Illness ReportingQuestion 309 of 319

Under California Retail Food Code §113949.1, which of the following lists the BIG 6 foodborne pathogens that a food employee must report to the person in charge upon diagnosis, and that trigger immediate exclusion?

a.Salmonella spp. (any), Shigella, E. coli (any), Hepatitis B, Norovirus, Listeria
b.Salmonella Typhi, Shigella, Hepatitis C, Norovirus, Listeria, Clostridium
c.Norovirus, Hepatitis A virus, Shigella spp., Shiga toxin-producing E. coli (STEC), Salmonella Typhi, AND nontyphoidal Salmonella
d.Salmonella, Staphylococcus, Bacillus cereus, Clostridium perfringens, Listeria, Norovirus

Explanation

California Retail Food Code HSC §113949.1 (adopting FDA Food Code 2-201.11) names exactly six (sometimes called Big 5+1) reportable pathogens that an employee must disclose upon diagnosis: (1) NOROVIRUS — the leading cause of foodborne illness in the U.S.; (2) HEPATITIS A VIRUS — fecal-oral transmission, can survive on surfaces for weeks; (3) SHIGELLA spp. — extremely low infectious dose (10-100 organisms); (4) SHIGA TOXIN-PRODUCING E. COLI (STEC), including O157:H7 — life-threatening, can cause hemolytic uremic syndrome; (5) SALMONELLA TYPHI (typhoid fever) — chronic carrier risk; and (6) NONTYPHOIDAL SALMONELLA. Option A wrongly includes Hepatitis B (blood-borne, not foodborne) and Listeria (a regulatory concern but not on the employee report list) and mislabels E. coli (only the Shiga-toxin-producing strains are Big 6). Option B includes Hepatitis C (blood-borne) and is incomplete. Option D mixes in toxin-producers (Staph, Bacillus, Clostridium) that are not on the Big 6 reporting list because exclusion is based on the employee's diagnosis, not the toxin's presence in food. Upon a Big 6 diagnosis the PIC must exclude the employee AND notify the local enforcement agency.

Law Reference: HSC §113949.1

Practice all 319 questions free — no signup required.

Related questions on this topic

Last reviewed: · editorial process

PrepPass Editorial Team · Verified against California Food Handler Card Exam · How we review
Report