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U.S. Department of Health and Human Services

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PMO 2007: Section 14 Procedure When Infection or High Risk of Infection Is Discovered

Grade "A" Pasteurized Milk Ordinance (2007 Revision)

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When a person who may have handled pasteurized or aseptically processed milk or milk products or pasteurized or aseptically processed milk or milk product-contact surfaces meets one (1) or more of the conditions specified in the Administrative Procedures of Section 13, the Milk Regulatory Agency is authorized to require any or all of the following measures:

  1. 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 StatusRemoving 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, Campylobactor jejuni, Entamoeba histolytica, Giardia lamblia, Non-typhoidal Salmonella, Rotovirus, Taenia solium, Yersinia enterocolitica, Vibrio cholerae O1 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.
  2. 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.
  3. 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 or aseptically processed milk or milk products and associated milk or milk product-contact surfaces.

    In the case of milk plants, receiving stations, or transfer stations that have HACCP Systems, which are regulated under the NCIMS 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.