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    Food Establishment Employee Health Specification Sheet

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    Food Establishment Employee Health Specification Sheet

    NOTE: These tables are not a replacement to reading subpart 2-2, Employee Health.

    GENERAL POPULATION FACILITIESREINSTATING:
    EXCLUDEIf diagnosed w/ big 4: S. Typhi, Shigella spp., E. coli 0157:H7 & HAV {per 2-201.12(A), agents listed in 2-201.11(A)}Regulatory approval & MD* documentation: free of symptoms & negative stool for S. Typhi, Shigella & E. coli 0157:H7 {per 2-201.13(A) via 8-501.40}.
    Jaundice #7 days {per 2-201.12(D)(1)} (Cause of jaundice may not be HAV, but the person is excluded until MD clearance & documentation is attained.)1. If diagnosed as HAV, then regulatory approval & MD documentation: symptoms cease or at least 2 blood tests show falling liver enzymes {2-201.13(A) via 8-501.40(D).

    2. Not suspected of causing FBI, the via the PIC per MD documentation that the person is free of HAV via symptoms cease {per 2-201.13(D)(1) via 8-501.40(D)(1)}.

    3. If suspected of causing FBI, the via the PIC per MD documentation: symptoms cease & at least 2 blood tests show falling liver enzymes {per 2-201.13(D(2)) via 8-501.40(D)(1&2)}.
    RESTRICTExperiencing symptoms associated with GI: diarrhea, fever, vomiting, jaundice, or sore throat w/ fever {per 2-201.12(B)(1), listed in 2-201.11(B)(1), no diagnosis of big 4}.1. Symptoms cease & no FBI occurs, then via the PIC {per 2-201.13(B)(1)(a)}.

    2. If suspected of causing FBI & free of symptoms, then via the PIC per MD documentation: free of agent causing symptoms or FBI {per 2-201.13(B)(1)(b) via 8-501.40}.

    3. Symptoms result from a chronic noninfectious condition, then via the PIC per MD documentation, {per 2-201.13(B)(1)(c)}.
    Exposed lesion, boil or wound containing pus or open/draining {per 2-201.12(b)(1) listed in 2-201.11(B)(2).1. Hands or wrists, impermeable bandage covered with single-use glove.

    2. Arms, impermeable bandage

    3. Other parts of the body, dry, durable tight-fitting bandage.
    Asymptomatic & positive stool for S. Typhi, Shigella, or E. coli 0157:H7 (shedder) {2-201.12(B)When stools are negative then via the PIC per MD documentation of consecutive negative stools {2-201.13(B)(2) via 8-501.40(A-C)}.
    Jaundice > 7 days {per2-201.12(D)(2)(b)} (Cause of jaundice may not be HAV)1. If diagnosed as HAV, then regulatory approval & MD documentation: symptoms cease or at least 2 blood tests show failing liver enzymes {per 2-201.13(A) via 8-501.40(D)}.

    2. Not suspected of causing FBI, the via the PIC per MD documentation that the person is free of HAV via symptoms cease & no FBI occurs {per2-201.13(D)(1) via 8-501.40(D)(1)}.

    3. If suspected of causing FBI, then via the PIC per MD documentation: symptoms cease & at least 2 blood tests show tailing liver enzymes {per 2-201.13(D)(2) via 8-501.40(D)(1&2)}.
    Persistent sneezing, coughing or runny nose {per 2-401.12 Discharge from Eyes, Nose & Mouth}Once symptoms cease, via the PIC
    NOT ROUTINELY RESTRICTEDAsymptomatic & blood tests indicative of current HAV infectionRATIONALE: Dependent on duties, personal hygiene, previous exposure & recipient of IG. See Public Health Reasons, pages 244 – 250.
    NOT RESTRICTEDOther prior illnesses and/or other asymptomatic conditions

    Food Code: Employee Health Specification Sheet, Page 1 (Back)

    HIGHLY SUSCEPTIBLE POPULATION FACILITIESREINSTATING:
    EXCLUDEIf diagnosed w/ big 4: S. Typhi, Shigella spp., E. coli 0157:H7 & HAV {per 2-201.12(A), agents listed in 2-201.11(A)}Regulatory approval & MD* documentation: free of symptoms & negative stool for S. Typhi, Shigella & E. coli 0157:H7 {per 2-201.13(A) via 8-501.40}.
    Jaundice #7 days {per 2-201.12(D)(1)} >7 days {per 2-201.12(D)(2)(a)} (Cause of jaundice may not be HAV, but the person is excluded until MD clearance & documentation is attained.)1. If diagnosed as HAV, then regulatory approval & MD documentation: symptoms cease or at least 2 blood tests show falling liver enzymes {2-201.13(A) via 8-501.40(D).

