{"id":9805,"date":"2025-03-01T14:01:06","date_gmt":"2025-03-01T19:01:06","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/fdemphlthspecsht\/"},"modified":"2025-03-02T00:37:14","modified_gmt":"2025-03-02T05:37:14","slug":"fdemphlthspecsht","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/hsp\/fdemphlthspecsht\/","title":{"rendered":"hsp\/fdemphlthspecsht ~  FOOD ESTABLISHMENT EMPLOYEE HEALTH SPECIFICATION SHEET  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n  \n\n  <div class=\"container\" id=\"main_header\">\n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/hsp\/fdemphlthspecsht.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Information for Food Establishment Permit Holders and Persons-in-Charge<!--[END]--><\/h1>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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Typhi, <em>Shigella<\/em> spp., <em>E. coli<\/em> 0157:H7 &#038; HAV {per 2-201.12(A), agents\n\n\n      listed in 2-201.11(A)}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Regulatory approval &#038; MD* documentation: <strong>free of symptoms &#038; negative stool for S. Typhi, <em>Shigella<\/em> &#038;\n\n\n      <em>E. coli<\/em> 0157:H7<\/strong> {per 2-201.13(A) via 8-501.40}.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Jaundice<\/strong> #7 days {per 2-201.12(D)(1)}<br>\n\n\n      (Cause of jaundice may not be HAV, but the person is excluded until MD clearance &#038; documentation is attained.)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>If diagnosed as HAV<\/strong>, then regulatory approval &#038; MD documentation: symptoms cease or at least 2 blood tests\n\n\n          show falling liver enzymes {2-201.13(A) via 8-501.40(D).\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Not suspected of causing FBI<\/strong>, the via the PIC per MD documentation that the person is free of HAV via symptoms\n\n\n          cease {per 2-201.13(D)(1) via 8-501.40(D)(1)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>If suspected of causing FBI<\/strong>, the via the PIC per MD documentation: symptoms cease &#038; at least 2 blood tests\n\n\n          show falling liver enzymes {per 2-201.13(D(2)) via 8-501.40(D)(1&#038;2)}.\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td class=\"text-center\" rowspan=\"5\">\n\n\n      <strong>RESTRICT<\/strong>\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Experiencing <strong>symptoms<\/strong> associated with GI: diarrhea, fever, vomiting, jaundice, or sore throat w\/ fever<br>\n\n\n      {per 2-201.12(B)(1), listed in 2-201.11(B)(1), no diagnosis of big 4}.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>Symptoms cease &#038; no FBI occurs<\/strong>, then via the PIC {per 2-201.13(B)(1)(a)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>If suspected of causing FBI &#038; free of symptoms<\/strong>, then via the PIC per MD documentation: free of agent causing\n\n\n          symptoms or FBI {per 2-201.13(B)(1)(b) via 8-501.40}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Symptoms result from a chronic noninfectious condition<\/strong>, then via the PIC per MD documentation, {per\n\n\n          2-201.13(B)(1)(c)}.\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Exposed lesion, boil<\/strong> or wound containing pus or open\/draining {per 2-201.12(b)(1) listed in 2-201.11(B)(2).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>Hands or wrists<\/strong>, impermeable bandage covered with single-use glove.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Arms<\/strong>, impermeable bandage\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Other parts of the body<\/strong>, dry, durable tight-fitting bandage\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong><span class=\"u\">Asymptomatic &#038; positive stool<\/span><\/strong> for S. Typhi, Shigella, or E. coli 0157:H7 (shedder)\n\n\n      {2-201.12(B)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      When <strong>stools are negative<\/strong> then via the PIC per MD documentation of consecutive negative stools {2-201.13(B)(2) via\n\n\n      8-501.40(A-C)}.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Jaundice<\/strong> > 7 days {per2-201.12(D)(2)(b)}<br>\n\n\n      (Cause of jaundice may not be HAV)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>If diagnosed as HAV<\/strong>, then regulatory approval &#038; MD documentation: symptoms cease or at least 2 blood tests\n\n\n          show failing liver enzymes {per 2-201.13(A) via 8-501.40(D)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Not suspected of causing FBI<\/strong>, the via the PIC per MD documentation that the person is free of HAV via symptoms\n\n\n          cease &#038; no FBI occurs {per2-201.13(D)(1) via 8-501.40(D)(1)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>If suspected of causing FBI<\/strong>, then via the PIC per MD documentation: symptoms cease &#038; at least 2 blood tests\n\n\n          show tailing liver enzymes {per 2-201.13(D)(2) via 8-501.40(D)(1&#038;2)}.