Nevada Administrative Code › Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS › INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES › Miscellaneous Communicable Diseases › Section 441A.675 - Rubella

Current through June 11, 2024
1. The health authority shall investigate
				each report of a case having rubella or suspected case considered to have
				rubella to confirm the diagnosis, to determine the extent of any outbreak, to
				identify the source or suspected source of the infection, to identify any
				contacts who are pregnant and susceptible to rubella and to determine the need
				for exclusion, isolation and immunization.
2. The health authority shall refer a contact
				who is pregnant for serological testing to determine susceptibility or early
				infection and for thorough medical consultation.
3. Except as otherwise provided in this
				subsection, a case having rubella or a suspected case considered to have
				rubella must, for at least 7 days after the onset of rash, be excluded from
				attending child care facilities, schools, sporting events sponsored by schools,
				sensitive occupations and public gatherings, and from contact with all pregnant
				women or other susceptible persons outside the household. A case having rubella
				or a suspected case considered to have rubella may attend a child care facility
				or school or access another place of public accommodation if the child care
				facility, school or other place of public accommodation would be prohibited
				from preventing the case from attending or accessing, as applicable, by the
				Americans with Disabilities Act of 1990,
				42 U.S.C. §§
										12101 et seq., or
				NRS
				651.050 to
				651.120, inclusive.
4. If a case having rubella or a suspected
				case considered to have rubella is in a medical facility, the medical facility
				shall provide care to the case or suspected case in accordance with contact
				isolation or other appropriate disease specific precautions.
5. An employee of a medical facility shall
				not have direct contact with any case having rubella, any suspected case
				considered to have rubella or with any patient who is or may be pregnant,
				unless the employee provides proof of immunity to rubella.
6. On the same day that a report of a case
				having rubella or a suspected case considered to have rubella in a school or
				child care facility is received, the principal, director or other person in
				charge of the school or child care facility shall:
(a) Conduct an inquiry into absenteeism to
				determine the existence of any other cases or suspected cases in the school or
				child care facility.
(b) Report the
				case or suspected case to the health authority.
(c) Review the records of immunization of all
				enrolled children to identify those who are not adequately immunized against
				rubella.
(d) Notify the parent or
				legal guardian of each child who has not presented proof of immunity to
				rubella, that the child is excluded from attendance at the school or child care
				facility, effective the following morning:
(1)
				Until proof of immunity to rubella is received by the school or child care
				facility; or
(2) If the child has
				not been immunized to rubella because of a medical or religious exemption,
				until 14 days after the onset of the last reported case.