Ariz. Admin. Code § R9-6-335 - Diarrhea, Nausea, or Vomiting
A. Outbreak control measures: A local health
agency shall:
1. Conduct an epidemiologic
investigation of each re ported outbreak of diar rhea, nausea, or
vomiting;
2. Submit to the
Department, as specified in Article 2, Table 4, the information required under
R9-6-206(F)
R9-6-206(E)
for:
a. Each suspected foodborne illness
outbreak,
b. Each suspected
waterborne illness outbreak, and
c. Each outbreak of viral gastroenteritis.;
and
3. Exclude each case
that is part of an outbreak of diarrhea, nausea, or vomiting from:
a. Working as a food handler, caring for
patients or residents in a health care institution, or caring for children in
or attending a child care establishment until:
i. Diarrhea and vomiting have resolved, or
ii. The local health agency has determined
that the case is unlikely to infect other individuals; and
b. Using an aquatic venue for two weeks
after diarrhea has resolved.
B. Environmental control measures: A local
heal th agency shall conduct a sanitary inspection or ensure that a sanitary
inspection is conducted of each facility or location regulate d under 9 A.A.C.
8 that is associated with an outbreak of diarrhea, nausea, or
vomiting.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Case control measures: A local health agency shall: 1. 2. Exclude a Shiga toxin-producing Escherichia coli case or suspect case with diarrhea from: 2. 3. Conduct an epidemiologic investigation of each reported Shiga toxin-producing Escherichia coli case or suspect case; and 3. 4. For each Shiga toxin-producing Escherichia coli case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D).
1. Upon receiving a report under R9-6-202 or R9-6-203 of a Shiga toxin-producing Escherichia coli case or suspect case, notify the Department within one working day after receiving the report and provide to the Department the information contained in the report;
a. Working as a food handler, caring for patients or residents in a health care institution, or caring for children in or attending a child care establishment until: a.i. Two successive stool specimens, collected from the Shiga toxin-producing Escherichia coli case or suspect case at least 24 hours apart, are negative for Shiga toxin-producing Escherichia coli; b.ii. Diarrhea has resolved; or
iii. The local health agency has determined that the case or suspect case is unlikely to infect other individuals; and
b. Using an aquatic venue for two weeks after diarrhea has resolved;
B. Contact control measures: A local health agency shall exclude an enterohemorrhagic Escherichia coli contact with diarrhea of unknown cause from working as a food handler, caring for patients or residents in a health care institution, or caring for children in or attending a child care establishment until diarrhea has resolved.
1. If an animal located in a private residence is suspected to be the source of infection for a Shiga toxin-producing Escherichia coli case or outbreak, provide health education for the animal's owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli; and
2. If an animal located in a setting other than a private residence is suspected to be the source of infection for a Shiga toxin-producing Escherichia coli case or outbreak:
a. Provide health education for the animal's owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli, and
b. Require the animal's owner to provide information to individuals with whom the animal may come into contact about Shiga toxin-producing Escherichia coli and methods to reduce the risk of transmission.