STATE OF NEVADA

BRIAN SANDOVAL
Governor

MARTA E. JENSEN
Acting Administrator

RICHARD WHITLEY, MS
Director

TRACEY D. GREEN, MD
Chief Medical Officer

DEPARTMENT OF HEALTH AND HUMAN SERVICES

DIVISION OF PUBLIC AND BEHAVIORAL HEALTH

4150 Technology Way, Suite 300
Carson City, Nevada 89706
Telephone: (775) 684-4200 Fax: (775) 684-4211
July 27, 2015

Eric Chet Jacobson President, NASCO

Sr. Vice President and Chief Operating Officer
The National Aquatic Safety Company
1002 Avenue L
Dickinson, TX 77539
Dear Mr. Jacobson
We received your letter dated July 27, 2015 which formally stated that the National Aquatic Safety Company (NASCO)
will immediately comply with the Nevada Department of Health and Human Services requirement to delete from the
NASCOs lifeguard training certification courses the in-water-intervention (IWI) protocol which specifies the use of up to
five abdominal thrusts on an unconscious, non-breathing near drowning victim while still in the water.
We reviewed your update and this letter is to confirm that the state accepted your favorable and prompt response to
comply with all required changes. Therefore, we are able to continue our recognition of NASCOs lifeguards
certification training courses - effective today. Should you have any questions, advice or request additional information
please contact Dr. Ihsan Azzam at iazzam@health.nv.gov or (775) 684-5946.
Sincerely,

Tracey D. Green, MD
Chief Medical Officer

Public Health: Working for a Safer and Healthier Nevada