Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 06 - DISEASES
Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance
Section 10.06.01.10 - Hepatitis, Viral Type A
Universal Citation: MD Code Reg 10.06.01.10
Current through Register Vol. 51, No. 19, September 20, 2024
A. Control of a Case. A case may not participate in an occupation involving food handling, patient care, or care of young children or the elderly for 1 week after onset of jaundice, or for 2 weeks after the onset of illness, if not jaundiced.
B. Control of Contacts. For an individual who previously has not received hepatitis A vaccine, the physician in attendance or a health officer shall offer a single dose of single antigen hepatitis A vaccine or immune globulin to contacts for prophylaxis:
(1) As soon as possible, but within 2 weeks
of exposure to household, sexual, child care, or other contacts as determined
by a health officer; and
(2)
According to the following recommendations:
(a) For a previously unvaccinated healthy
individual 12 months old to 40 years old, single antigen hepatitis A vaccine at
the age appropriate dose is recommended;
(b) For a previously unvaccinated individual
older than 40 years old, immune globulin is recommended and single antigen
hepatitis A vaccine may be used if:
(i) Immune
globulin is not available; and
(ii)
The individual is healthy; or
(c) For a previously unvaccinated child
younger than 12 months old, an immunocompromised individual, an individual with
chronic liver disease, or an individual for whom vaccine is contraindicated,
immune globulin is recommended.
C. Infection Control. Health care providers shall practice standard precautions.
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