1, viral hepatitis
Viral hepatitis is an infectious disease caused by a variety of hepatitis viruses, mainly liver lesions. It is contagious and can be transmitted through blood, sexual contact and mother to child. At present, the pathogens of viral hepatitis have been recognized as five hepatitis viruses: A, B, C, D and E, which can be detected by liver function, blood routine and CT. People with general viral hepatitis will not pass the health certificate.
On June 1 day, 2009, China formally implemented the new Food Safety Law, and on July 20th, China issued the implementing regulations to allow hepatitis B virus carriers to engage in the food industry. Therefore, hepatitis B virus carriers can legally apply for health certificates, but they must have normal liver function and low virus content. They should avoid preschool education, medical care, catering and other industries and cannot engage in direct customer service in public places.
2, dysentery
Dysentery is a common infectious disease in summer and autumn, characterized by abdominal pain, increased stool frequency and diarrhea, which is generally caused by exogenous bacteria and unclean diet. Dysentery can be found by routine stool examination. Because dysentery is contagious, it is generally not possible to apply for a health certificate if you suffer from dysentery. You can apply for a health certificate only after dysentery is cured.
3, typhoid fever
Typhoid fever is caused by typhoid Bacillus and typhoid Bacillus, which is contagious. Common symptoms are: persistent high fever, special poisoned face, hepatosplenomegaly, skin rosacea and so on. Salmonella typhi has strong viability in nature and is easily infected. Typhoid can be detected by blood routine, stool routine and urine routine. If you have typhoid fever, you can't pass the health certificate. You can apply for a health certificate after typhoid fever is cured.
4. Active tuberculosis
The saliva and sputum produced by patients with active pulmonary tuberculosis contain Mycobacterium tuberculosis, which is contagious. Patients generally have low fever, cough, emaciation, fatigue, loss of appetite and other symptoms. Active pulmonary tuberculosis can be detected by chest X-ray, CT and ppd skin test, and those with active pulmonary tuberculosis will not pass the health certificate.
Procedures for handling health certificates:
Physical examination place: local disease prevention and control center or medical and health institution approved by health administrative department to undertake preventive health examination. If this work is carried out without approval, the health supervision institution will not accept the issuance of health certificates.
1, object:
Personnel engaged in the production and operation of food and drinking water, cosmetics producers, and personnel who directly serve customers in public places. Anyone who suffers from dysentery, typhoid fever, viral hepatitis and other digestive tract infectious diseases (except pathogen carriers), active tuberculosis, suppurative or exudative skin diseases and other diseases that hinder food hygiene and public health shall not engage in direct contact with people's food or directly serve customers before being cured;
Personnel engaged in food production and marketing, personnel who supply and manage drinking water, and production personnel of cosmetics production enterprises; People who directly serve customers in hotels, cafes, bars, teahouses, public bathrooms, barbershops, beauty salons and swimming pools have a physical examination once a year. Personnel who directly serve foreign customers have a physical examination every two years.
2, the main inspection items:
Viral hepatitis, dysentery, typhoid fever, active tuberculosis, dermatosis, routine medical and surgical procedures, chest X-ray, fecal bacteriology culture (not available in some areas), etc.
3. Physical examination and registration process:
Unified use of the Ministry of health to develop the "People's Republic of China (PRC) preventive health examination form", according to the health supervision institutions to determine the personnel to the health inspection unit for preventive health examination.
Physical examination before handling the health certificate:
1, ID card and 2 one-inch color photos of individuals bareheaded, receive the medical examination form, pay the medical examination fee at the toll booth, paste the photos (the other one is for health certificate), and fill in the basic information such as name and gender;
2. Laboratory blood collection and stool anal swab test;
3, internal and surgical routine physical examination;
4, X-ray chest X-ray;
5. Complete all physical examination items.
If the physical examination results meet the conditions for issuing health certificates, if the physical examination results do not meet the conditions for issuing health certificates, the health certificates will not be issued. After passing the training of health laws and regulations organized by health supervision institutions, I will go to the health supervision office of the health bureau under my jurisdiction to apply for a health certificate with my bareheaded color photo.
To sum up, food producers and business operators should adjust their staff who are in direct contact with food to engage in other jobs that do not affect food safety if they suffer from digestive tract infectious diseases such as dysentery, typhoid fever, viral hepatitis A and viral hepatitis E, and diseases that hinder food safety such as active tuberculosis, suppurative or exudative skin diseases.
Legal basis:
Article 10 of the Measures for the Administration of Preventive Health Examination
Health supervision institutions at all levels should formulate preventive health examination work plans.
Article 11
The inspected unit shall submit the list of inspected personnel to the health supervision institution according to the regulations, and the inspected unit shall be responsible for establishing personal health records.
Article 12
The unit undertaking the health examination shall arrange the health examination according to the list of the inspected personnel determined by the health supervision institution and the prescribed inspection items. The specific health examination work shall be carried out in accordance with the relevant national technical specifications.
Article 13
The health inspection unit shall submit the original records and health inspection results of the inspected personnel to the health supervision institution.