Section 2.42 - Control of typhoid carriers

2.42 Control of typhoid carriers. (a) Disposition of body wastes. The urine and feces of a typhoid carrier shall be disposed of in such a manner that they will not endanger any public or private water supply or be accessible to flies.

(b) Prohibition of food handling. No typhoid carrier shall prepare or handle any food or drink to be consumed by persons other than members of the household with whom he resides.

(c) Restrictions of certain employment. No typhoid carrier shall conduct or be employed in any restaurant, hotel, or boarding house.

(d) Restrictions concerning boarding homes for children. No typhoid carrier shall reside or be employed in a boarding home for children.

(e) Restrictions of certain occupations. No typhoid carrier shall engage in the occupation of nurse, cook, waiter, nursemaid or in any other occupation involving the handling of milk, cream, milk products, or utensils used in the production thereof.

(f) Restrictions of residence where cows are kept. No typhoid carrier shall be permitted to reside on premises on which one or more cows are kept except under conditions to be prescribed by the health officer, which conditions shall include a written agreement signed by the carrier, or if the carrier be a minor, by his parent or duly appointed guardian and by the owner of the cows or his representative. Such agreement shall stipulate either:

(1) that no milk, cream or other dairy products from such premises will be sold, or given away to persons other than members of the household residing on such premises; or

(2) that milk and cream will be sold from such premises only after a special permit is issued by the local health officer and countersigned by the district State health officer and the local health officer of the jurisdiction in which the milk or cream is to be sold, provided, however, that county or part-county health commissioner or city health officer (in cities of 50,000 population or over) may issue such permit directly. Such permit and agreement shall provide that:

(i) the milk or cream be sold only to the individual or firm designated in the permit, which individual or firm restricts its output to a pasteurized product;

(ii) the carrier will not engage in any activities involving milking or the handling of milk, cream or dairy utensils, or enter the milk house or barns where the milk-producing cows are kept;

(iii) no milk or cream which is to be subsequently sold nor any utensils used in the production of milk or cream shall be brought into the house occupied by the carrier;

(iv) no changes shall be made in the source of the water supply or in the system by which it is distributed on the farm, nor in the means of sewage disposal, except with the approval of the local health officer provided, however, that a county or part-county health commissioner, or city health officer (in cities of 50,000 or over) may give such approval;

(v) all other members of the carrier's household except those who have had typhoid fever, shall have been vaccinated against typhoid fever.

(g) Notification of removal. No typhoid carrier shall change his usual place of abode without first notifying the local health officer giving the proposed new address, and the health officer shall immediately inform the State Department of Health and the health officer into whose jurisdiction such carrier is to remove.

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