Nevada Administrative Code

NAC 441A.481 Candida auris. (NRS 439.200, 441A.120, 441A.160) 1. The health authority shall, within the limits of available resources, investigate each report of a case having Candida auris, as determined in accordance with Interim Guidance for a Public Health Response to Contain…

NAC 441A.482 Carbapenem-resistant Enterobacteriaceae. (NRS 439.200, 441A.120) 1. The health authority shall, within the limits of available resources, investigate each report of a case having carbapenem-resistant Enterobacteriaceae, as determined in accordance with “Carbapenemase…

NAC 441A.485 Chancroid. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having chancroid to confirm the diagnosis, to determine the source or possible source of the infection and to ensure that the case and any contacts have received approp…

NAC 441A.487 Chikungunya virus disease. (NRS 439.200, 441A.120) The health authority shall investigate each report of a case having chikungunya virus disease to: 1. Confirm the diagnosis; 2. Search for other cases; and 3. Determine the need for measures to prevent, suppress or co…

NAC 441A.490 Chlamydia trachomatis infection. (NRS 439.200, 441A.120) 1. The health authority may investigate each report of a case having Chlamydia trachomatis infection of the genital tract to confirm the diagnosis, to determine the source or possible source of the infection an…

NAC 441A.495 Cholera. (NRS 441A.120) 1. The health authority shall investigate each report of a case having cholera to confirm the diagnosis, to determine the extent of any outbreak, to identify any carriers or contacts, to identify the source of infection, to determine if the ca…

NAC 441A.500 Coccidioidomycosis. (NRS 441A.120) 1. The health authority shall confirm each reported case having coccidioidomycosis identified by histopathological evidence, by the isolation and identification of fungus in clinical specimens, by demonstration of a specific serolog…

NAC 441A.502 Coronavirus disease 2019 (COVID-19). (NRS 439.200, 441A.120, 441A.160) The health authority shall investigate each report of a case having coronavirus disease 2019 (COVID-19) or suspected case considered to have coronavirus disease 2019 (COVID-19) to: 1. Confirm the …

NAC 441A.505 Cryptosporidiosis. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having cryptosporidiosis, identified by the detection of Cryptosporidium organisms or DNA in stool, intestinal samples, biopsy specimens or other biological sam…

NAC 441A.506 Cyclosporiasis. (NRS 439.200, 441A.120, 441A.160) 1. The health authority shall investigate each report of a case having cyclosporiasis, as identified by the presence of Cyclospora cayetanensis parasites in a clinical stool specimen through testing by a medical labor…

NAC 441A.508 Dengue. (NRS 439.200, 441A.120) The health authority shall investigate each report of a case having dengue to: 1. Confirm the diagnosis; 2. Search for other cases; and 3. Determine the need for measures to prevent, suppress or control the spread of the infection. (Ad…

NAC 441A.510 Diphtheria. (NRS 441A.120) 1. The health authority shall investigate each report of a case having diphtheria or suspected case considered to have diphtheria to determine if the isolated organism is a toxigenic strain of Corynebacterium diphtheriae, to determine the e…

NAC 441A.512 Ehrlichiosis/anaplasmosis. (NRS 441A.120) The health authority shall investigate each report of a case having ehrlichiosis/anaplasmosis to: 1. Confirm the diagnosis; and 2. Determine the geographic location where the exposure to the disease occurred. (Added to NAC by…

NAC 441A.515 Enterohemorrhagic E. coli. [Replaced in revision by NAC 441A.687.]

NAC 441A.520 Encephalitis. (NRS 441A.120) 1. A report to the health authority of a case having encephalitis (arthropod-borne and unspecified viral) must include the specific viral, bacterial, fungal or parasitic cause of the disease if known. 2. The health authority shall investi…

NAC 441A.525 Extraordinary occurrence of illness. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having an extraordinary occurrence of illness or suspected case considered to have an extraordinary occurrence of illness to confirm the diagn…

NAC 441A.530 Foodborne disease outbreak. (NRS 441A.120) 1. The health authority shall investigate each report of an outbreak or suspected outbreak of illness known or suspected to be caused by a contaminated food or beverage. 2. The health authority shall conduct an epidemiologic…

NAC 441A.535 Giardiasis. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having giardiasis to confirm the diagnosis, to identify any contacts and the source of infection, to determine if the case is employed in a sensitive occupation or is …

NAC 441A.540 Gonococcal infection. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having gonococcal infection to confirm the diagnosis, to determine the source or possible source of the infection and to ensure that the case and any contact…

NAC 441A.545 Granuloma inguinale. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having granuloma inguinale to confirm the diagnosis, to determine the source or possible source of the infection and to ensure that the case and any contacts …

NAC 441A.550 Haemophilus influenzae type b. (NRS 441A.120) 1. The health authority shall investigate each report of a case having an invasive disease caused by Haemophilus influenzae type b, which includes bacteremia, meningitis, epiglottitis, septic arthritis, cellulitis, perica…

NAC 441A.555 Hansen’s disease (leprosy). (NRS 441A.120) 1. The health authority shall investigate each report of a case having Hansen’s disease (leprosy) to confirm the diagnosis and to identify any contacts residing in the same household as the case. 2. A contact residing in the…

NAC 441A.557 Hantavirus infection. (NRS 441A.120) 1. The health authority shall investigate each report of: (a) A case having a hantavirus infection, as identified by serological testing for hantaviral antibodies, immunohistochemistry studies, polymerase chain reaction studies or…

NAC 441A.560 Hepatitis A: Generally. (NRS 441A.120) 1. 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 …

