Ariz. Admin. Code § R9-6-360 - Measles (Rubeola)
A. Case
control measures:
1. An administrator of a
school or child care establishment, either personally or through a
representative, shall:
a. Exclude a measles
case from the school or child care establishment and from school- or
child-care-establishment-sponsored events from the onset of illness through the
fourth calendar day after the rash appears; and
b. Exclude a measles suspect case from the
school or child care establishment and from school- or
child-care-establishment-sponsored events until the local health agency has
determined that the suspect case is unlikely to infect other
individuals.
2. A
diagnosing health care provider or an administrator of a health care
institution, either personally or through a representative, shall isolate and
institute airborne precautions for a measles case from onset of illness through
the fourth calendar day after the rash appears.
3. An administrator of a health care
institution, either personally or through a representative, shall exclude a
measles:
a. Case from working at the health
care institution from the onset of illness through the fourth calendar day
after the rash appears; and
b.
Suspect case from working at the health care institution until the local health
agency has determined that the suspect case may return to
work.
4. A local health
agency shall:
a. Upon receiving a report
under
R9-6-202
or R9-6-203 of a measles case or suspect case, notify the Department within 24
hours after receiving the report and provide to the Department the information
contained in the report;
b. Conduct
an epidemiologic investigation of each reported measles case or suspect
case;
c. For each measles case,
submit to the Department, as specified in Table 2.4, the information required
under
R9-6-206(D);
and
d. In consultation with the
Department, ensure that one or more specimens from each measles case or suspect
case, as required by the Department, are submitted to the Arizona State
Laboratory.
a. Upon
receiving a report under
R9-6-202
or R9-6-203 of a measles case or suspect case, notify the Department within 24
hours after receiving the report and provide to the Department the information
contained in the report;
b. Conduct
an epidemiologic investigation of each reported measles case or suspect
case;
c. For each measles case,
submit to the Department, as specified in Table 2.4, the information required
under
R9-6-206(D);
and
B. Contact control
measures:
1. When a measles case has been at
a school or child care establishment, the administrator of the school or child
care establishment, either personally or through a representative, shall:
a. Consult with the local health agency to
determine who shall be excluded and how long each individual shall be excluded
from the school or child care establishment, and
b. Comply with the local health agency's
recommendations for exclusion.
2. A local health agency shall:
a. Determine which measles contacts will be
quarantined or excluded, according to
R9-6-303,
to prevent transmission; and
b.
Provide or arrange for immunization of each non-immune measles contact within
72 hours after last exposure, if possible.
3. An administrator of a health care
institution shall ensure that a paid or volunteer full-time or part-time worker
at a health care institution does not participate in the direct care of a
measles case or suspect case unless the worker is able to provide evidence of
immunity to measles through one of the following:
a. A record of immunization against measles
with two doses of live virus vaccine given on or after the first birthday and
at least one month apart;
b. A
statement signed by a physician, physician assistant, registered nurse
practitioner, state health officer, or local health officer affirming serologic
evidence of immunity to measles; or
c. Documentary evidence of birth before
January 1, 1957.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Outbreak control measures: A local health agency shall:
1. Conduct an epidemiologic investigation of each reported norovirus outbreak;
2. Submit to the Department the information required under R9-6-206(E); and
3. Exclude each case that is part of a norovirus outbreak from working as a food handler, caring for patients or residents in a health care institution, or caring for children in or attending a child care establishment until:
a. Diarrhea has resolved, or
b. The local health agency has determined that the case or suspect case is unlikely to infect other individuals.
B. Environmental control measures: A local health agency shall conduct a sanitary inspection or ensure that a sanitary inspection is conducted of each facility or location regulated under 9 A.A.C. 8 that is associated with a norovirus outbreak.