Section 690.450  Hepatitis A (Reportable by telephone or facsimile as soon as possible, within 24 hours)

a)         Control of Case.

1)         Standard Precautions shall be followed.  In diapered or incontinent persons, the following Contact Precautions shall be followed: infants and children less than 3 years of age for duration of hospitalization; children 3 to 14 years of age, until 2 weeks after onset of symptoms; and those greater than 14 years of age, for one week after onset of symptoms.

2)         Cases shall not work as food handlers or in sensitive occupations during the period when infection control precautions apply.

b)         Control of Contacts.

1)         No restrictions. 

2)         Guidelines for immune globulin (IG) administration for non-immune contacts are specified in Section 690.1010(b)(2).

3)         Administration of IG is not recommended for symptomatic contacts, but testing is recommended to verify the diagnosis.

c)         Sale of Food, Milk, etc.  (See Section 690.1000(b).)

d)         Laboratory Reporting.  Laboratories shall report to the local health authority patients who have a positive result on any laboratory test indicative of and specific for detecting acute hepatitis A infection, including IgM specific antibodies to the hepatitis A virus (total antibody is not reportable).  Upon request, laboratories shall provide liver function test results for suspect cases of hepatitis A.

(Source:  Amended at 32 Ill. Reg. 3777, effective March 3, 2008)