Conference for Food Protection

2016 Biennial Meeting

Issue View | Council III | 2016 Scribe Packet

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Issue Number: Council III 018

Issue History

This issue was submitted for consideration at a previous biennial meeting, see issue: 2014 I-021 ; the recommended solution has been revised .

Title

Sore Throat with Fever

Issue you would like the Conference to consider

The 2013 FDA Food Code, section 2-201.13(G) requires a person with sore throat and fever to not return to work until they have medical documentation of being free of Streptococcus pyogenes or have received professional medical treatment for same.

This release from exclusion requirement goes above and beyond what is required for other reportable symptoms. Additionally, Streptococcus pyogenes is not one of the reportable diagnosed illnesses, (e.g. "big six.")

Public Health Significance

The 2013 Food Code, section 2-201.13(G) requires a person with sore throat and fever to not return to work until they have medical documentation of being free of Streptococcus pyogenes or have received professional medical treatment for same.

This release from exclusion requirement goes above and beyond what is required for other reportable symptoms. Additionally, Streptococcus pyogenes is not one of the big six reportable diagnosed illnesses.

Recommended Solution: The Conference recommends...

a letter be sent to the FDA requesting the 2013 Food Code be amended as follows (language to be added is underlined; language to be deleted is in strikethrough format):

Section 2-201.13

(G) Reinstate a FOOD EMPLOYEE who was EXCLUDED or RESTRICTED as specified under Subparagraphs 2-201.12(G)(1) or (2) if the FOOD EMPLOYEE provides to the PERSON IN CHARGE written medical documentation from a HEALTH PRACTITIONER stating that the FOOD EMPLOYEE meets one of the following conditions:

  1. Has received antibiotic therapy for Streptococcus pyogenes infection for more than 24 hours Is ASYMPTOMATIC for at least 24 hours; P or
  2. Has at least one negative throat specimen culture for Streptococcus pyogenes infection;P The Food Employee provides to the PERSON IN CHARGE written medical documentation from a HEALTH PRACTITIONER stating that the Food EMPLOYEE meets one of the following:

(a) Has received antibiotic therapy for Streptococcus pyogenes infection for more than 24 hours; P

(b) Has at least one negative throat specimen culture for Streptococcus pyogenes infection; P or

(c) Is otherwise determined by a HEALTH PRACTITIONER to be free of a Streptococcus pyogenes infection. P

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