Rule 3701-3-13 | Isolation requirement.
A person infected with one of the following specified diseases or conditions is tobe isolated as set forth in this rule:
(A) Amebiasis: a person with amebiasis who attends a child care center or works in a sensitive occupation is tobe excluded from the child care center or work in the sensitive occupation and may return when chemotherapy has been completed and diarrhea has ceased.
(B) Campylobacteriosis: a person with campylobacteriosis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:
(1) A child may return to a child care center after his or her diarrhea has ceased.
(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided the person's duties do not include food handling.
(3) A food handler may return to work only after diarrhea has ceased and one of the following conditions are met:
(a) Forty-eight hours of effective antimicrobial therapy; or
(b) Two consecutive follow-up stool specimens are negative for Campylobacter.
(C) Chickenpox: a person with chickenpox is to 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 are to avoid contact with susceptible persons.
(D) Cholera: a person with cholera who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:
(1) A child may return to a child care center after diarrhea has ceased.
(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.
(3) A food handler may return to work after diarrhea has ceased and two consecutive follow-up stool specimens are negative for Vibrio cholerae.
(E) Conjunctivitis, purulent: a person with purulent conjunctivitis who attends or works in a child care center is to be excluded from the child care center and may return twenty-four hours after the initiation of effective antimicrobial therapy.
(F) Cryptosporidiosis: a person with cryptosporidiosis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:
(1) The child may return to the child care center after diarrhea has ceased.
(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.
(3) A food handler may return to work after diarrhea has ceased and after three consecutive follow-up stool specimens are negative for Cryptosporidium.
(G) Cyclosporiasis: a person with cyclosporiasis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return after diarrhea has ceased and effective antimicrobial therapy has begun.
(H) Diarrhea, infectious or of unknown cause: a person with diarrhea, of infectious or unknown cause, who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return only after diarrhea has ceased. A person with infectious diarrhea of known cause is to be isolated in accordance with the provisions of the rule set forth for the specified disease.
(I) Diphtheria: a person with diphtheria is to 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 are to 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, other enterohemorrhagic (Shiga toxin-producing) E. coli or hemolytic uremic syndrome (HUS): a person with Escherichia coli (E. coli) O157:H7, other enterohemorrhagic (Shiga toxin-producing) E. coli or hemolytic uremic syndrome (HUS) who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return after his or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for E. coli O157:H7 or other enterohemorrhagic (Shiga toxin-producing) E. coli.
(K) Giardiasis: a person with giardiasis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return after diarrhea has ceased and one of the following conditions have been met:
(1) Seventy-two hours of effective antimicrobial therapy; or
(2) Three consecutive follow-up stool specimens are negative for Giardia.
(L) Hepatitis A: a person with hepatitis A who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation until ten days after initial onset of symptoms.
(M) Measles: a person with measles is to 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: a person with aseptic meningitis or viral meningoencephalitis is to be excluded from school or child care center until he or she is afebrile.
(O) Meningococcal disease: a person with meningococcal disease is to be isolated until twenty-four hours after the initiation of effective antimicrobial therapy.
(P) MERS (middle east respiratory syndrome): a person with confirmed or suspected MERS is to be placed in airborne isolation until no longer considered infectious.
(Q) Mumps: a person with mumps is to be isolated, including exclusion from school or child care center, for five days after the onset of parotid swelling.
(R) Pertussis (whooping cough): a person with pertussis, who is not treated with effective antimicrobial therapy, is to 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 is to be isolated for five days after initiation of antimicrobial therapy.
(S) Plague, pneumonic: a person with pneumonic plague is to be placed in droplet isolation until completion of forty-eight hours of effective antimicrobial therapy.
(T) Rubella: a person with rubella is to be isolated, including exclusion from school or child care center, for seven days after the onset of the rash. Persons with congenital rubella are to be isolated until they are one year old unless nasopharyngeal and urine cultures after three months of age are repeatedly negative for rubella.
(U) Salmonella Paratyphi infection: a person who works in a sensitive occupation is to be excluded from work and may return after the person is asymptomatic and after three consecutive follow-up stool specimens are negative for Salmonella Paratyphi.
(V) Salmonella Typhi infection: a person who works in a sensitive occupation is to be excluded from work and may return after the person is asymptomatic and after three consecutive follow-up stool specimens are negative for Salmonella Typhi.
(W) Salmonellosis: a person with salmonellosis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:
(1) The child may return to the child care center after diarrhea has ceased.
(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.
(3) A person who is a food handler may return to work after diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Salmonella.
(X) SARS (severe acute respiratory distress syndrome): a person with confirmed or suspected SARS is to be placed in airborne isolation until no longer considered infectious.
(Y) Scabies: a person with the manifestation of scabies known as "crusted scabies" is to be isolated until the mite can no longer be demonstrated on a scabies preparation following treatment with an effective scabicide.
(Z) Shigellosis: a person with shigellosis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return if diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Shigella.
(AA) Smallpox: a person with confirmed or suspected smallpox is to be placed in airborne isolation in a facility designated by the director. The patient's release from the facility can occur when all scabs have fallen off.
(BB) Streptococcal infection: a person with a streptococcal infection is to be excluded from school or child care center for twelve hours after the initiation of effective antimicrobial therapy.
(CC) Tuberculosis (TB): a person with infectious tuberculosis is to be isolated according to Chapter 3701-15 of the Administrative Code until the person has met standards outlined in rule 3701-15-03 of the Administrative Code to be considered non-infectious and 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.
(DD) Typhus: a louse infested person with typhus is to be isolated until twenty-four hours after application of an effective pediculicide for body lice and clothing and environment are free of body lice.
(EE) Viral hemorrhagic fever (VHF): a person with confirmed or suspected viral hemorrhagic fever is to be placed in airborne isolation until no longer considered infectious.
(FF) Yellow fever: a person with confirmed or suspected yellow fever is to be isolated to prevent access of mosquitoes to the patient for at least five days after onset of disease.
(GG) Yersiniosis: a person with yersiniosis who attends a child care center or works in a sensitive occupation is to be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:
(1) A child may return to the child care center after diarrhea has ceased.
(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.
(3) A food handler may return to work after diarrhea has ceased and two consecutive follow-up stool specimens are negative for Yersinia.
Last updated October 1, 2025 at 8:09 AM
Supplemental Information