Agriculture_Markets
Andrew M. Cuomo, Governor | Richard A. Ball, Commissioner
 
 

Infected Food Handler Guidelines

  1. Amebiasis
  2. No person excreting Entamoeba histolytica shall work as a food worker, unless the person is no longer clinically ill; and two fecal specimens collected at intervals not less than 24 hours apart have been examined in an approved laboratory or in the laboratory of the State Department of Health (WCL&R) and no Entamoeba histolytica organisms are found. If the person has been treated with a therapeutic regimen specimens should be taken no sooner than 48 hours after completion of therapy.

  3. Campylobacter jejuni
  4. No person shall engage in the handling of milk, dairy products, or other foods until clinical recovery from Campylobacter jejuni infection. Exclusion of asymtomatic individuals from food handling is indicated only for those with questionable hygienic habits; proper handwashing, and the use of disposable plastic gloves or utensils when preparing or serving foods that will not be subsequently cooked should be stressed.

  5. Cholera
  6. No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from Vibrio cholera infection and until two fecal specimens collected at intervals not less than 24 hours apart have been examined in an approved laboratory or in the WCL&R and no Vibrio cholera organisms are found.

  7. Diarrhea - Undiagnosed
  8. No person shall engage in the handling of milk, dairy products or other foods until recovery from diarrhea or until non-infectious cause has been determined.

  9. Diphtheria
  10. The food worker shall be restricted from the food service establishment until two cultures taken from both the nose and throat or affected sites at intervals of not less than 24 hours apart, and not less than 24 hours after cessation of antimicrobial therapy have been found free from diphtheria bacilli in an approved laboratory or in the WCL&R.

  11. Giardia lamblia
  12. No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from Giardia lamblia infection. Exclusion of asymtomatic individuals from food handling is indicated only for those with questionable hygienic habits; proper handwashing and the use of disposable plastic gloves or utensils when preparing or serving foods that will not be subsequently cooked should be stressed.

    Hepatitis A(Infectious Hepatitis; Viral Hepatitis A) (See Table on Page 4)

    Exclusion: No person shall engage in the handling of milk, dairy products or other foods until at least two weeks after the onset of clinical symptoms of Hepatitis A and no sooner than one week after the onset of jaundice.

    Immunization of contacts: Hepatitis A virus can be transmitted by food contaminated by excreta from an infected food worker. When a food worker has a diagnosed case of acute Hepatitis A, health officials have the option of recommending immunoglobulin prophylaxis (IG, immune globulin) to patrons and co-workers. Use of disposable plastic gloves and/or utensils to prevent hand contact with foods that will not be subsequently cooked should be emphasized. Such a recommendation must take into account: (1) the potability of transmission of infectious virus; and (2) the probability of successful intervention of transmission wit the use of IG. IgM antibody testing must be done to confirm Hepatitis A infection.

  13. Poliomyelitis
  14. Any case of poliomyelitis should be reported immediately to the New York State Department of Health, Bureau of Communicable Disease Control.

  15. Salmonellosis
  16. No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from Salmonella infection and until two fecal specimens collected not less than 24 hours apart, but not sooner than 48 hours following discontinuance of antimicrobials, have been examined in an approved laboratory or in the WCL&R and no Salmonella organisms are found.

  17. Shigellosis
  18. No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from Shigella infection and until two fecal specimens collected not less than two days after antimicrobial therapy and at intervals not less than 24 hours apart have been examined in an approved laboratory or in the WCL&R and no Shigella organisms are found.

  19. Staphylococcal Infections - Cutaneous
  20. No person shall engage in the handling of milk, dairy products or other foods until the local health officer determines that the risk of transmitting staphylococcal bacteria has been eliminated. Any lesions involved must be completely healed.

  21. Streptococcal Sore Throat and Streptococcal Skin Infections
  22. No person shall engage in the handling of milk, dairy products or other foods until the local health officer determines that the risk of transmitting streptococcal disease through food has been eliminated as the result of treatment with penicillin or other effective antibiotic and any skin lesions involved have completely healed. Exclusion may be terminated after 48 hours treatment with penicillin or other effective antibiotics.

  23. Tuberculosis
  24. No person shall engage in the handling of milk, dairy products or other foods until two weeks of an approved therapeutic regimen has been completed, and the local health officer determines that the person is no longer at risk of transmitting tuberculosis to others. Tuberculosis is airborne spread, it is not spread through food. These precautions are to protect co-workers and close contacts.

  25. Typhoid
  26. "10 NYCRR 2.28 (b) Typhoid. Until recovery. The patient shall conform to the regulations for the control of typhoid carriers until three successive specimens of feces passed not less than two weeks after the last administration of any antibiotic or chemotherapeutic agent at an interval of not less than five days shall have been examined in an approved laboratory or in the laboratory of the State Department of Health and found to be free from typhoid bacilli; a person who has recovered from typhoid shall not engage in the handling of milk, dairy products or other foods until all secondary or complicating infections incited by the agents of this disease have disappeared and until three successive specimens of feces and urine passed not less than two weeks after the last administration of any antibiotic or other chemotherapeutic agent and at intervals of not less than five days have been examined in an approved laboratory or in the laboratory of the State Department of Health and found to be free from typhoid bacilli. Should the organism of typhoid be present one year after such person has recovered from typhoid, he shall be released from the restrictions for typhoid carriers only with the approval of the State Commissioner of Health."

  27. Vomiting - Undiagnosed
  28. No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from vomiting or until a non-infectious cause has been determined.

  29. Yersinia enterocolitica

No person shall engage in the handling of milk, dairy products or other foods until clinical recovery from Yersinia enterocolitica. Exclusion of asymtomatic individuals from food handling is indicated only for those with questionable hygienic habits; proper handwashing and the use of disposable plastic gloves or utensils when preparing or serving foods that will not be subsequently cooked should be stressed.

MANAGEMENT OF FOOD ESTABLISHMENT
EMPLOYEES WITH DISEASE TRANSMISSIBLE THROUGH FOOD
EMPLOYEE MAY RETURN TO WORK BASED ON

DISEASE

CESSATION
OF
SYMPTOMS

2 NEGATIVE
STOOLS
REQUIRED

APPROVAL OF
LOCAL HEALTH
OFFICER

INITIATION OF
ACCEPTABLE
THERAPEUTIC
REGIMEN

TIME PERIOD
SINCE ONSET
OF ILLNESS

Amebiasis

X

X

X

   

Campylobacter

X

       

Cholera

X

X

     

Diarrhea

X

       

Diphtheria*

X

 

X

   

Giardiasis

X

       

Hepatitis A

X

     

2 Weeks

Polio**

X

       

Salmonella

X

X

     

Shigella

X

X

     

Staphylococcal
Disease

X

 

X

   

Streptococcal
Disease

X

   

48 Hours

 

Tuberculosis

X

 

X

2 Weeks

 

Typhoid***

X

X (3)

X

   

Vomiting

X

       

Yersinia

X

       

*Negative cultures of throat or affected sites

**Call New York State Bureau of Communicable Disease Control immediately

***3 Stools in acute cases