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Hate to say it, but I think Paul is right.
You might be working in an "at will" employment state, in which case not having a reason to let someone go is better than having one.
Now, if he knew he was highly allergic to poison ivy in advance of that, you'd have a beef, but I think a big hill to climb to prove it.
And poison ivy is not that bad, even when you get it everywhere (voice of experience). Just slather on the Calamine for a week or two. No need to miss work.
As for the options in the poll, my answer would be one not listed - you tell him to get some Calamine, and give him a few days, then get him back to work. If he's as much a dolt as you think he is, find another reason to let him go.
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