Nevada Administrative Code › Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS › INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES › Miscellaneous Communicable Diseases › Section 441A.560 - Hepatitis A: Generally

Current through June 11, 2024
1. The health
				authority shall investigate each report of a case having hepatitis A to confirm
				the diagnosis, to identify any contacts or other cases, to identify the source
				of the infection, to determine if the case is employed in a sensitive
				occupation or is a child attending a child care facility and to determine the
				need for administration of prophylaxis to contacts of the case.
2. Except as otherwise provided in this
				subsection, a case having hepatitis A and any contact residing in the same
				household as a case having hepatitis A shall not work in a sensitive occupation
				, unless, for a case, the employer of the case would be prohibited from
				preventing the case 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 may waive the
				provisions of this subsection if a case or contact is considered not to be
				infectious.
3. Except as otherwise
				provided in this subsection, an infant or child having hepatitis A shall not
				attend a child care facility, 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 may waive the provisions of this subsection if the child is
				considered not to be infectious.
4.
				If a case having hepatitis A 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.
5. The health authority shall instruct cases
				having hepatitis A and contacts of cases having hepatitis A of the need for and
				proper method of hand washing after defecation.
6. Upon learning of a contact through his or
				her investigation, the health authority shall offer and provide appropriate
				prophylaxis to a contact who has not been vaccinated against hepatitis A if the
				contact's last contact to the case having hepatitis A was within the preceding
				2 weeks and while the case was in a communicable stage.
7. If a food or beverage handler has
				hepatitis A, the health authority shall determine the potential for
				transmission of the communicable disease within the food establishment. If the
				health authority determines that there is a potential for transmission of the
				communicable disease, he or she shall:
(a)
				Offer appropriate prophylaxis to other food and beverage handlers in the
				workplace who have had contact with the food or beverage handler having
				hepatitis A and who have not been vaccinated against hepatitis A.
(b) If warranted under the circumstances,
				make a public announcement to inform patrons of their potential
				exposure.