Alabama Administrative Code
Title 420 - ALABAMA STATE BOARD OF HEALTH
Chapter 420-3-16 - PRODUCTION, PROCESSING, HANDLING OR DISTRIBUTION OF MILK, MILK PRODUCTS AND FROZEN DESSERTS
Section 420-3-16-.17 - Procedure When Infection Is Suspected

Universal Citation: AL Admin Code R 420-3-16-.17

Current through Register Vol. 42, No. 11, August 30, 2024

(1) When a person who may have handled pasteurized, ultra-pasteurized, aseptically processed and packaged low-acid milk, and/or milk products or retort processed after packaged low-acid milk, milk products, frozen dessert products, or associated milk, milk products, and frozen dessert products contact surfaces meets one (1) or more of the conditions specified in the Rule 420-3-16-.16, the Health Officer is authorized to require any or all of the following measures:

(a) The immediate restricting of that person from duties that require handling pasteurized milk or milk products, or the handling of related milk or milk product-contact surfaces. This restriction may be lifted after an appropriate medical clearance or cessation of symptoms or both, according to the following table:

Table 5. Removal of Restrictions when Infection or High Risk of Infection is Discovered

Health Status

Removing Restrictions

a. Is diagnosed with an illness due to Hepatitis A virus, Salmonella typhi, Shigella species, Norwalk and Norwalk-like Viruses, Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli 0157:H7, enterohemorrhagic Escherichia coli, enterotoxigenic Escherichia coli, Campylobacter jejuni, Entamoeba histolytica, Giardia lamblia, Non-typhoidal Salmonella, Rotavirus, Taenia solium, Yersinia enterocolitica, Vibrio cholerae 01 or other infectious or communicable disease that has been declared by the Secretary of HHS to be transmissible to others through the handling of food or has been clearly shown to be so based upon verifiable epidemiological data.

Restrictions lifted by medical clearance.

b. Meeting a high-risk scenario as specified in Section 13 (2 or 3) and/or experiencing symptoms in Section 13 (4 or 5).

Restrictions lifted when symptoms cease or medical documentation is provided that infection does not exist.

c. Asymptomatic, but stools positive for Salmonella typhi, Shigella or Escherichia coli 0157:H7.

Restrictions lifted by medical clearance.

d. Past illness from Salmonella typhi, Shigella, Escherichia coli 0157:H7 or other human pathogens for which humans have been determined to be carriers.

Restrictions lifted by medical clearance.

e. In the case of diagnosed or suspected Hepatitis A, onset of jaundice within the last seven (7) days.

Restrictions lifted by medical clearance.

f. In the case of diagnosed or suspected Hepatitis A, onset of jaundice occurred more than seven (7) days ago.

Restrictions lifted by medical clearance or jaundice ceases.

(b) The immediate exclusion of the affected milk or milk products from distribution and use when medically appropriate (i.e., a medical evaluation of the sequence of events indicates that contamination of milk or milk product may have occurred).

(c) The immediate requesting of medical and bacteriological examination of the person at risk.

Note: Persons at risk who decline to be examined may be reassigned to duties where they will not be required to handle pasteurized, ultra-pasteurized, aseptically processed and packaged low-acid milk and/or milk products, or retort processed after packaged low-acid milk and/or milk products and associated milk and/or milk product-contact surfaces.

(2) In the case of milk plants, receiving stations, or transfer stations that have HACCP Systems which are regulated under the NCIMS voluntary HACCP Program, the HACCP System shall address the public health concerns described in this section in a manner that provides protection equivalent to the requirements in this section.

Author: G. M. Gallaspy, Jr.

Statutory Authority: Code of Ala. 1975, §§ 22-2-2, 22-20-7.

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