Nev. Admin. Code § 441A.725

Current through December 31, 2024

Section 441A.725 - Yersiniosis

1. A health authority shall investigate each report of a case having yersiniosis, as identified by the presence of Yersinia spp. organisms in clinical specimens or by the demonstration of a specific serologic response in acute and convalescent sera upon testing by a medical laboratory, to:

(a) Confirm the diagnosis;

(b) Identify the source of infection; and

(c) Determine if the case is employed in a sensitive occupation or is a child attending a child care facility.

2. A person excreting Yersinia spp. shall not work in a sensitive occupation, unless authorized to do so by a health authority or unless the employer of the person would be prohibited from preventing the person from engaging in that occupation by the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq., or NRS 613.330. A health authority may authorize the case to work in a sensitive occupation if:

(a) Two fecal specimens, collected from the case at least 24 hours apart and at least 48 hours after cessation of antimicrobial therapy, fail to show Yersinia spp. organisms upon testing by a medical laboratory; or

(b) The case is asymptomatic and there is no indication of poor personal hygiene.

3. The health authority shall instruct a person excreting Yersinia spp. of the need and proper method of hand washing after defecation.

4. A contact residing in the same household as a case having yersiniosis shall not work in a sensitive occupation unless authorized by a health authority.

5. An infant or child excreting Yersinia spp. shall not attend a child care facility until asymptomatic, 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 instruct a child care facility where an infant or child who is excreting Yersinia spp. is attending of the need and proper method of hand washing and other practices for the control of infection which prevent the transmission of yersiniosis.

6. If a case having yersiniosis 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.

Nev. Admin. Code § 441A.725

Added to NAC by Bd. of Health, eff. 1-24-92; A by R187-18A, eff. 6/12/2019; A by R148-22A, eff. 7/26/2023

NRS 439.200, 441A.120, 441A.180