\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Persistent sneezing, coughing or runny nose<\/strong> {per 2-401.12 Discharge from Eyes, Nose &#038; Mouth}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Once <strong>symptoms cease<\/strong>, via the PIC\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <th>\n\n\n      <strong>NOT ROUTINELY RESTRICTED<\/strong>\n\n\n    <\/th>\n\n\n    <td>\n\n\n      Asymptomatic &#038; blood tests indicative of current HAV infection\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <strong>RATIONALE<\/strong>: Dependent on duties, personal hygiene, previous exposure &#038; recipient of IG.<br>\n\n\n      See Public Health Reasons, pages 244 &#8211; 250.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <th>\n\n\n      <strong>NOT RESTRICTED<\/strong>\n\n\n    <\/th>\n\n\n    <td colspan=\"2\">\n\n\n      Other prior illnesses and\/or other asymptomatic conditions\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n<\/tbody><\/table>\n\n\n<p>\n\n\n  Food Code: Employee Health Specification Sheet, Page 1\n\n\n<\/p>\n\n\n<p class=\"text-center\">\n\n\n  (<a class=\"anchors_link\" href=\"#content\">Back<\/a>)\n\n\n<\/p><br>\n\n\n<br>\n\n\n<br>\n\n\n<table class=\"table table-condensed table-border table-hover\">\n\n\n  <tbody><tr>\n\n\n    <td class=\"text-center\">\n\n\n      <strong>HIGHLY SUSCEPTIBLE POPULATION FACILITIES<\/strong>\n\n\n    <\/td>\n\n\n    <td class=\"text-center\" colspan=\"2\">\n\n\n      <strong>REINSTATING<\/strong>:\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td class=\"text-center\" rowspan=\"5\">\n\n\n      <strong>EXCLUDE<\/strong>\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <strong>If diagnosed w\/ big 4<\/strong>: S. Typhi, <em>Shigella<\/em> spp., <em>E. coli<\/em> 0157:H7 &#038; HAV {per 2-201.12(A), agents\n\n\n      listed in 2-201.11(A)}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Regulatory approval &#038; MD* documentation: <strong>free of symptoms &#038; negative stool for S. Typhi, <em>Shigella<\/em> &#038;\n\n\n      <em>E. coli<\/em> 0157:H7<\/strong> {per 2-201.13(A) via 8-501.40}.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Jaundice<\/strong> #7 days {per 2-201.12(D)(1)}<br>\n\n\n      >7 days {per 2-201.12(D)(2)(a)}<br>\n\n\n      (Cause of jaundice may not be HAV, but the person is excluded until MD clearance &#038; documentation is attained.)\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>If diagnosed as HAV<\/strong>, then regulatory approval &#038; MD documentation: symptoms cease or at least 2 blood tests\n\n\n          show falling liver enzymes {2-201.13(A) via 8-501.40(D).\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Not suspected of causing FBI<\/strong>, then via the PIC per MD documentation that the person is free of HAV via symptoms\n\n\n          cease &#038; no FBI occurs{per 2-201.13(D)(1) via 8-501.40(D)(1)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>If suspected of causing FBI<\/strong>, then via the PIC per MD documentation: symptoms cease &#038; at least 2 blood tests\n\n\n          show falling liver enzymes {per 2-201.13(D(2)) via 8-501.40(D)(1&#038;2)}.\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <p>\n\n\n        Experiencing <strong>symptoms<\/strong> associated with GI; diarrhea, fever, vomiting, jaundice, or sore throat w\/ fever\n\n\n        (2-201.11(B)(1)} <strong>AND meets<br><\/strong> <strong>&#8220;high risk conditions&#8221;<\/strong> (exclude per 2-201.12(C)(1)}.\n\n\n      <\/p>\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>If free of big 4<\/strong>, then via the PIC per MD documentation (per 2-201.13 via 8.501.40(A-D) symptoms cease &#038;\n\n\n          negative stools or falling liver enzymes).\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Free of big 4<\/strong> per #1 above, but still experiencing GI symptoms, then restrict as stated under\n\n\n          <strong>restrictions<\/strong>.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Chronic noninfectious condition<\/strong>, then via the PIC per MD documentation {per 2-201.13(B(1)(c)).\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong><span class=\"u\">Asymptomatic<\/span><\/strong> &#038; <strong><span class=\"u\">positive stool<\/span><\/strong> for S. Typhi,\n\n\n      <em>Shigella<\/em> spp., <em>E. coli<\/em> 0157:H7 (shedder) {per 2-201.12(C)(2)}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      When <strong>stools are negative<\/strong>, then via the PIC per MD documentation of consecutive negative stools {per 2-201.13(1)(a)\n\n\n      via 8-501.40(A-C).\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <span class=\"u\"><strong>Prior illness<\/strong><\/span> with:<br>\n\n\n      S. typhi w\/in last 3 months {per 2-201.12 (C)(3)}<br>\n\n\n      <em>Shigella<\/em> spp. or <em>E. coli<\/em> 0157:H7 w\/in last month {per 2-201.12(C)(4)}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <strong>Free of agent<\/strong>, then via the PIC per MD documentation {per 2-201.13(C)(1)(a) via 8-501.40(A-C).