Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-3-16 - PRODUCTION, PROCESSING, HANDLING OR DISTRIBUTION OF MILK, MILK PRODUCTS AND FROZEN DESSERTS › Section 420-3-16-.17 - Procedure When Infection Is Suspected

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When a person who may have handled
			 pasteurized, ultra-pasteurized, aseptically processed and packaged low-acid
			 milk, and/or milk products or retort processed after packaged low-acid milk,
			 milk products, frozen dessert products, or associated milk, milk products, and
			 frozen dessert products contact surfaces meets one (1) or more of the
			 conditions specified in the Rule
			 420-3-16-.16, the Health Officer
			 is authorized to require any or all of the following measures:
(a) The immediate restricting of that person
			 from duties that require handling pasteurized milk or milk products, or the
			 handling of related milk or milk product-contact surfaces. This restriction may
			 be lifted after an appropriate medical clearance or cessation of symptoms or
			 both, according to the following table:
Table 5. Removal of Restrictions when Infection
							 or High Risk of Infection is Discovered
Health Status
Removing Restrictions
a. Is diagnosed with an illness due to Hepatitis A
							 virus, Salmonella typhi, Shigella species, Norwalk and Norwalk-like Viruses,
							 Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli 0157:H7,
							 enterohemorrhagic Escherichia coli, enterotoxigenic Escherichia coli,
							 Campylobacter jejuni, Entamoeba histolytica, Giardia lamblia, Non-typhoidal
							 Salmonella, Rotavirus, Taenia solium, Yersinia enterocolitica, Vibrio cholerae
							 01 or other infectious or communicable disease that has been declared by the
							 Secretary of HHS to be transmissible to others through the handling of food or
							 has been clearly shown to be so based upon verifiable epidemiological
							 data.
Restrictions lifted by medical clearance.
b. Meeting a high-risk scenario as specified in
							 Section 13 (2 or 3) and/or experiencing symptoms in Section 13 (4 or 5).
Restrictions lifted when symptoms cease or medical
							 documentation is provided that infection does not exist.
c. Asymptomatic, but stools positive for Salmonella
							 typhi, Shigella or Escherichia coli 0157:H7.
Restrictions lifted by medical clearance.
d. Past illness from Salmonella typhi, Shigella,
							 Escherichia coli 0157:H7 or other human pathogens for which humans have been
							 determined to be carriers.
Restrictions lifted by medical clearance.
e. In the case of diagnosed or suspected Hepatitis A,
							 onset of jaundice within the last seven (7) days.
Restrictions lifted by medical clearance.
f. In the case of diagnosed or suspected Hepatitis A,
							 onset of jaundice occurred more than seven (7) days ago.
Restrictions lifted by medical clearance or jaundice
							 ceases.
(b) The
			 immediate exclusion of the affected milk or milk products from distribution and
			 use when medically appropriate (i.e., a medical evaluation of the sequence of
			 events indicates that contamination of milk or milk product may have
			 occurred).
(c) The immediate
			 requesting of medical and bacteriological examination of the person at risk.
Note:
Persons at risk who decline to be examined
				may be reassigned to duties where they will not be required to handle
				pasteurized, ultra-pasteurized, aseptically processed and packaged low-acid
				milk and/or milk products, or retort processed after packaged low-acid milk
				and/or milk products and associated milk and/or milk product-contact
				surfaces.