|
Restrictions
Exclusions
and Restrictions
Highly Susceptible Population Facilities
NOTE:
This table is not a replacement to reading subpart
2-2, Employee Health, but is viewed only as a
learning aid.
|
Highly Susceptible Population Facilities |
Reinstating |
EXCLUDE
If diagnosed with big 4: S. typhi,
Shigella spp., E. coli O157: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 O157:H7 {per 2-201.13(A) via 8-501.40}. |
Jaundice
<7 days {per 2-201.12(D)(1)} Jaundice
>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 obtained.) |
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)(1)}.
2. Not suspected of causing FBI,
then via the PIC per MD documentation that
the person is free of HAV via symptoms cease
and 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 and 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
with fever {2-201.11(B)(1)} AND meets "high-risk
condictions" {2-201.11(D)}, {exclude per
2-201.12(D)(1)}. |
1.
Free of big 4, then via the PIC per
MD documentation {per 2-201.12(C) via 8-501.40(A-D)
symptoms cease & negative stools or falling
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. or E. coli O157: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(C)(1)(a) via 8-501.40(A-C)}. |
| Prior
illness with:S. typhi within last 3 months
{per 2-201.12 (C)(3)}Shigella or E. coli O157:H7
within last month {per 2-201.12(C)(4)} |
Free
of agent, then via the PIC per MD documentation
{per 2-201.(C)(1)(a) via 8-501.40(A-C) negative
stools}. |
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 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 a 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,
Discharge 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. |
| NOT
RESTRICTED |
Other
prior illnesses and/or other asymptomatic
conditions. |
Key
for Abbreviations:
FBI... .foodborne illness
GI......gastrointestinal
HAV...hepatitis A virus
IG... ...immune globulin
MD... .medical doctor
PIC... person in charge
High-Risk Conditions, 2-201.11(D)(1-4), the food
employee:
1. Caused or was exposed to a confirmed outbreak
with the big 4, because the individual prepared
or consumed the implicated food, or consumed food
prepared by an infected person or person suspected
of being a shedder,
2. Lives with someone diagnosed with the
big 4,
3. Lives with someone who attended or worked
at a confirmed outbreak with the big 4, or
4. Traveled within the last 50 days out of
the United States or to a U.S. territory that has
an epidemic or is endemic with one of the big 4
per CDC info. |
