Nevada Administrative Code › Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS › INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES › Miscellaneous Communicable Diseases › Section 441A.535 - Giardiasis

Current through June 11, 2024
1. The health authority shall investigate
				each report of a case having giardiasis to confirm the diagnosis, to identify
				any contacts and the source of infection, to determine if the case is employed
				in a sensitive occupation or is a child attending a child care facility and to
				determine if there is a household contact who is employed in a sensitive
				occupation.
2. A person having
				diarrhea and a fecal specimen that has tested positive for the presence of
Giardia lamblia
organisms, antigen or DNA and any symptomatic
				contact residing in the same household as such a case shall not work in a
				sensitive occupation until at least 48 hours after the diarrhea has resolved,
				unless authorized by the health authority or unless the employer of the person
				or contact would be prohibited from preventing the person or contact from
				engaging in that occupation by the Americans with Disabilities Act of 1990,
				42 U.S.C. §§
										12101 et seq., or
				NRS
				613.330. The health authority shall order any
				additional exclusion, testing or treatment of any person that the health
				authority determines is necessary to prevent further transmission of
Giardia lamblia
.
3. The health authority shall instruct a
				person excreting
Giardia lamblia
of the need and proper method
				of hand washing after defecation.
4. An infant or child who has diarrhea and a
				fecal specimen that has tested positive for the presence of
Giardia
				lamblia
organisms, antigen or DNA shall not attend a child care
				facility unless antiparasitic therapy has been initiated and the diarrhea has
				resolved for more than 48 hours, unless authorized by the health authority or
				unless the child care facility would be prohibited from preventing the infant
				or child from attending by the Americans with Disabilities Act of 1990,
				42 U.S.C. §§
										12101 et seq., or
				NRS
				651.050 to
				651.120, inclusive. The health
				authority shall order any additional exclusion, testing or treatment of any
				person that the health authority determines is necessary to prevent further
				transmission of
Giardia lamblia
.
5. The health authority may prohibit an
				asymptomatic infant or child who is excreting
Giardia lamblia
cysts from attending a child care facility if the health authority considers
				such exclusion necessary in order to stop transmission of the
Giardia
				lamblia
within the child care facility.
6. The health authority shall instruct a
				child care facility where an infant or child who is excreting
Giardia
				lamblia
cysts is attending of the need and proper method of hand
				washing and other practices for the control of infection which prevent the
				transmission of giardiasis.
7. If a
				case having
Giardia lamblia
is in a medical facility, the
				medical facility shall provide care to the case in accordance with enteric
				precautions or other appropriate disease specific precautions.
Added to NAC by Bd. of
				  Health, eff. 1-24-92; A by R087-08, 1-13-2011; A by
				  R187-18A,
				  eff. 6/12/2019; A by
				  R148-22A,
				  eff. 7/26/2023
NRS 439.200,
					 441A.120,
					 441A.180