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Exclusions

Exclusions and Restrictions
General Population Facilities

NOTE: This table is not a replacement to reading subpart 2-2, Employee Health, but is viewed only as a learning aide.

General
Population Facilities
Reinstating
EXCLUDE
If diagnosed with
big 4:
S. typhi, Shigella spp., E. coli O157:H7 and 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 O157: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 {per 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 {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)}.
RESTRICT
Experiencing symptoms associated with GI: diarrhea, fever, vomiting, jaundice, or sore throat with 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 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 20201.11(B)(2)}. 1. Hands or wrists, impermeable bandage covered with a single-use glove.
2. Arms, impermeable bandage.
3. Other parts of the body, dry, durable, tight-fighting bandage.
Asymptomatic & positive stool for S. typhi, shigella, or E. coli O157:H7 (shedder) {per 2-201.12(B)(2)}. When stools are negative, then via the PIC per MD documentation of consecutive negative stools {per 2-201.13(B)(2) via 8-501.40(A-C)}.
Jaundice > 7 days {per 2-201.12(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 falling liver enzymes {per 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)}.
4. Not suspected of causing FBI & not seen by MD, then via the PIC when GI symptoms & jaundice cease & no FBI occurs {per 2-201.13(B)(1)(a)}.
Persistent sneezing,
coughing or runny nose {per 2-401.12, Discharges from Eyes, Nose & Mouth}.
Once symptoms cease, via the PIC.
NOT ROUTINELY RESTRICTED
Asymptomatic & blood tests indicative of current HAV infection.
RATIONALE: Dependent on duties, personal hygiene, previous exposure & recipient of IG. See Public Health Reasons, page 244-246.
NOT RESTRICTED
Other prior illnesses and/or asymptomatic conditions.
 

Key for Abbreviations:
FBI... .foodborne illness
GI......gastrointestinal
HAV...hepatitis A virus
IG... ...immune globulin
MD... .medical doctor
PIC... person in charge
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