\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td class=\"center\" rowspan=\"3\">\n\n\n      <strong>RESTRICT<\/strong>\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Experiencing <strong><span class=\"u\">symptoms<\/span><\/strong> associated with GI: diarrhea, fever, vomiting, jaundice, or sore throat\n\n\n      w\/ fever<br>\n\n\n      {per 2-201.12(B)(1), listed in 2-201.11(B)(1), no diagnosis of big 4}.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>Symptoms cease &#038; no FBI occurs<\/strong>, then via the PIC {per 2-201.13(B)(1)(a)}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>If suspected of causing FBI &#038; free of symptoms<\/strong>, then via the PIC per MD documentation: free of agent causing\n\n\n          symptoms or FBI {per 2-201.13(B)(1)(b) via 8-501.40}.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Symptoms result from a chronic noninfectious condition<\/strong>, then via the PIC per MD documentation, {per\n\n\n          2-201.13(B)(1)(c)}.\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Exposed lesion, boil<\/strong> or wound containing pus or open\/draining {per 2-201.12(B)(1) listed in 2-201.11(B)(2).\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <ol>\n\n\n        <li>\n\n\n          <strong>Hands or wrists<\/strong>, impermeable bandage covered with single-use glove.\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Arms<\/strong>, impermeable bandage\n\n\n        <\/li>\n\n\n        <li>\n\n\n          <strong>Other parts of the body<\/strong>, dry, durable tight-fitting bandage\n\n\n        <\/li>\n\n\n      <\/ol>\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td>\n\n\n      <strong>Persistent sneezing, coughing or runny nose<\/strong> {per 2-401.12, Discharges from Eyes, Nose &#038; Mouth}\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Once <strong>symptoms cease<\/strong>, via the PIC\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td class=\"text-center\">\n\n\n      <strong>NOT ROUTINELY RESTRICTED<\/strong>\n\n\n    <\/td>\n\n\n    <td>\n\n\n      Asymptomatic &#038; blood tests indicative of current HAV infection.\n\n\n    <\/td>\n\n\n    <td>\n\n\n      <strong>RATIONALE<\/strong>: Dependent on duties, personal hygiene, previous exposure &#038; recipient of IG.<br>\n\n\n      See Public Health Reasons, pages 244-250.\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n  <tr>\n\n\n    <td class=\"text-center\">\n\n\n      <strong>NOT RESTRICTED<\/strong>\n\n\n    <\/td>\n\n\n    <td colspan=\"2\">\n\n\n      Other prior illnesses and\/or other asymptomatic conditions\n\n\n    <\/td>\n\n\n  <\/tr>\n\n\n<\/tbody><\/table>\n\n\n<p>\n\n\n  <strong>Key for Abbreviations<\/strong><br>\n\n\n  FBI &#8211; foodborne illness<br>\n\n\n  GI &#8211; gastrointenstial hepatitis A virus<br>\n\n\n  IG &#8211; immune globulin\n\n\n<\/p>\n\n\n<p>\n\n\n  PIC &#8211; person in charge<br>\n\n\n  MD* &#8211; medical doctor <em>or if allowed by law, via a nurse practitioner or physician assistant<\/em>\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>HIGH-RISK CONDITIONS<\/strong>, 2-201.11(D)(1-3), the food employee:\n\n\n<\/p>\n\n\n<ol>\n\n\n  <li>\n\n\n    <div>\n\n\n      Caused or was exposed to a confirmed outbreak w\/ the big 4, because the individual prepared or consumed the implicated food, or\n\n\n      consumed food prepared by an infected HAV person or person suspected of being a shedder,\n\n\n    <\/div>\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <div>\n\n\n      Lives with someone diagnosed w\/ the big 4, or\n\n\n    <\/div>\n\n\n  <\/li>\n\n\n  <li>\n\n\n    <div>\n\n\n      Lives with someone who attended or worked at a confirmed outbreak w\/ the big 4.\n\n\n    <\/div>\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<p class=\"text-rightalign\">\n\n\n  Food Code: Employee Health Specification Sheet, Page 2\n\n\n<\/p>\n\n\n<p class=\"text-center\">\n\n\n  (<a class=\"anchors_link\" href=\"#content\">Back<\/a>)\n\n\n<\/p>  <!--[END]-->\n\n  \n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Information for Food Establishment Permit Holders and Persons-in-Charge Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections Screening and [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9779,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-9805","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9805","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=9805"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9805\/revisions"}],"predecessor-version":[{"id":11000,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9805\/revisions\/11000"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9779"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=9805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}