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?
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.
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Related questions on this topic
- A food employee called in this morning with vomiting and diarrhea. The symptoms began 36 hours ago and stopped 6 hours ago. When may they return to handling food, assuming no Big 6 pathogen has been diagnosed?
- A food employee tells the person in charge that they have a sore throat AND fever of 101°F. The facility serves a Highly Susceptible Population (HSP) — a senior assisted-living dining hall. What is the correct action?
- A food employee was excluded after a positive stool culture for nontyphoidal Salmonella. What must occur before they are allowed to return to work?
- Under California Retail Food Code §113949.4 and FDA Food Code 2-201.13, a food employee who had Norovirus symptoms (vomiting and/or diarrhea) must be EXCLUDED from the food facility for what minimum period after symptoms resolve, before being allowed to return to work?
- Under California Retail Food Code §113949.2, a food employee is diagnosed with HEPATITIS A virus. Which combination of actions is required by the person in charge?
- Shiga toxin-producing E. coli (STEC), including E. coli O157:H7, is on California's Big 6 reportable list. Which food is the CLASSIC outbreak vehicle for STEC and what is the relevant cooking control?
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