Medical Screening - U.S. - BRC Code 7.4
Thank you, and apologies if I am repeating a question.
1. Any person who, is infected with a communicable disease, has boils, open sores or infectious wounds, needs to report this to management prior to reporting to work.They will not be allowed to come in contact with product or product contact surfaces.
**We do also have a seperate medical screening questionnaire that is far more detailed but use at our discretion based on where a visitor or contractor may be working. Most people are completely understanding and do not question it one bit. I think we worry too mch about people's feeling and being sued, but imagine the lawsuits that will arise when more then 500+ people became deathly ill due to one of our employees... it's uncomfortable but neccessary.**
I think we worry too mch about people's feeling and being sued, but imagine the lawsuits that will arise when more then 500+ people became deathly ill due to one of our employees... .
Sounds like it. I know what I'd be worrying about
-T
My personal opinion is that it is a valuable tool, and one that does not require a large capital expense so compliance is better than trying to find a loophole around it.
-T
Precisely...and as Quality Professionals we must keep in mind there are diplimatic ways of approahing ANY situation. Older companys with unions (two of my plants) will resist more then the others but get production on board and the resistance should fizzle away in no time.
And working at a 100+ year old company loopholes are common but not always an option when it comes to certification. I remind my teams frequently.
If you would like my form as a an example, just let me know.
Precisely...and as Quality Professionals we must keep in mind there are diplimatic ways of approahing ANY situation. Older companys with unions (two of my plants) will resist more then the others but get production on board and the resistance should fizzle away in no time.
And working at a 100+ year old company loopholes are common but not always an option when it comes to certification. I remind my teams frequently.
If you would like my form as a an example, just let me know.
I would like to see your form. The BRC, Issue 6, Interpretation Guideline states that the company should define the infection of concern, e.g. list of communicable diseases, which could be ridiculously long. Thanks!
I would like to see your form. The BRC, Issue 6, Interpretation Guideline states that the company should define the infection of concern, e.g. list of communicable diseases, which could be ridiculously long. Thanks!
I second that.
Marshall
I second that.
Marshall
I'd like the BRC to bathe me in milk every morning, but that ain't going to happen anytime soon. In the meantime, this might help...
Recommended Control Measures for Food Handlers
Causative Agent / Illness
Incubation Period
Main Clinical Features
Food Handler Case: Exclusion
Microbiological Clearance
If Food Handler is a Household Contact of a Case
Aeromonas sp
Vomiting, diarrhoea
48 hours after first normal stool
No
Reinforce hygiene advice
Amoebic Dysentery
Variable, commonly 2-4 weeks
Fever, chills, bloody/or mucoid diarrhoea
48 hours after first normal stool
No (but late follow-up to detect chronic carriage advisable)
Screen to detect cyst excreters
Camplyobacter
1-10 days (usually 2-5 days)
Abdominal pain, profuse diarrhoea, headache, fever (vomiting uncommon)
48 hours after first normal stool
No
Reinforce hygiene advice
Cholera
Hrs – 5 days (usually 2-3 days)
Sudden onset profuse, painless watery stools, nausea and vomiting
48 hours after first normal stool
No
Reinforce hygiene advice
Clostridium perfringens
8-22 hrs (usually 12-18 hrs)
Diarrhoea and abdominal pain
48 hours after first normal stool
No
No action necessary
Cryptosporidium sp
2-5 days
Watery or mucoid diarrhoea
48 hours after first normal stool
No
Reinforce hygiene advice
Escherichia coli (other than VTEC)
12-72 hrs
Diarrhoea
48 hours after first normal stool
No
Reinforce hygiene advice
Escherichia coli (VTEC)
1-10 days (usually 3 days)
Abdominal pain, diarrhoea, haemorrhagic coltis (bloody diarrhoea), HUS
Until microbiological clearance obtained
Yes (2 negative stool samples not less than 48 hours apart)
Exclude until microbiological clearance obtained
Giardia lamblia
5-25 days
Diarrhoea, abdominal cramps
48 hours after first normal stool
No
Screening may identify those who need treatment
Hepatitis A
2-6 weeks
Fever, nausea, loss of appetite, abdominal pain, jaundice
7 days from onset of jaundice and or symptoms
No
Consider for prophylaxis (HNIG or HAV vaccine)
Salmonella sp
6-72 hours (usually 12-36 hrs
Headache, abdominal pain, fever, diarrhoea, nausea +/- vomiting
48 hours after first normal stool
No
Reinforce hygiene advice
Salmonella typhi / paratyphi
1-3 weeks
Fever, rigors, rash, variable gastro-intestinal symptoms
Until microbiological clearance gained
Yes (6 consecutive negative stool samples taken at 2 weekly intervals, starting 2 weeks after completion of antibiotic treatment)
Exclude until 3 consecutive negative stool samples taken at weekly intervals starting 3 weeks after last contact with untreated case (consider also for contact with household carrier)
Shigella
1-7 days (usually 1-3 days)
Diarrhoea, fever, abdominal pain, S.sonnei generally mild
48 hours after first normal stool
S.dysenteriae only (2 negative stool samples not less than 48 hours)
Reinforce hygiene advice
Staph Aureus
1-7 hours (usually 2-4 hrs
Vomiting, abdominal cramps, ofter with diarrhoea
Nasal carriers – no unless implicated as outbreak source
Skin – exclude if infected skin lesion on exposed part that cannot adequately covered until healed.
No
-
Streptococcal Disease
1-3 days
Variety of diseases:
e.g. sore throat – with fever, exudative tonsillitis/pharyngitis and lymphadenopathy
e.g. skin – impetigo / pyoderma
Exclude those with strep sore throat until treated
Skin – as for S.aureus above
No
-
Vibrios (non-cholera)
2-48 hrs (usually 12-18 hrs)
Diarrhoea, fever
48 hours after first normal stool
No
Reinforce hygiene advice
Viral gastroenteritis (rotavirus)
24-72 hrs
Diarrhoea, vomiting
48 hours after first normal stool
No
Reinforce hygiene advice
Virel gastroenteritis (NLV/SRSV)
12-48 hrs
Nausea, vomiting (often projectile), abdominal cramps, diarrhoea, fever, chills
48 -72 hours after first normal stool
No
Reinforce hygiene advice
Versinia sp
3-7 days
Watery diarrhoea, abdominal pain
48 hours after first normal stool
No
Reinforce hygiene advice
(btw - we eventually risk assessed it and stated that our visitor/contractor and personnel GMP policies referred to 21CFR110 requirements for employees to notifiy their supervisor in the event of illness, sore, open wound, boil, lesion, etc. and that was our control method, citing that HIPPA laws deterred the company from asking employees, contractors, or visitors to divulge their personal medical information - especially in a pre-employment scenario. We did not receive a non-conformance and in fact scored a grade A.)
Now that we are 10 months into BRC audits using V-6, what are your experiences regarding this clause?
Thanks,
Chris
Hi Chris,
Thank you for stating this information, it is really helpful.
I do have a question. Because you referred on your risk-assessment the 21CFR110, they didn't asked more questions? Does that mean no record of employees notification regarding their illnesses-everything is done verbal?
Hope your actual experience can help me regarding this requirement.
Regards,
Lorena