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Disease Name: Shigellosis


Quick Links

Please review the Idaho Reportable Disease Rules (IDAPA 16.02.10) for the most up-to-date information.

Shigella-Shigellosis: http://www.cdc.gov/shigella/index.html

Idaho Food Code (section regarding personnel):  http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


Overview / Case Definition

An illness of variable severity characterized by diarrhea, fever, nausea, cramps, and tenesmus. Asymptomatic infections may occur.


Restrictions

Restrictions - Daycare Facility

a. A person excreting Shigella must not attend a daycare facility while fecally incontinent. b. A person excreting Shigella must not work in any occupation in which he provides personal care to children in a daycare facility while the disease is present in a communicable form, unless an exemption is obtained from the Department or Health District. During an outbreak in a daycare facility, a cohort system may be approved. c. The Department or Health District may withdraw the daycare restriction when the person has provided two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart that fail to show Shigella upon testing by a licensed laboratory.

Exclusions - Food Service Facility

A food employee excreting Shigella must be managed under IDAPA 16.02.19, “The Idaho FoodCode.” For employees who have been symptomatic, staff shall only work on a restricted basis 24 hours after symptoms resonve.  Restrictions remain until medically cleared or mor than 7 calendar days have passed since the food employee became asymptomatic.  For asymptomatic employees, restrictions or exclusion remains until medically cleared or more than 7 calendar days have passed since the food employee was last diagnosed.

Restrictions - Health Care Facility

a. A person excreting Shigella must not work in any occupation in which he provides personal care to persons who are confined to a health care facility while the disease is present in a communicable form, unless an exemption is obtained from the Department or Health District. During an outbreak in a facility, a cohort system may be approved. b.The Department or Health District may withdraw the health care facility restriction when the employee has provided two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart that fail to show Shigella upon testing by a licensed laboratory. c. During an outbreak in a facility, a cohort system may be approved.

  Restrictions - Household Contacts

No member of a household, in which there is a case of shigellosis, may work in any occupations in Subsections 700.04 through 700.06 of this rule, unless the Department or Health District approves and at least one (1) approved fecal specimen is negative for Shigella upon testing by a licensed laboratory.


Reporting

Within 1 working day

Reportable by Healthcare and Labs:

Reportable by Food Service Facility:

Suspect Reportable: Yes

Reporting Timeframe: Within 1 working day



Diagnosis / Testing


Treatment


Additional Information

Shigella-Shigellosis: http://www.cdc.gov/shigella/index.html

Idaho Food Code (section regarding personnel):  http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


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