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In the Lyme disease example, the employer would determine personalized name mickey mouse and starbucks tumbler the case to be work-related if, for example, the employee was a groundskeeper

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The case is work-related if one or more events or exposures in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing condition, personalized name mickey mouse and starbucks tumbler as stated in paragraph 1904.5. In addition, the exceptions for determining work relationship at paragraph 1904.5 and the requirements at paragraph 1904.5 apply equally to cases that occur at or away from the establishment. Paragraph 1904.5 of the final rule provides guidance on applying the geographic presumption when it is not clear whether the event or exposure that precipitated the injury or illness occurred in the work environment or elsewhere. If an employee reports pain and swelling in a joint but cannot say whether the symptoms first arose during work or during recreational activities at home,

it may be difficult for the employer to decide whether the case is work-related. The same problem arises when an employee reports symptoms of a contagious disease that affects the public at large, such as a staphylococcus infection (“staph” infection) or Lyme disease, and the workplace is only one possible source of the infection. In these situations, the employer must examine the employee’s work duties and environment to determine whether it is more likely than not that one or more events or exposures at work caused or contributed to the condition. If the employer determines that it is unlikely that the precipitating event or exposure occurred in the work environment, the employer would not record the case. In the staph infection example given above, the employer would consider the case work-related, for example, if another employee with whom the newly infected employee had contact at work had been out with a staph infection.