body fluid that is visibly contaminated with blood;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A body fluid that cannot be readily identified;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Cerebrospinal fluid;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Pericardial fluid;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Peritoneal fluid;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Pleural fluid;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Saliva only when dental procedures are performed;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Semen;</text>
        </paragraph>
        <paragraph num="(x)">
          <text>Synovial fluid; and</text>
        </paragraph>
        <paragraph num="(xi)">
          <text>Vaginal secretions;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>A tissue or organ from a living or dead human, not including intact skin, that has not been preserved by a chemical additive or preservative;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The following human immunodeficiency virus, hepatitis B virus, or hepatitis C virus related items:</text>
        <paragraph num="(i)">
          <text>HIV containing cell, tissue, or organ cultures;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>HIV, Hepatitis B, or Hepatitis C containing media or other solutions; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Blood, organs, or other tissues; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Microbiological laboratory waste.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Person” means an individual, receiver, trustee, guardian, personal representative, fiduciary, or representative of any kind and any partnership, firm, association, corporation, or other entity.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Sanitary sewer” means:</text>
      <paragraph num="(a)">
        <text>A liquid waste piping network leading to a sewerage system permitted under Environment Article, §9-204, Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An on-site sewerage system permitted under Environment Article, §9-204, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>“Sharps” means an object contaminated by blood or other potentially infectious material that can cut or penetrate the skin, including but not limited to:</text>
      <paragraph num="(a)">
        <text>A broken capillary tube;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Broken glass;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An exposed end of dental wire;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A needle;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A surgical instrument; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A syringe with an attached sharp.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(22)">
      <text>“Special medical waste” means:</text>
      <paragraph num="(a)">
        <text>Liquid or semiliquid blood or another potentially infectious material;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A contaminated article that releases liquid or semiliquid blood or another potentially infectious material if compressed;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An article that contains dried blood or another potentially infectious material and is capable of releasing the blood or material during handling;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Pathological and microbiological waste containing blood or another potentially infectious material;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Contaminated sharps; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Anatomical material.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>