Current through Register No. 40, October 3, 2024
(a) For a case or
suspect case of cutaneous and inhalation anthrax, hospitals and other
institutional settings shall institute standard precautions according to
He-P
301.04 for the duration of the illness.
(b) For a case or suspect case of diphtheria,
isolation precautions shall be instituted as follows:
(1) For a case, suspect case or carrier of
pharyngeal or cutaneous diphtheria, hospitals and other institutional settings
shall maintain appropriate isolation in accordance with
He-P
301.04 until 2 cultures from both throat and nose or
skin lesions in cutaneous diphtheria taken not less than 24 hours apart and not
less than 24 hours after cessation of antimicrobial therapy, fail to show
diphtheria bacilli;
(2) Where
culture is impractical, isolation may be ended after 14 days of appropriate
antibiotic treatment; and
(3) For
all close contacts of cases or suspect cases of pharyngeal or cutaneous
diphtheria, employers shall exclude close contacts of cases or suspect cases
from the following job duties until cultures prove them not to be carriers:
a. Job duties involving the handling of
food;
b. Child care job duties;
and
c. Direct care of hospitalized
and institutionalized patients.
(c) For a case or suspect case of gonococcal
ophthalmia neonatorum:
(1) Precautions shall
be instituted in accordance with
He-P
301.04; and
(2) The health care provider shall institute
isolation of the individual for the first 24 hours after administration of
effective therapy.
(d)
For a case or suspect case of invasive Haemophilus influenzae infection, the
health care provider shall institute appropriate isolation in accordance with
He-P
301.04 for 24 hours after the start of appropriate
antibiotic therapy.
(e) For a case
or suspect case of hepatitis, isolation precautions shall be as follows:
(1) For persons with hepatitis A:
a. Employers shall exclude cases or suspect
cases from the following job duties until one week after onset of jaundice or
until hepatitis A has been ruled out:
1. Job
duties involving the handling of food;
2. Child care job duties; and
3. Direct care of hospitalized and
institutionalized patients; and
b. Cases or suspect cases shall be excluded
from attending child care agencies until one week after the onset of jaundice
or until hepatitis A has been ruled out; and
(2) For persons with hepatitis B or C,
precautions shall be instituted in accordance with
He-P
301.04.
(g) For a case or suspect case of measles or
rubeola, the following control measures shall be instituted:
(1) The admitting official shall exclude a
case or suspect case from the grounds of public and non-public schools and
child care agencies for at least 4 days after appearance of the rash;
(2) Hospitals and other institutional
settings shall institute appropriate isolation in accordance with
He-P
301.04 from recognition of clinical illness through
the fourth day of rash; and
(3) If
the case or suspect case occurs in a health care facility:
a. The facility shall ensure that the
following susceptible personnel receive a dose of measles vaccine:
1. All employees who cannot provide
documentation of:
(i) Two doses of measles
vaccine on or after their first birthday, the second dose a minimum of 28 days
from the first; or
(ii) Serologic
evidence of immunity to measles; and
b. The facility shall exclude susceptible
personnel who have been exposed from direct patient contact from the 5th to the
21st day after exposure regardless of whether they received vaccine or immune
globulin after the exposure.
(h) For a case or suspect case of
meningococcemia, or infection with invasive Neisseria meningitidis, the health
care provider shall institute appropriate isolation in accordance with
He-P
301.04 for 24 hours after start of antibiotic
therapy.
(i) For a case or suspect
case of mumps, the following control methods shall be instituted:
(1) The admitting official shall exclude a
case or suspect case from public and non-public schools or child care agencies
for 5 days from onset of salivary gland swelling; and
(2) For a case or suspect case in hospitals
or other institutional settings:
a. The
health care provider shall institute appropriate isolation in accordance with
He-P
301.04; and
b. The health care provider shall isolate the
confirmed or suspect case in a private room for 5 days from onset of salivary
gland swelling; and
(3)
For all close contacts of cases or suspect cases of mumps, employers shall
exclude susceptible close contacts of cases or suspect cases from the following
job duties from days 12-26 post exposure:
a.
Job duties involving the handling of food;
b. Child care job duties; and
c. Direct care of hospitalized and
institutionalized patients.
(j) For a case or suspect case of pertussis,
the following control methods shall be instituted:
(1) Confirmed or suspect cases in hospitals
or other institutional settings shall be placed in appropriate isolation in
accordance with He-P 301.04 by the health care
provider until they have received 5 days of antibiotics;
(2) Admitting officials and employers shall
exclude confirmed or suspect cases and symptomatic household contacts from the
following places until they have received at least 5 days of appropriate
antibiotics:
a. Public and non-public
schools;
b. Child care agencies;
and
c. Work places; and
(3) Health facilities shall
exclude health care workers and other adults with suspect or confirmed
pertussis from patient/public contact until they have received 5 days of a
course of antibiotics.
