LAW
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Ohio Laws and Rules
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 Entamoeba histolytica.
(B) 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 the child care center and the person may return to work in the sensitive occupation only after 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 only 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.
(C) Chickenpox: a person with chickenpox shall be isolated, including exclusion from school, child care center, and public places until the sixth day after onset of rash, or until all lesions are dry. Contagiousness may be prolonged in patients with altered immunity. Persons with chickenpox shall avoid contact with susceptible persons.
(D) 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 the child care center and the person may return to work in the sensitive occupation only after 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 only after his or her diarrhea has ceased and the food handler has had two consecutive follow-up stool specimens that are negative for Vibrio cholerae.
(E) 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 effective antimicrobial therapy.
(F) 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 the child care center and the person may return to work in the sensitive occupation only after 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 only after his or her diarrhea has ceased and after three consecutive follow-up stool specimens are negative for Cryptosporidium.
(G) 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 may return only after his or her diarrhea has ceased and effective antimicrobial therapy has begun.
(H) 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 may return only 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.
(I) Diphtheria: a person with diphtheria shall be isolated until two cultures, from both throat and nose, and additionally, in the case of cutaneous diphtheria, 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 effective antimicrobial therapy.
(J) Escherichia coli (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 return only after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for E. coli O157:H7. For cases of other enterohemorrhagic (Shiga toxin-producing) E. coli, 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 only after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for the other enterohemorrhagic (Shiga toxin-producing) E. coli.
(K) 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 return only after 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.
(L) 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 the child care center until ten days after initial onset of symptoms.
(M) Measles: a person with measles shall be isolated, including exclusion from school or child care center, for four days following the onset of rash. Contagiousness may be prolonged in patients with altered immunity.
(N) Meningitis, aseptic, and viral meningoencephalitis, but not including arthropod-borne disease: person with aseptic meningitis or viral meningoencephalitis shall be excluded from school or child care center until he or she is afebrile.
(O) Meningococcal disease: a person with meningococcal disease shall be isolated until twenty-four hours after the initiation of effective antimicrobial therapy.
(P) 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.
(Q) 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 effective pediculicide.
(R) Pertussis (whooping cough): a person with pertussis, who is not treated with effective antimicrobial therapy, shall be isolated, including exclusion from school or child care center, until three weeks after the onset of paroxysms. If effective antimicrobial therapy is given, the person shall be isolated for five days after initiation of antimicrobial therapy.
(S) Plague: a person with plague shall be isolated until completion of forty-eight hours of effective antimicrobial therapy.
(T) 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.
(U) 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 the child care center and the person may return to work in the sensitive occupation only after 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 return to work only after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Salmonella.
(V) Scabies: a person with scabies shall be isolated for twenty-four hours following initial treatment with an effective 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.
(W) 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.
(X) Smallpox: a person with confirmed or suspected smallpox shall be placed in strict isolation in a facility designated by the director. The patient’s release from the facility can occur when all scabs have fallen off.
(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 effective antimicrobial therapy.
(Z) Tuberculosis (TB): a person with infectious tuberculosis shall be isolated according to Chapter 3701-15 of the Administrative Code until three consecutive sputums, collected on three different days, are negative for acid fast bacilli on direct smear, and until the local authorized TB authority, as set out in section 339.72 of the Revised Code, 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 return only 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) Viral hemorrhagic fever (VHF): a person with confirmed or suspected viral hemorrhagic fever shall be placed in strict isolation until no longer considered infectious.
(DD) Yellow fever: a person with confirmed or suspected yellow fever shall be isolated to prevent access of mosquitoes to the patient for at least five days after onset of disease.
(EE) 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 the child care center and the person may return to work in the sensitive occupation only after 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 only after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Yersinia.
R.C. 119.032 review dates: 09/28/2007 and 09/28/2012
Promulgated Under: 119.03
Statutory Authority: 3701.13, 3701.34
Rule Amplifies: 3701.13, 3707.08
Prior Effective Dates: 11/15/1976, 7/23/98, 10/17/02