Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 22 - Typhoid Carriers › Section 19 CSR 20-22.010 - Supervision of Typhoid Carriers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes procedures for the
				  supervision of identified carriers of typhoid.
(1) Any person whose feces or urine contains
				typhoid bacilli (Salmonella typhi) and is not ill shall be considered a typhoid
				carrier. If a typhoid carrier has had typhoid fever within the past twelve (12)
				months s/he shall be considered a convalescent typhoid carrier. If a typhoid
				carrier continues to have typhoid bacilli in his/her feces or urine for more
				than twelve (12) months after having typhoid fever or in the absence of a
				history of typhoid fever, s/he shall be considered a chronic typhoid
				carrier.
(2) A typhoid carrier
				shall be under the supervision of the health officer having jurisdiction. No
				typhoid carrier shall prepare, serve or in any way handle water, milk or milk
				products or any other food to be consumed by persons other than those in
				his/her immediate family.
(3) The
				health officer shall prepare a case history, including laboratory findings, for
				each chronic typhoid carrier within his/her jurisdiction and forward a copy to
				the Department of Health district health administrator in whose jurisdiction
				the carrier resides. Typhoid carrier record forms will be supplied by the
				Department of Health for this purpose.
(4) The health officer or his/her
				representative shall instruct chronic typhoid carriers regarding their
				infection and the measures necessary to avoid transmission of infection to
				others. Chronic typhoid carriers may be permitted by the health officer to be
				in free communication with others upon the signing of and adherence to the
				following typhoid carrier agreement; one (1) copy of which will be retained by
				the carrier; one (1) by the health officer; and a third forwarded to the
				district health administrator having jurisdiction or to the Department of
				Health.
(5) The typhoid carrier
				agreement shall read as follows:
To Whom It May Concern
Date: ________________________________
I __________________ , of ______________
hereby acknowledge that I am a typhoid carrier and that in
				  order that I might be placed under modified isolation I hereby agree
				  that:
(A) I will not at any time
				handle, prepare or cook any food or drink to be consumed by others than my
				immediate family.
(B) I will
				thoroughly wash my hands with soap and water after each visit to the
				toilet.
(C) I will not bathe in any
				public or private swimming pool.
(D) If my residence is not connected to a
				municipal sewage treatment system, I agree to have an on-site sewage treatment
				facility that complies with minimum standards as determined by the Missouri
				Department of Health.
(E) I will
				notify the health officer or the local health department within one (1) week of
				any change of address.
(F) I will
				submit such fecal and urine specimens as may be requested by the health officer
				or local health department.
(G) If
				I become ill and require hospital or other institutional care, I will inform
				the superintendent or person in charge of the hospital or institution that I am
				a typhoid carrier.
(H) I understand
				that failure to abide by the provisions of this agreement subjects me to
				necessary enteric precautions as determined by the Missouri Department of
				Health.
Signed: ______________________________
Address: _____________________________
(I) I have explained these provisions to
				____________________ and in view of the above agreement I hereby grant
				permission for ______________________ to be in free communication with others
				as long as
______________________ complies with the conditions of the
				  agreement.
Signed: ______________________________
Address: _____________________________