(k) For confirmed or suspect cases of
poliomyelitis, hospitals shall institute isolation in accordance with
He-P
301.04.
(l) For confirmed or suspect cases of rabies,
hospitals shall institute appropriate isolation in accordance with
He-P
301.04.
(m) For confirmed or suspect rubella,
including congenital rubella syndrome, the following control methods shall be
instituted:
(1) In hospitals and
institutions, patients suspected of having rubella shall be managed under
appropriate isolation in accordance with
He-P
301.04 and placed in a private room for 7 days after
the onset of rash;
(2) Admitting
officials and employers shall exclude cases or suspect cases from public and
non-public schools, child care agencies and work places for 7 days after onset
of rash; and
(3) Hospitals and
other health care facilities shall ensure that both male and female health care
personnel who may be exposed to patients with rubella are immunized unless
there is evidence of previous immunity.
(n) For a case or suspected case of
shigellosis, E. coli 0157, and other shiga toxin producing E. coli:
(1) Precautions shall be instituted in
accordance with He-P 301.04;
(2) Employers shall exclude cases or suspect
cases from the following job duties until stool cultures are free of the
microorganism on 2 consecutive specimens collected not less than 24 hours apart
and at least 48 hours after the last dose of antibiotics, if prescribed:
a. Job duties involving the handling of
food;
b. Child care job duties;
and
c. Direct care of hospitalized
and institutionalized patients; and
(3) Children who are cases or suspect cases
shall be excluded from child care settings until stool cultures are free of the
microorganism on 2 consecutive specimens collected not less than 24 hours apart
and at least 48 hours after the last does of antibiotics, if
prescribed.
(o) For a
case or suspected case of tuberculosis (TB), the following control methods
shall be instituted:
(1) Employers and
admitting officials shall exclude confirmed or suspect cases of TB from
congregate settings, with the exception of patients being cared for in a
healthcare facility under appropriate precautions, until TB has been ruled out
or the confirmed or suspect case is deemed to be non-infectious by the
department; and
(2) Health care
providers shall order a drug susceptibility test on all initial M. tuberculosis
cultures performed on the initial isolate in order to assure proper
prescription of treatment.
(p) For a case or suspected case of typhoid
fever:
(1) Precautions shall be instituted in
accordance with He-P 301.04;
(2) Employers and admitting officials shall
exclude cases or suspect cases with the Salmonella typhii organism from the
following job duties until released from supervision by the local health
authority:
a. Job duties involving the
handling of food;
b. Child care job
duties; and
c. Direct care of
hospitalized and institutionalized patients;
(3) Children who are cases or suspect cases
shall be excluded from child care settings until released from supervision by
the local health authority; and
(4)
The local health authority shall supervise confirmed or suspect cases until:
a. Not less than 3 consecutive cultures of
feces, each taken at least 24 hours apart and at least 48 hours after last dose
of any antibiotic and not earlier than one month after illness onset are
negative; and
b. If any one of the
cultures in a. above is positive, the culture series shall be repeated at
intervals of one month during the 12-month period following illness onset until
at least 3 consecutive negative cultures are obtained.
(q) For a case or suspect case of
varicella disease:
(1) Admitting officials
and employers shall exclude a case, suspect case, or an individual with
vesicular eruption related to varicella disease, from the following places for
5 days after eruption first appears until vesicles become dry, or in immunized
people without crusts, until no new lesions appear within a 24 hour period:
a. Public and non-public schools;
b. Child care agencies; and
c. Work places; and
(2) Hospitals shall maintain appropriate
isolation in accordance with
He-P
301.04 for 5 days after eruption first appears or
until vesicles become dry or until no new onset of lesions appear within 24
hours if the lesions do not crust, i.e. form macules or papules only instead of
vesicles.
(r) For any
communicable disease that poses a threat to the public's health and not already
described in He-P 301.05, all cases, suspect
cases, and close contacts of cases or suspect cases of a communicable disease
who work in sensitive occupations, such as healthcare, food service, and child
care, or who are otherwise located in a congregate setting,shall be excluded or
restricted from certain activities until they are no longer infectious in
accordance with RSA
141-C:4 if necessary to protect the health
and safety of the public from a communicable disease, and based on the best
available guidance and recommendations from the Centers for Disease Control and
Prevention or other established sources.
(s) Individuals described in (r) above with
symptoms of acute gastrointestinal illness shall be excluded from duties
involving direct patient care, childcare, or serving of food or the handling of
clean dishware, utensils, or equipment until 48 hours after the resolution of
symptoms or until such time the employee can provide certification from a
physician that the illness is from a non-infectious cause.
#2017, eff 5-10-82; ss by #3172, eff 1-2-86; ss by #4230,
eff 2-23-87; ss by #4946, eff 10-2-90; EXPIRED: 10-2-96
New. #6634, eff 11-25-97; ss by
#8242, eff 12-30-04; ss by #9172, eff 6-6-08; ss by #12033, eff
11-3-16
