R9-6-340. Escherichia coli, Shiga Toxin-producing

A. Case control measures: A local health agency shall: 1. Upon receiving a report of a Shiga toxin-producing Escherichia coli case or suspect case, notify the Department within one working day after receiving the report and provide to the Department the information contained in the report; 2. Exclude a Shiga toxin-producing Escherichia coli case or suspect case with diarrhea from: a. 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: i. Two successive stool specimens, collected from the Shiga toxin-producing Escherichia coli case or suspect case at least 24 hours apart, are negative for Shiga toxin-producing Escherichia coli; ii. Diarrhea has resolved; or iii. The local health agency has determined that the case or suspect case is unlikely to infect other individuals; and b. Using an aquatic venue for two weeks after diarrhea has resolved; 3. Conduct an epidemiologic investigation of each reported Shiga toxin-producing Escherichia coli case or suspect case; and 4. For each Shiga toxin-producing Escherichia coli case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D). B. 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 a Shiga toxin-producing Escherichia coli case or outbreak, provide health education for the animal’s owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli; and 2. If an animal located in a setting other than a private residence is suspected to be the source of infection for a Shiga toxin-producing Escherichia coli case or outbreak: a. Provide health education for the animal’s owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli, and b. Require the animal’s owner to provide information to individuals with whom the animal may come into contact about Shiga toxin-producing Escherichia coli and methods to reduce the risk of transmission.