Bioterrorism, Public Health and the Law 
Law 801: Health Care Law Seminar
Professor Vernellia R. Randall

3701-3-13 Isolation Requirement

 

Syllabus
Resources
Lesson Schedule
00: Intro to the Course
01: Intro to the Problem
02: Public Health System
03: Real Threat?
04: Public Health Law
05: Disease-Reporting
06: Quarantine
07: Model Act
08: Military Presence
09: Health Law Revisited

 

3701-3-13 ISOLATION REQUIREMENT

A person infected with one of the following specified diseases or conditions shall be isolated as set forth below:

(A) Amebiasis, where the person works in a sensitive occupation or attends a child care center. Such a person shall be excluded from work or the child care center and may return only after the diarrhea has ceased and he or she has had three follow-up stool specimens with results negative for E. histolytica.

(B) Anthrax: A person with anthrax shall be isolated until the acute lesions have healed, or he or she is found to be bacteriologically-free of anthrax organisms by appropriate testing.

(C) Campylobacteriosis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may return only when the following conditions are met:

(1) The child may return to a child care center and the person may return to work in the sensitive occupation if his or her diarrhea has ceased, providing that his or her duties do not include food handling.

(2) A food handler may only return to work after his or her diarrhea has ceased and one of the following:

(a) The food handler has had at least forty-eight hours of effective antimicrobial therapy; or

(b) The food handler has had two consecutive follow-up stool specimens that are negative for campylobacter.

(D) Chickenpox: A person with chickenpox shall be isolated, including exclusion from school or child care center, until the sixth day after onset of rash, or until all lesions are dry, whichever comes first.

(E) Cholera, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may return only when the following conditions are met:

(1) The child may return to a child care center and the person may return to work in the sensitive occupation if his or her diarrhea has ceased, provided that his or her duties do not include food handling.

(2) A food handler may only return to work after his or her diarrhea has ceased and the food handler has had two consecutive follow-up stool specimens that are negative for V. cholerae.

(F) Conjunctivitis purulent, where the person works in a child care center or is a child in a child care center. Such a person shall be excluded from the child care center and may return to the child care center twenty-four hours after the initiation of antimicrobial therapy.

(G) Cryptosporidiosis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may return only when the following conditions are met:

(1) The child may return to a child care center and the person may return to work in the sensitive occupation if his or her diarrhea has ceased, provided that his or her duties do not include food handling.

(2) A food handler may only return to work after his or her diarrhea has ceased and after three consecutive follow-up stool specimens are negative for cryptosporidium.

(H) Cyclosporiasis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center, and only may return when his or her diarrhea has ceased and appropriate antimicrobial treatment has begun.

(I) Diarrhea, infectious or of unknown cause, where the person works in a sensitive occupation or attends a child care center. Such a person shall be excluded from work or the child care center and only may return after his or her diarrhea has ceased. A person with infectious diarrhea of known cause shall be isolated in accordance with the provisions of the rule set forth for the specified disease.

(J) Diphtheria: A person with diphtheria shall be isolated until two cultures, from both throat and nose, and additionally, in the case of cutaneous diptheria, a culture from skin lesions, are negative for diphtheria bacilli. Cultures shall be taken not less than twenty-four hours apart, and not less than twenty-four hours after cessation of antimicrobial therapy. If culturing is unavailable or impractical, isolation may be ended after fourteen days of appropriate antimicrobial therapy.

(K) E. coli O157:H7 or hemolytic uremic syndrome (HUS), where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center, and may only return if his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for E. coli O157:H7.

(L) Giardiasis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center, and may only return if his or her diarrhea has ceased and he or she has had one of the following:

(1) Seventy-two hours of effective antimicrobial therapy; or

(2) Three consecutive follow-up stool specimens which are negative for giardia.

(M) Hepatitis A: A person symptomatic with hepatitis A who works in a sensitive occupation shall be excluded from work and a child attending a child care center shall be excluded from a child care center until ten days after initial onset of symptoms.

(N) Measles: A person with measles shall be isolated, including exclusion from school or child care center, for four days following the onset of rash.

(O) Meningitis, aseptic, and viral meningoencephalitis, but not including arthropod-borne disease: Persons with aseptic meningitis or viral meningoencephalitis shall be excluded from school or child care center until he or she is afebrile.

(P) Meningococcal disease: A person with meningococcal disease shall be isolated until twenty-four hours after the initiation of effective therapy.

(Q) Mumps: A person with mumps shall be isolated, including exclusion from school or child care center, for nine days after the onset of parotid swelling.

(R) Pediculosis: A person with body lice shall be excluded from school or child care center until twenty-four hours after application of an effective pediculicide. A person with head lice shall be excluded from school or child care center until after the first treatment with an appropriate pediculicide.

(S) Pertussis (whooping cough): A person with pertussis who is not treated with appropriate antimicrobial therapy shall be isolated, including exclusion from school or child care center, until three weeks after the onset of paroxysms. If appropriate antimicrobial therapy is given, the person shall be isolated for five days after initiation of antimicrobial therapy.

(T) Plague: A person with plague shall be isolated until completion of forty- eight hours of effective antimicrobial therapy.

(U) Rubella: A person with rubella shall be isolated, including exclusion from school or child care center, for seven days after the onset of the rash. Persons with congenital rubella shall be isolated until they are one year old unless nasopharyngeal and urine cultures after three months of age are repeatedly negative for rubella.

(V) Salmonellosis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may return only when the following conditions are met:

(1) The child may return to a child care center and the person may return to work in the sensitive occupation if his or her diarrhea has ceased, provided that his or her duties do not include food handling.

(2) A person who is a food handler may only return to work after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for salmonella.

(W) Scabies: A person with scabies shall be isolated for twenty-four hours following an initial treatment of an appropriate scabicide. A person with the manifestation of scabies known as "crusted scabies" shall be isolated until the mite can no longer be demonstrated on the scabies preparation.

(X) Shigellosis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may only return if his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for shigella.

(Y) Streptococcal infection: A person with a streptococcal infection shall be excluded from school or child care center for twenty-four hours after the initiation of antimicrobial therapy.

(Z) Tuberculosis (TB): A person with infectious tuberculosis shall be isolated until three consecutive sputums, collected on three different days, are negative for acid fast bacilli on direct smear, or in accordance with section 339.42 of the Revised Code, until the local authorized TB authority or his or her designee approves that person's removal from isolation.

(AA) Typhoid fever, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center and may only return after he or she is asymptomatic and after three consecutive follow-up stool specimens are negative for salmonella typhi.

(BB) Typhus: A louse infested person with typhus shall be isolated until twenty-four hours after application of an effective pediculicide for body lice and clothing and environment are free of body lice.

(CC) Yersiniosis, where the person works in a sensitive occupation or is a child in a child care center. Such a person shall be excluded from work or the child care center, and may return only when the following conditions are met:

(1) The child may return to a child care center and the person may return to work in the sensitive occupation if his or her diarrhea has ceased, provided that his or her duties do not include food handling.

(2) A food handler may return to work after diarrhea has ceased and after two consecutive follow-up stool specimens are negative for yersinia.

 
 
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Last Updated:
 11/30/2002

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