<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.06.01.10" title_num="10" subtitle_num="06" chapter_num="01" heading="Hepatitis, Viral Type A.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>According to the following recommendations:</text>
      <paragraph num="(a)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For a previously unvaccinated individual older than 40 years old, immune globulin is recommended and single antigen hepatitis A vaccine may be used if:</text>
        <paragraph num="(i)">
          <text>Immune globulin is not available; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The individual is healthy; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>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.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Infection Control. Health care providers shall practice standard precautions.</text>
  </paragraph>
</regulation>