Nevada Administrative Code
Chapter 441A - INFECTIOUS DISEASES; TOXIC AGENTS
INVESTIGATING, REPORTING, PREVENTING, SUPPRESSING AND CONTROLLING PARTICULAR COMMUNICABLE DISEASES
Miscellaneous Communicable Diseases
Section 441A.690 - Shigellosis

1. The health authority shall investigate each report of a case having shigellosis to confirm the diagnosis, to determine the extent of any outbreak, to identify any carriers of the infection, to identify any contacts, 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 if there is a contact residing in the same household as the case who is employed in a sensitive occupation.

2. A person excreting Shigella spp. shall not work in a sensitive occupation, unless authorized to do so by the 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. The health authority may authorize a person excreting Shigella spp. to work in a sensitive occupation if:

3. A contact residing in the same household as a case having shigellosis shall not work in a sensitive occupation unless authorized to do so by the health authority. The health authority may authorize the contact to work in a sensitive occupation if the contact:

4. The health authority shall instruct a case having shigellosis or a carrier of Shigella spp. of the need and proper method of hand washing after defecation.

5. An infant or child excreting Shigella spp. shall not attend a child care facility or school until asymptomatic, unless the child care facility or school 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 Shigella 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 shigellosis.

6. If a case having shigellosis 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.