SEND >>> Salmonella*

SICK >>> ShigellaEMPLOYEES >>> E. coliHOME >>> Hepatitis ANOW >>> NorovirusAny associate displaying the following symptoms cannot work with or around food:

• Vomiting• Diarrhea• Sore Throat with a Fever• Jaundice• Unprotected & Infected Wounds

PEOPLE · PRIDE · PROGRESS · PARTNERSHIPSEnvironmental Health Division • 3205 Freedom Drive, Suite 8000Charlotte, NC 28208 • 980-314-1620 • MeckHealth.org

* Nontyphoidal Salmonella and Typhoid fever (Salmonella Typhi)

Employee Health

Any associate diagnosed with or exposed to the following cannot report or return to work until authorized by a Health Practitioner or the Person In Charge (PIC):

SENDSICKEMPLOYEESHOMENOW

[Diarrhea]

If they are presenting any of the following:

[Jaundice]

[Sore Throat with Fever]

[Vomiting]

[Unprotected & Infected Wounds]

PEOPLE · PRIDE · PROGRESS · PARTNERSHIPSEnvironmental Health Division • 3205 Freedom Drive, Suite 8000 • Charlotte, NC 28208• 980-314-1620 • MeckHealth.org

2-201.11/2-201.12 Decision Tree 1 and 2Key: (HSP) Highly Susceptible Population; (Gen. Pop.) General Population; (V) Vomiting; (J) Jaundice; (D) Diarrhea;

(ST with F) Sore Throat with Fever ; (EHEC) Enterohemorrhagic E. coli; (STEC) Shiga toxin - producing E. Coli; (HAV) Hepatitis A Virus. (NTS) = Nontyphoidal Salmonella

Additional information can be found in Annex 3 of the 2013 FDA Food Code (2-201.11/2-201.12)

EMPLOYEE HEALTH DECISION TREE

Is the Food Employee reporting listed symptoms? Is the Food Employee reporting listed symptoms?

If reporting a diagnosis with Hepatitis A virus, NTS, or typhoid fever

If reporting a diagnosis with Shingellosis, Norovirus, EHEC/STEC and symptoms of V or D

Is the Food Employee reporting diagnosis with infection due to …

Is the employee reporting exposure to Norovirus, E. Coli O157:H7 or other STEC/EHEC, HAV, Shigella, or

Typhoid Fever (S. Typhi)?

Educate on symptoms; reinforce requirement to report listed symptoms; ensure compliance with good hygienic practices, hand washing,

and no bare hand contact with ready-to-eat food.

Symptoms of V,J,D

S. Typhi or Hepatitis A

Virus?

Shigella sop. or EHEC? Norovirus?

Symptoms of infected wound or cut

Symptoms of ST with F

Yes No

Yes

Yes

No

No

No Action Necessary

No Yes

NTS

Yes

No(exposure

only)

Restrict

Yes No

HSP

HSPHSP

HSP

Exclude

ExcludeExclude

Exclude

Exclude

Exclude

Exclude

Restrict

Restrict

Restrict

Restrict

Restrict

Gen Pop(Non-HSP)

Gen Pop(Non-HSP)

Gen Pop(Non-HSP)

Gen Pop(Non-HSP)