Section R9-6-382. Typhoid Fever

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

1.        Conduct an epidemiologic investigation of each reported typhoid fever case or suspect case;

2.        For each typhoid fever case, submit to the Department, as specified in Article 2, Table 4, the information required under R9-6-206(D);

3.        Exclude a typhoid fever case from working as a food han- dler, caring for children in or attending a child care estab- lishment, or caring for patients or residents in a health care institution until:

a.        At least one month after the date of onset of illness, and

b.        After three successive cultures negative for Salmo- nella typhi have been obtained from stool specimens collected at least 24 hours apart and at least 48 hours after cessation of antibiotic therapy;

4.        If a culture from a typhoid fever case who has received antibiotic therapy is positive for Salmonella typhi, enforce the exclusions specified in subsection (A)(3) until three successive cultures negative for Salmonella typhi are obtained from stool specimens collected at least one month apart and 12 or fewer months after the date of onset of illness;

5.        If a positive culture is obtained on a stool specimen col- lected at least 12 months after onset of illness from a typhoid fever case who has received antibiotic therapy, redesignate the case as a carrier; and

6.        Exclude a typhoid fever carrier from working as a food handler, caring for children in or attending a child care establishment, or caring for patients or residents in a health care institution until three successive cultures neg- ative for Salmonella typhi have been obtained from stool specimens collected at least one month apart, at least one by purging.

B.       Contact control measures: A local health agency shall exclude a typhoid fever contact from working as a food handler, caring for children in or attending a child care establishment, or car- ing for patients or residents in a health care institution until two successive cultures negative for Salmonella typhi are obtained from stool specimens collected at least 24 hours apart.

Historical Note

Section renumbered from R9-6-372 and amended by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-382 renumbered to R9-6-388; new R9-6-382 renumbered from R9-6-375 and amended by final rulemaking at 14 A.A.R. 1502, effective April 1, 2008 (Supp. 08-2).