Foodborne IllnessQuestion 1 of 240

The NYC DOHMH food protection course identifies several highly contagious pathogens that an establishment must report and for which it must exclude workers. What does the 'Big 6' refer to?

a.Botulism, ciguatera, scombroid, and mold toxins
b.Anisakis, tapeworm, roundworm, and fluke
c.Norovirus, Hepatitis A, Shigella, Shiga toxin-producing E. coli, Salmonella Typhi, and nontyphoidal Salmonella
d.Staphylococcus aureus, Bacillus cereus, Clostridium perfringens, and Listeria

Explanation

The Big 6 are highly infectious pathogens easily transmitted by food workers: Norovirus, Hepatitis A, Shigella, Shiga toxin-producing E. coli (such as O157:H7), Salmonella Typhi, and nontyphoidal Salmonella. A worker diagnosed with any of these must be excluded or restricted and reported to the health department. The other choices list toxins, parasites, and toxin-forming bacteria that are not the reportable Big 6.

Law Reference: NYC Health Code Article 81

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