Ariz. Admin. Code § R9-6-372 - Pertussis (Whooping Cough)
A.
Case control measures:
1. An administrator of
a school or child care establishment, either personally or through a
representative, shall:
a. Exclude a pertussis
case from the school or child care establishment for 21 calendar days after the
date of onset of cough or for five calendar days after the date of initiation
of antibiotic treatment for pertussis; and
b. Exclude a pertussis suspect case from the
school or child care establishment until evaluated and determined to be
noninfectious by a physician, physician assistant, registered nurse
practitioner, or local health agency.
2. An administrator of a health care
institution, either personally or through a representative, shall:
a. Exclude a pertussis case from working at
the health care institution for 21 calendar days after the date of onset of
cough or for five calendar days after the date of initiation of antibiotic
treatment for pertussis; and
b.
Exclude a pertussis suspect case from working at the health care institution
until evaluated and determined to be noninfectious by a physician, physician
assistant, registered nurse practitioner, or local health
agency.
3. A diagnosing
health care provider or an administrator of a health care institution, either
personally or through a representative, shall isolate and initiate droplet
precautions for a pertussis case for five calendar days after the date of
initiation of antibiotic treatment for pertussis.
4. A local health agency shall:
a. Upon receiving a report under
R9-6-202
or R9-6-203 of a pertussis case or suspect case, notify the Department within
one working day after receiving the report and provide to the Department the
information contained in the report;
b. Conduct an epidemiologic investigation of
each reported pertussis case or suspect case; and
c. For each pertussis case, submit to the
Department, as specified in Table 2.4, the information required under
R9-6-206(D).
5. An
administrator of a correctional facility or shelter, either personally or
through a representative, shall comply with the pertussis control measures
recommended by a local health agency or the Department.
B. Contact control measures:
1. When a pertussis 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 identify
contacts of a pertussis case and shall:
a.
Determine which pertussis contacts will be quarantined or excluded, according
to
R9-6-303,
to prevent transmission; and
b. If
indicated, provide or arrange for a pertussis contact to receive antibiotic
prophylaxis.
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. Case control measures:
1. A diagnosing health care provider or an administrator of a health care institution, either personally or through a representative, shall isolate and implement contact precautions for an infant congenital rubella syndrome case until:
a. The infant congenital rubella syndrome case reaches one year of age; or
b. Two successive negative virus cultures, from specimens collected at least one month apart, are obtained from the infant congenital rubella syndrome case after the infant congenital rubella syndrome case reaches three months of age.
2. A local health agency shall:
a. Upon receiving a report under R9-6-202 of a congenital rubella syndrome 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 congenital rubella syndrome case or suspect case;
c. For each congenital rubella syndrome case, as specified in Table 2.4, the information required under R9-6-206(D); and
d. Ensure that one or more specimens from each congenital rubella syndrome case or suspect case, as required by the Department, are submitted to the Arizona State Laboratory.
B. Contact control measures: 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 who is known to be pregnant does not participate in the direct care of a congenital rubella syndrome case or suspect case unless the worker first provides evidence of immunity to rubella that complies with R9-6-371(B)(1).