    2. Not suspected of causing FBI, then via the PIC per MD documentation that the person is free of HAV via symptoms cease & no FBI occurs{per 2-201.13(D)(1) via 8-501.40(D)(1)}.

    3. If suspected of causing FBI, then via the PIC per MD documentation: symptoms cease & at least 2 blood tests show falling liver enzymes {per 2-201.13(D(2)) via 8-501.40(D)(1&2)}.
    Experiencing symptoms associated with GI; diarrhea, fever, vomiting, jaundice, or sore throat w/ fever (2-201.11(B)(1)} AND meets
     “high risk conditions” (exclude per 2-201.12(C)(1)}.    		1. If free of big 4, then via the PIC per MD documentation (per 2-201.13 via 8.501.40(A-D) symptoms cease & negative stools or falling liver enzymes).

    2. Free of big 4 per #1 above, but still experiencing GI symptoms, then restrict as stated under restrictions.

    3. Chronic noninfectious condition, then via the PIC per MD documentation {per 2-201.13(B(1)(c)).
    Asymptomatic & positive stool for S. Typhi, Shigella spp., E. coli 0157:H7 (shedder) {per 2-201.12(C)(2)}When stools are negative, then via the PIC per MD documentation of consecutive negative stools {per 2-201.13(1)(a) via 8-501.40(A-C).
    Prior illness with: S. typhi w/in last 3 months {per 2-201.12 (C)(3)} Shigella spp. or E. coli 0157:H7 w/in last month {per 2-201.12(C)(4)}Free of agent, then via the PIC per MD documentation {per 2-201.13(C)(1)(a) via 8-501.40(A-C).
    RESTRICTExperiencing symptoms associated with GI: diarrhea, fever, vomiting, jaundice, or sore throat w/ fever {per 2-201.12(B)(1), listed in 2-201.11(B)(1), no diagnosis of big 4}.1. Symptoms cease & no FBI occurs, then via the PIC {per 2-201.13(B)(1)(a)}.

    2. If suspected of causing FBI & free of symptoms, then via the PIC per MD documentation: free of agent causing symptoms or FBI {per 2-201.13(B)(1)(b) via 8-501.40}.

    3. Symptoms result from a chronic noninfectious condition, then via the PIC per MD documentation, {per 2-201.13(B)(1)(c)}.

    Exposed lesion, boil or wound containing pus or open/draining {per 2-201.12(B)(1) listed in 2-201.11(B)(2).1. Hands or wrists, impermeable bandage covered with single-use glove.

    2. Arms, impermeable bandage

    3. Other parts of the body, dry, durable tight-fitting bandage
    Persistent sneezing, coughing or runny nose {per 2-401.12, Discharges from Eyes, Nose & Mouth}Once symptoms cease, via the PIC
    NOT ROUTINELY RESTRICTEDAsymptomatic & blood tests indicative of current HAV infection.RATIONALE: Dependent on duties, personal hygiene, previous exposure & recipient of IG. See Public Health Reasons, pages 244-250.
    NOT RESTRICTEDOther prior illnesses and/or other asymptomatic conditions

    Key for Abbreviations FBI – foodborne illness GI – gastrointenstial hepatitis A virus IG – immune globulin PIC – person in charge MD* – medical doctor or if allowed by law, via a nurse practitioner or physician assistant HIGH-RISK CONDITIONS, 2-201.11(D)(1-3), the food employee:

    1. Caused or was exposed to a confirmed outbreak w/ the big 4, because the individual prepared or consumed the implicated food, or consumed food prepared by an infected HAV person or person suspected of being a shedder,
    2. Lives with someone diagnosed w/ the big 4, or
    3. Lives with someone who attended or worked at a confirmed outbreak w/ the big 4.

    Food Code: Employee Health Specification Sheet, Page 2 (Back)