NAC 441A.565 Hepatitis A: Presence of case in child care facility. (NRS 441A.120) 1. If a case having hepatitis A is an employee or a child in a child care facility and there are no children in diapers in the child care facility, the health authority shall offer appropriate proph…

NAC 441A.570 Hepatitis B, C and Delta. (NRS 441A.120) 1. The health authority shall investigate each report of: (a) An acute case of hepatitis B, C or Delta; or (b) A pregnant woman who is positive for hepatitis B surface antigen upon testing of a blood specimen by a medical labo…

NAC 441A.572 Hepatitis E. (NRS 441A.120) 1. The health authority shall investigate each report of a case having hepatitis E to confirm the diagnosis, identify any contacts or other cases, determine the extent of any outbreak, identify the source of the infection and determine if …

NAC 441A.574 Hepatitis, unspecified. (NRS 441A.120) 1. The health authority shall investigate each report of a case having acute unspecified hepatitis to determine the cause of the hepatitis. 2. If the health authority determines that the hepatitis is caused by the: (a) Hepatitis…

NAC 441A.575 Influenza. (NRS 439.200, 441A.120) 1. The health authority shall: (a) For purposes of surveillance and reporting, obtain sufficient information of each: (1) Case having influenza that: (I) Results in hospitalization and is confirmed by a laboratory; or (II) Is of a v…

NAC 441A.580 Legionellosis. (NRS 441A.120) 1. The health authority shall investigate each report of a case having legionellosis to confirm the diagnosis and to gather information for the case report. 2. If two or more cases having legionellosis occur among associated persons, the…

NAC 441A.585 Leptospirosis. (NRS 441A.120) 1. The health authority shall investigate each report of a case having leptospirosis to confirm the diagnosis, to identify any contacts, carriers or other cases and to identify the source of the infection. 2. If the source of infection i…

NAC 441A.590 Listeriosis. (NRS 441A.120) 1. The health authority shall investigate each report of a case having listeriosis to confirm the diagnosis, to identify any carriers or other cases, to identify the source of the infection and to determine if there is an outbreak. 2. If t…

NAC 441A.595 Lyme disease. (NRS 439.200, 441A.120) The health authority shall investigate each report of a case having Lyme disease, as identified by finding the infections agent in a clinical specimen through testing by a medical laboratory, to: 1. Confirm the diagnosis; 2. Dete…

NAC 441A.600 Lymphogranuloma venereum. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having lymphogranuloma venereum to confirm the diagnosis, to determine the source or possible source of the infection and to ensure the case and any cont…

NAC 441A.605 Malaria. (NRS 441A.120) 1. The health authority shall investigate each report of a case having malaria to confirm the diagnosis and to determine the type and source of the infection. 2. If transmission of malaria may have occurred in this State, the health authority …

NAC 441A.610 Measles (rubeola). (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having measles (rubeola) or suspected case considered to have measles (rubeola) to classify the case, to determine the extent of any outbreak, to identify the s…

NAC 441A.615 Meningitis. (NRS 441A.120) 1. A report of a case having meningitis must include the specific viral, bacterial, fungal or parasitic cause of the disease, if known. 2. The health authority shall investigate each report of a case having meningitis to obtain sufficient i…

NAC 441A.620 Meningococcal disease. (NRS 441A.120) 1. The health authority shall investigate each report of a case having invasive disease caused by Neisseria meningitidis (meningococcal disease), including bacteremia, meningitis and septic arthritis to: (a) Confirm the diagnosis…

NAC 441A.623 Monkeypox. (NRS 439.200, 441A.120, 441A.160) 1. The health authority shall investigate each report of a case having monkeypox or a suspected case considered to have monkeypox to: (a) Confirm the diagnosis; (b) Determine the extent of any outbreak; (c) Identify the so…

NAC 441A.625 Mumps. (NRS 441A.120) 1. The health authority shall investigate each report of a case having mumps to confirm the diagnosis, to determine the history of immunization of the case and to determine the source of the infection. 2. The health authority shall offer immuniz…

NAC 441A.630 Pertussis. (NRS 439.200, 441A.120) 1. The health authority shall investigate each report of a case having pertussis or suspected of having pertussis to confirm the diagnosis, to determine the extent of any outbreak, to identify any susceptible contacts, to identify t…

NAC 441A.635 Plague. (NRS 441A.120) 1. The health authority shall investigate each report of a case having plague or suspected case considered to have plague to confirm the diagnosis, to determine the extent of any outbreak, to determine the source of infection and to determine i…

NAC 441A.640 Poliovirus infection. (NRS 441A.120) 1. The health authority shall investigate each report of a case having a poliovirus infection to confirm the diagnosis, to determine the extent of any outbreak, to determine the source of the infection, to identify any susceptible…

NAC 441A.645 Psittacosis. (NRS 441A.120) 1. The health authority shall investigate each report of a case having psittacosis to confirm the diagnosis, to determine the extent of any outbreak and to identify the source or suspected source of the infection. 2. The health authority s…

NAC 441A.650 Q fever. (NRS 441A.120) 1. The health authority shall investigate each report of a case having Q fever, as identified by detection of the infectious agent in clinical specimens or by the demonstration of a specific serologic response in acute and convalescent sera up…

NAC 441A.655 Relapsing fever. (NRS 441A.120) The health authority shall investigate each report of a case having relapsing fever, as identified by the finding of the infectious agent in clinical specimens upon testing by a medical laboratory, to: 1. Confirm the diagnosis; 2. Dete…

NAC 441A.660 Respiratory syncytial virus infection. (NRS 441A.120) The health authority shall investigate each report of a case having respiratory syncytial virus infection, as identified by the finding of respiratory syncytial virus in clinical specimens or by demonstration of a…