1. A. Case control measures: A local health agency shall:

   1. 1. Upon receiving a report of a Shiga toxin-producing Escherichia coli case or suspect case, notify the Department within one working day after receiving the report and provide to the Department the information contained in the report;

   2. 2. Exclude a Shiga toxin-producing Escherichia coli case or suspect case with diarrhea from:

      1. a. Working as a food handler, caring for patients or residents in a health care institution, or caring for children in or attending a child care establishment until:

         1. i. Two successive stool specimens, collected from the Shiga toxin-producing Escherichia coli case or suspect case at least 24 hours apart, are negative for Shiga toxin-producing Escherichia coli;
         2. ii. Diarrhea has resolved; or
         3. iii. The local health agency has determined that the case or suspect case is unlikely to infect other individuals; and
      2. b. Using an aquatic venue for two weeks after diarrhea has resolved;
   3. 3. Conduct an epidemiologic investigation of each reported Shiga toxin-producing Escherichia coli case or suspect case; and
   4. 4. For each Shiga toxin-producing Escherichia coli case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D).

2. B. Environmental control measures: A local health agency shall:

   1. 1. If an animal located in a private residence is suspected to be the source of infection for a Shiga toxin-producing Escherichia coli case or outbreak, provide health education for the animal’s owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli; and

   2. 2. If an animal located in a setting other than a private residence is suspected to be the source of infection for a Shiga toxin-producing Escherichia coli case or outbreak:

      1. a. Provide health education for the animal’s owner about Shiga toxin-producing Escherichia coli and the risks of becoming infected with Shiga toxin-producing Escherichia coli, and
      2. b. Require the animal’s owner to provide information to individuals with whom the animal may come into contact about Shiga toxin-producing Escherichia coli and methods to reduce the risk of transmission.

Historical Note

Renumbered from R9-6-733 and amended effective October 19, 1993 (Supp. 93-4). Former Section R9-6-340 renumbered to R9-6-343; new Section R9-6-340 renumbered from R9-6-337 effective April 4, 1997 (Supp. 97-2). Former R9-6-340 renumbered to R9-6-348; new R9-6-340 made by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-340 renumbered to R9-6-343; new R9-6-340 renumbered from R9-6-338 and amended by final rulemaking at 14 A.A.R. 1502, effective April 1, 2008 (Supp. 08-2). Section R9-6-340 renumbered to R9-6-346; new Section R9-6-340 renumbered from R9-6-334 and amended by final rulemaking at 23 A.A.R. 2605, effective January 1, 2018 (Supp. 17-3). Section R9-6-340 renumbered to R9-6-345; new Section R9-6-340 renumbered from R9-6-335 and amended by final rulemaking at 31 A.A.R. 1317 (April 25, 2025), effective June 2, 2025 (Supp. 25-2).