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Macon County
Public Health


Checklist for employee health verification
For Highly Susceptible Populations (HSP)

For Food Service and Conditional employees

The following link provides American Disabilities Act Information regarding how to deal with conditional employees.
http://www.eeoc.gov/facts/restaurant_guide.html.

Food employers should ask questions about symptoms and diseases transmissible through food only after a conditional job offer has been made. After you make a conditional job offer, you may ask about diseases transmissible through food. You may ask questions about an applicant's health and require a medical exam. Further information on developing an employee health policy is available from FDA's Employee Health and Personal Hygiene Handbook at This link Location
    Reportable Symptoms (employees and conditional employees)
  • Vomiting
  • Diarrhea
  • Jaundice
  • Sore Throat with Fever
  • Lesion with pus that cannot be protected by an impermeable cover
    Reportable Diagnosis (employees and conditional employees)
  • typhoid fever (Salmonella Typhi)                                        Presently or within past 3 months w/o antibiotic therapy
  • shigellosis (Shigela spp. Infection)                                     Presently Diagnosed with Symptoms
  • Escherichia coli 0157:H7 or other EHEC/STEC infection      Presently Diagnosed with Symptoms
  • Hepatitis A virus                                                                 Presently Diagnosed with Symptoms
  • Norovirus                                                                            Presently Diagnosed with Symptoms
    Reportable Exposure (employees and conditional employees)
    This includes exposure to: a household member diagnosed with, or household member attending or working in a setting experiencing a confirmed case of:

  • typhoid fever (Salmonella Typhi)       14 days      Restrict no exposed food, equipment, utensils, counsel.
  • shigellosis (Shigela spp. Infection)      3 days      Restrict no exposed food, equipment, utensils, counsel.
  • Escherichia coli 0157:H7
    or other EHEC/STEC infection              3 days      Restrict no exposed food, equipment, utensils, counsel.
  • Hepatitis A virus                                30 days      Restrict no exposed food, equipment, utensils, counsel.
  • Norovirus                                          48 hours     Restrict no exposed food, equipment, utensils, counsel.
    Exclusions, Restrict and Reinstate
    (Regular script = no regulatory approval required)

  • Vomiting
    Exclude
    24 hours w/o symptoms

  • Diarrhea
    Exclude
    24 hours w/o symptoms

  • Sore Throat with Fever
    Exclude
    Must provide medical clearance before returning

  • Lesion with pus
    Allow Work
    Protect lesion or wound with impermeable cover. If located on hand single use glove.

    (Bold italics = regulatory approval required)

  • Jaundice
    Exclude
    Contact health department; Onset within 7 days;
    unless medical proof not caused by Hepatitis A.

  • Salmonella Typhi
    Exclude
    Written medical documentation / clearance

  • Shigela spp. Infection
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 7 days w/o symptoms

  • Norovirus
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 48 hours w/o symptoms

  • EHEC or STEC
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 7 days w/o symptoms

  • Heppatitis A virus
    Exclude
    if within 14 days of any symptoms or 7 days of jaundice and until medically cleared free of Hepatitis A.


Checklist for employee health verification
For General Populations (non HSP)

For Food Service and Conditional employees

The following link provides American Disabilities Act Information regarding how to deal with conditional employees.
http://www.eeoc.gov/facts/restaurant_guide.html.

Food employers should ask questions about symptoms and diseases transmissible through food only after a conditional job offer has been made. After you make a conditional job offer, you may ask about diseases transmissible through food. You may ask questions about an applicant's health and require a medical exam. Further information on developing an employee health policy is available from FDA's Employee Health and Personal Hygiene Handbook at This link Location

    Reportable Symptoms (employees and conditional employees)
  • Vomiting
  • Diarrhea
  • Jaundice
  • Sore Throat with Fever
  • Lesion with pus that cannot be protected by an impermeable cover
    Reportable Diagnosis (employees and conditional employees)
  • typhoid fever (Salmonella Typhi)                                        Presently or within past 3 months w/o antibiotic therapy
  • shigellosis (Shigela spp. Infection)                                     Presently Diagnosed with Symptoms
  • Escherichia coli 0157:H7 or other EHEC/STEC infection      Presently Diagnosed with Symptoms
  • Hepatitis A virus                                                               Presently Diagnosed with Symptoms
  • Norovirus                                                                         Presently Diagnosed with Symptoms
    Reportable Exposure (employees and conditional employees)
    This includes exposure to: a household member diagnosed with, or household member attending or working in a setting experiencing a confirmed case of:

  • typhoid fever (Salmonella Typhi)       14 days      Counsel employee personal hygiene, NBHC, reporting symptoms
  • shigellosis (Shigela spp. Infection)      3 days      Counsel employee personal hygiene, NBHC, reporting symptoms
  • Escherichia coli 0157:H7
    or other EHEC/STEC infection              3 days      Counsel employee personal hygiene, NBHC, reporting symptoms
  • Hepatitis A virus                                30 days     Counsel employee personal hygiene, NBHC, reporting symptoms
  • Norovirus                                          48 hours    Counsel employee personal hygiene, NBHC, reporting symptoms
    Exclusions, Restrict and Reinstate
    (Regular script = no regulatory approval required)

  • Vomiting
    Exclude
    24 hours w/o symptoms

  • Diarrhea
    Exclude
    24 hours w/o symptoms

  • Sore Throat with Fever
    Restrict
    Received antibiotic therapy 24 hrs; negative for Strep or determined by health professional w/o Strep

  • Lesion with pus
    Allow Work
    Protect lesion or wound with impermeable cover. If located on hand and can be covered; single use glove.

    (Bold italics = regulatory approval required)

  • Jaundice
    Exclude
    Onset within last 7 days;
    unless medical proof not caused by Hepatitis A.

  • Salmonella Typhi
    Exclude
    Written medical documentation / clearance

  • Shigela spp. Infection
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 7 days w/o symptoms

  • Norovirus
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 48 hours w/o symptoms

  • EHEC or STEC
    Exclude
    24 hours after symptoms resolve; remains restricted until medically cleared or > 7 days w/o symptoms

  • Heppatitis A virus
    Exclude
    if within 14 days of any symptoms or 7 days of jaundice and until medically cleared free of Hepatitis A.


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Phone: 828-349-2000

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