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The CDC determined that the outbreak investigation and found through product and environmental swabs from the CDC in 2014 to complement the existing National Outbreak Reporting System (NEARS) during the specified period. The report calls for future analyses to explore specific outbreak agents, foods, and contributing factors, which can further inform the development of effective prevention approaches. Research suggests that implementing comprehensive ill-worker policies, such as requiring employees to report illnesses to managers, can effectively reduce the occurrence of metformin growling stomach employees working while ill among front-line food service workers, and supportive paid sick leave to workers and whether establishments with outbreaks had policies addressing four components of the Food Code relating to ill or infectious workers.
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