Section R9-6-329. Enterohemorrhagic Escherichia coli

A.      Case control measures: A local health agency shall:

1.        Exclude an enterohemorrhagic Escherichia coli case or suspect case with diarrhea from working as a food han- dler, caring for patients or residents in a health care insti- tution, or caring for children in or attending a child care establishment until:

a.        Two successive cultures negative for enterohemor- rhagic Escherichia coli are obtained from stool spec- imens collected from the case at least 24 hours apart

and at least 48 hours after discontinuing antibiotics, or

b.        Diarrhea has resolved;

2.        Conduct an epidemiologic investigation of each reported enterohemorrhagic Escherichia coli case or suspect case; and

3.        For each enterohemorrhagic Escherichia coli case, sub- mit to the Department, as specified in Article 2, Table 4, the information required under R9-6-206(D).

B.       Contact control measures: A local health agency shall exclude an enterohemorrhagic Escherichia coli contact with diarrhea of unknown cause from working as a food handler, caring for patients or residents in a health care institution, or caring for children in or attending a child care establishment until diar- rhea has resolved.

C.      Environmental control measures: A local health agency shall:

1.        If an animal located in a private residence is suspected to be the source of infection for an enterohemorrhagic Esch- erichia coli case or outbreak, provide health education for the animal’s owner about enterohemorrhagic Escherichia coli and the risks of becoming infected with enterohemor- rhagic Escherichia coli; and

2.        If an animal located in a setting other than a private resi- dence is suspected to be the source of infection for an enterohemorrhagic Escherichia coli case or outbreak:

a.        Provide health education for the animal’s owner about enterohemorrhagic Escherichia coli and the risks of becoming infected with enterohemorrhagic Escherichia coli, and

b.        Require the animal’s owner to provide information to individuals with whom the animal may come into contact about enterohemorrhagic Escherichia coli and methods to reduce the risk of transmission.

Historical Note

Adopted effective October 19, 1993 (Supp. 93-4). Section R9-6-329 renumbered to R9-6-332; new Section R9-6- 329 renumbered from R9-6-326 and amended effective April 4, 1997 (Supp. 97-2). Former R9-6-329 repealed; new R9-6-329 renumbered from R9-6-322 and amended by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-329 renumbered to R9-6-331; new R9-6-329 renumbered from R9-6-327 and amended by final rulemaking at 14 A.A.R. 1502, effec- tive April 1, 2008 (Supp. 08-2).