Nevada Administrative Code › Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS › INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES › Miscellaneous Communicable Diseases › Section 441A.630 - Pertussis

Current through June 11, 2024
1. The health authority shall investigate
				each report of a case having pertussis or suspected of having pertussis to
				confirm the diagnosis, to determine the extent of any outbreak, to identify any
				susceptible contacts, to identify the source of the infection and to determine
				the need for exclusion, immunization and antimicrobial prophylaxis.
2. Except as otherwise provided in this
				subsection, a case having pertussis must be excluded from child care
				facilities, schools, sporting events sponsored by schools, sensitive
				occupations, public gatherings, and from contact with susceptible persons not
				residing in the same household as the case for 21 days after the date of onset
				of the illness or for 5 days after the date of initiation of medical treatment
				specific for pertussis as set forth in "Recommended Antimicrobial Agents for
				the Treatment and Postexposure Prophylaxis of Pertussis: 2005 CDC Guidelines,"
				adopted by reference pursuant to NAC
				441A.200. A case having
				pertussis 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.
3. A contact who is less than 7 years of age
				and is inadequately immunized against pertussis and who resides in the same
				household as a case having pertussis must be excluded from schools, child care
				facilities, sporting events sponsored by schools, public gatherings, and from
				contact with susceptible persons not residing in the same household for 21 days
				after the last exposure or until the case and the contact have received at
				least 5 days of appropriate antimicrobial therapy or prophylaxis specific for
				pertussis as set forth in "Recommended Antimicrobial Agents for the Treatment
				and Postexposure Prophylaxis of Pertussis: 2005 CDC Guidelines," adopted by
				reference pursuant to NAC 441A.200.
4. The health authority shall, as soon as
				possible after exposure, offer immunization to a susceptible contact of a case
				having pertussis who is less than 7 years of age and who has not received 4
				doses of a pertussis-containing vaccine or has not received a dose of a
				pertussiscontaining vaccine within the 3 years preceding exposure.
5. If the health authority determines that
				there is an outbreak of pertussis, the health authority may exclude children
				who are susceptible to pertussis from attending a school or child care facility
				in an effort to control the outbreak.
6. The health authority shall recommend
				antimicrobial prophylaxis consisting of an appropriate course of an effective
				antimicrobial agent in accordance with "Recommended Antimicrobial Agents for
				the Treatment and Postexposure Prophylaxis of Pertussis: 2005 CDC Guidelines,"
				adopted by reference pursuant to NAC 441A.200.
7. If a case having pertussis is in a medical
				facility, the medical facility shall provide care to the case in accordance
				with respiratory isolation or the appropriate disease specific
				precautions.
Added to NAC by Bd. of
				  Health, eff. 1-24-92; A by R087-08, 1-13-2011; A by
				  R121-14,
				  eff. 10/27/2015; A by
				  R187-18A,
				  eff. 6/12/2019; A by
				  R148-22A,
				  eff. 7/26/2023
NRS 439.200,
					 441A.120,
					 441A.180