Page 26 - Vessel Sanitation Program 2018 Operations Manual

VSP 2018 Operations Manual

12.12.1.1 Environmental Investigations ..................................................................................... 182
12.12.1.2 Problems Noted ........................................................................................................... 182
12.12.1.3 No Score ..................................................................................................................... 182
12.13 Variances ........................................................................................................................... 182
12.13.1 Procedures ............................................................................................................................. 182
12.13.1.1 Variance Procedures ................................................................................................... 182
12.13.1.2 VSP Records ............................................................................................................... 182
12.13.1.3 Vessel Records ............................................................................................................ 182
12.13.1.4 Existing Variances ...................................................................................................... 182
12.13.2 Documentation ...................................................................................................................... 183
12.13.2.1 Detailed Justification................................................................................................... 183
12.13.3 Conformance ......................................................................................................................... 183
12.13.3.1 Conformance ............................................................................................................... 183
12.13.3.2 Rescinding Variance ................................................................................................... 184
12.13.3.3 Areas Not Identified (44) ............................................................................................ 184

13.0 Annexes .............................................................................................................................. 185
13.1 Authority ............................................................................................................................ 185
13.1.1 Public Health Service Act ..................................................................................................... 185
13.1.2 Title 42 Code of Federal Regulations .................................................................................... 188
13.2 Acute Gastroenteritis Surveillance System......................................................................... 192
13.2.1 Introduction ........................................................................................................................... 192
13.2.2 Forms ..................................................................................................................................... 192
13.3 Acute Gastroenteritis Surveillance System Reporting ........................................................ 173
13.3.1 Introduction ........................................................................................................................... 173
13.3.1.1 Operations Manual ...................................................................................................... 173
13.3.1.2 Sample Itineraries ....................................................................................................... 173
13.3.2 Submission Procedures .......................................................................................................... 174
13.3.2.1 Mechanism .................................................................................................................. 174
13.3.2.2 Telephone Call Required ............................................................................................ 174
13.4 Acute Gastroenteritis Outbreak Investigation ..................................................................... 175
13.4.1 Introduction ........................................................................................................................... 175
13.4.1.1 Introduction ................................................................................................................. 175
13.4.1.2 Vigilance ..................................................................................................................... 175
13.4.1.3 Consultation ................................................................................................................ 175
13.4.1.4 Monitoring .................................................................................................................. 175
13.4.1.5 Investigation ................................................................................................................ 175
13.4.1.6 Special Circumstances ................................................................................................ 175
13.4.1.7 Rapid Response ........................................................................................................... 176
13.4.1.8 Collaboration............................................................................................................... 176
13.4.2 Objectives .............................................................................................................................. 176
13.4.3 Outbreak Investigation Procedures........................................................................................ 176
13.4.3.1 Contingency Plan ........................................................................................................ 176
13.4.3.2 Periodic Review .......................................................................................................... 176
13.4.3.3 Specimens and Samples .............................................................................................. 177
13.4.3.4 Ready to Use ............................................................................................................... 177
13.4.3.5 Useful Information ...................................................................................................... 177
13.4.3.6 Survey ......................................................................................................................... 178

Contents; xxv