Section 690.420  Giardiasis (Reportable by mail, telephone, facsimile or electronically as soon as possible, within 7 days)

a)         Control of Case.

1)         Standard Precautions shall be followed.  Contact Precautions shall be followed for diapered or incontinent persons or during institutional outbreaks until absence of diarrhea for 24 hours.

2)         Cases who are food handlers or in sensitive occupations may return to their usual occupations after diarrhea has ceased for at least 24 hours and antimicrobial therapy has been completed for 48 hours.

b)         Control of Contacts. Contacts with symptoms who are employed as food handlers or in sensitive occupations shall submit one specimen for testing for giardiasis.  Contacts who test positive shall be restricted according to subsection (a)(2) of this Section.  Local health departments may require specimens from health care workers or those who work in occupations requiring Standard Precautions if there is reason to believe specimen testing is necessary (e.g., the nature of the work, including feeding or oral care, hygienic practices of the worker or as part of an investigation of a cluster).

c)         Sale of Food, Milk, etc.  (See Section 690.1000(b).)

d)         Laboratory Reporting.  Laboratories shall report to the local health authority patients who have a positive result on any laboratory test indicative of and specific for detecting Giardia infection.

(Source:  Amended at 32 Ill. Reg. 3777, effective March 3, 2008)