Section 16.02.10.250 - ESCHERICHIA COLI O157:H7 AND OTHER SHIGA-TOXIN PRODUCING E. COLI (STEC)01.Reporting Requirements. Each case or suspected case of Escherichia coli O157:H7 or other Shiga-toxin producing E. coli (STEC) must be reported to the Department or Health District within one (1) working day of identification.02.Investigation. Each reported case must be investigated to determine if the person is employed as a food employee, provides personal care at a health care or daycare facility, or is a child attending a daycare facility. The investigation identifies clusters or outbreaks of the infection, and the most likely source of the infection.03.Handling of Report. The Department and the Health District will exchange reported information within one (1) working day on any reported case of E. coli O157:H7 or other Shiga-toxin producing E. coli (STEC).04.Restrictions - Daycare Facility. A person who is excreting E. coli O157:H7 or other STEC must not attend daycare facilities while fecally incontinent or provide personal care to children in a daycare facility while the disease is present in a communicable form without the approval of the Department or Health District. Before returning to work or attendance at a daycare, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart, that fail to show E. coli O157:H7 or other STEC.05.Restrictions - Food Service Facility. A person diagnosed with E. coli O157:H7 or other STEC must be managed under IDAPA 16.02.19, "Idaho Food Code."06.Restrictions - Health Care Facility. A person who is excreting E. coli O157:H7 or other STEC must not provide personal care to persons in a health care facility while the disease is present in a communicable form without the approval of the Department or Health District. Before returning to work, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart, that fail to show E. coli O157:H7 or other STEC.Idaho Admin. Code r. 16.02.10.250