Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 2 - Epidemiology › Subpart 11 - Office of Communicable Diseases › Chapter 1 - MISSISSIPPI STATE DEPARTMENT OF HEALTH RULES AND REGULATIONS GOVERNING REPORTABLE DISEASES AND CONDITIONS › Subchapter 17 - SPECIFIC DISEASE CONTROL MEASURES › Rule 15-2-11-1.17.18 - Typhoid Fever

Current through June 25, 2024
1. Class 1B report
					 required.
a. In case of typhoid fever, enteric
					 precautions shall be maintained for not less than 4 weeks from date of onset,
					 and urine and feces cultures for release from temporary carrier status shall
					 not be taken earlier. A person diagnosed with typhoid fever or with growth of
					 Salmonella typhi from feces, urine, blood, or other bodily source shall be
					 considered a temporary typhoid carrier. Release from temporary carrier status
					 and health department supervision shall be on the basis of not less than 3
					 consecutive negative cultures obtained from authenticated specimens of feces
					 taken not less than 24 hours apart at least 48 hours after any antibiotic, and
					 not earlier than one month after onset. If any one of this series is positive,
					 the temporary carrier status shall be continued.
b. During the first 6 months of the temporary
					 carrier status, the patient may again be tested for release by securing not
					 less than 3 consecutive negative cultures obtained from authenticated specimens
					 at intervals of 1 month. If the patient is positive at the 6th month or if no
					 test is made, the case is classed as a permanent carrier. Final release from
					 permanent carrier status must be with the advice and consent of the State
					 Epidemiologist, and cannot be considered unless 3 consecutive monthly cultures
					 obtained from authenticated specimens collected at least 48 hours after any
					 antibiotic, have been negative on examination by the Department of Health
					 Laboratory or other laboratories approved by the Department of
					 Health.
c. Whenever the typhoid
					 carrier status shall be declared by the local health officer and there is no
					 patient history of typhoid during the preceding year, the patient shall be
					 classed as a permanent carrier.
d.
					 No person classed as a carrier shall engage in handling of foods or foodstuffs
					 for public consumption, nor shall such carrier offer to perform such services
					 for any family (other than his or her own) or for any other group or
					 institution, either private or public. No such carrier shall engage in
					 providing domestic services for hire or provide direct client care in a nursing
					 home or child day care center without the advice and written consent of the
					 health officer.
e. When any person
					 is declared to be a carrier of typhoid, the local health officer shall collect
					 pertinent information about the carrier. The necessity for imposing
					 restrictions on the patient's activities shall be explained to the patient and
					 the patient shall signify in writing his or her willingness to observe the
					 carrier agreement and restrictions. A copy of the carrier information shall be
					 forwarded immediately to the Epidemiology Program, Mississippi State Department
					 of Health, in Jackson.
f. When any
					 known carrier of typhoid moves from the county, a copy of the carrier's history
					 and agreements, together with the prospective future address of the carrier,
					 shall be forwarded to the Mississippi State Department of Health by the local
					 health officer of the county from which the carrier is moving. The original
					 copy of the history and agreement shall remain as a part of the files of the
					 county health department of the county from which the carrier has
					 moved.
g. All family or other close
					 contacts of a case of typhoid or other salmonella infection shall submit
					 specimens of their feces as required by the health officer and submit to any
					 reasonable examination as may aid in the search for unknown carriers and sub
					 clinical cases.
h. All family or
					 other close contacts of a carrier of typhoid or other salmonella infection
					 shall be prohibited from handling foods or foodstuffs for public consumption
					 until contact is broken and repeated negative laboratory examinations are
					 reported. For salmonelloses, except typhoid, a series of 2 negative feces
					 cultures taken not less than 24 hours apart at any time after contact is broken
					 will satisfy this provision. For typhoid fever a series of 2 negative stools
					 taken not less than 24 hours apart and not less than 14 days after contact is
					 broken will satisfy this provision.
i. The owner or operator of a house, hotel,
					 apartment or other institution in which a typhoid carrier resides shall provide
					 a sanitary method of excreta disposal which will not subject other occupants of
					 the house, apartment, hotel or other institution or the general public to
					 typhoid or paratyphoid infection. If the owner or operator of the property on
					 which a carrier resides fails for due cause to provide such sanitary methods of
					 excreta disposal, the carrier shall provide such facilities as meet approval of
					 the Mississippi State Department of Health.
j. Any typhoid carrier planning to change
					 his/her place of residence or his/her occupation shall notify the local health
					 officer in writing of such anticipated change.
k. Whenever a case or carrier of typhoid is
					 diagnosed it shall be the duty and responsibility of the local health officer
					 to conduct a search for the source of the infection and for the food, water or
					 person from whom it was acquired. Strict measures for assuring the safety of
					 the water and milk supplies and of all foodstuffs should be
					 instituted.
l. Mandatory report and
					 surveillance required.