Ariz. Admin. Code § R9-6-340 - Escherichia coli, Shiga Toxin-producing
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 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.
Notes
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A. Case control measures: A local health agency shall:
1. Conduct an epidemiologic investigation of each reported Hansen's disease case or suspect case; and
2. For each Hansen's disease case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D).
B. Contact control measures: In consultation with the Department, a local health agency shall examine contacts of a Hansen's disease case, if indicated, for signs and symptoms of leprosy at six-to-twelve month intervals for five years after the last exposure to an infectious case.