Salmonellosis - Including Typhoid Fever

01. Restrictions - Chronic Carrier. Chronic carriers, which are those who excrete Salmonella for more than one (1) year after onset, are restricted from working as food employees. Chronic carriers must not work in any occupation in which they provide personal care to children in daycare facilities, or to persons who are confined to health care facilities or residential care facilities, until Salmonella is not identified by a licensed laboratory in any of three (3) successive approved fecal specimens collected at least seventy-two (72) hours apart. (3-17-22) 02. Restrictions - Non-Typhi Salmonella. (3-17-22) a. A fecally incontinent person excreting non-Typhi Salmonella must not attend a daycare facility. (3-17-22) b. A person excreting non-Typhi Salmonella must not work in any occupation in which they provide personal care to children in a daycare facility or provide personal care to persons confined to a health care facility, unless an exemption is obtained from the Department or Health District. (3-17-22) c. A symptomatic food employee excreting non-Typhi Salmonella must be managed under the IDAPA 16.02.19, “Idaho Food Code.” (3-17-22) d. Before a person can attend or work in a daycare facility or a health care facility, or work as a food IDAHO ADMINISTRATIVE CODE IDAPA 16.02.10 Department of Health and Welfare Idaho Reportable Diseases Section 700 Page 31 employee, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart, that fail to show Salmonella. (3-17-22) e. The Department may withdraw this restriction on a case of non-Typhi Salmonella provided that the person is asymptomatic. (3-17-22) f. Any member of a household in which there is a case of non-Typhi salmonellosis must not work as a food employee until the member provides at least one (1) approved fecal specimen that fails to show Salmonella upon testing by a licensed laboratory. (3-17-22) 03. Restrictions - Salmonella Typhi. (3-17-22) a. Any person with typhoid fever will remain subject to the supervision of the Department until Salmonella Typhi is not isolated by a licensed laboratory from three (3) successive approved fecal specimens collected at least twenty-four (24) hours apart, and at least forty-eight (48) hours after the last dose of antibiotics. (7-1-26) b. Any member of a household in which there is a case of Salmonella Typhi must not work in the occupations described in this Section until the member provides at least two (2) successive approved fecal specimens collected twenty-four (24) hours apart that fail to show Salmonella upon testing by a licensed laboratory. (7-1-26) c. All chronic carriers of Salmonella Typhi must abide by a written agreement called a typhoid fever carrier agreement. This agreement is between the chronic carrier and the Department or Health District. Failure of the carrier to abide by the carrier agreement may cause the carrier to be isolated under Section 065 of these rules. The carrier agreement requires: (3-17-22) i. The carrier cannot work as a food employee; (3-17-22) ii. Specimens must be furnished for examination in a manner described by the Department or Health District; and (3-17-22) iii. The Department or Health District must be notified immediately of any change of address, occupation, and cases of illness suggestive of typhoid fever in their family or among immediate associates, while there is a chronic carrier under a typhoid fever carrier agreement. (7-1-26) d. Chronic carriers of typhoid fever may be released from carrier status when Salmonella Typhi is not identified by a licensed laboratory in any of six (6) consecutive approved fecal and urine specimens collected at least one (1) month apart. (3-17-22) 671. – 699. (RESERVED)