Section 441A.560 - Hepatitis A: Generally1. 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.8. The employer of a food or beverage handler who declines prophylaxis pursuant to paragraph (a) of subsection 7 and has not been vaccinated against hepatitis A shall observe the food or beverage handler and report to the health authority if the food or beverage handler develops any symptoms of hepatitis A during the 45 days after refusing prophylaxis.9. The employer of a food or beverage handler shall instruct the food and beverage handler of the need and proper method of hand washing after defecation.Nev. Admin. Code § 441A.560
Added to NAC by Bd. of Health, eff. 1-24-92; A by R087-08, 1-13-2011; A by R148-22A, eff. 7/26/2023NRS 439.200, 441A.120, 441A.180