Ariz. Admin. Code § R9-6-381 - Rubella Syndrome, Congenital
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. In consultation with the
Department, 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).
Notes
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A. Case control measures:
1. A syphilis case shall obtain serologic testing for syphilis three months, six months, and one year after initiating treatment, unless more frequent or longer testing is recommended by a local health agency.
2. A health care provider for a pregnant syphilis case shall order serologic testing for syphilis at 28 to 32 weeks gestation and at delivery.
3. A local health agency shall:
a. Conduct an epidemiologic investigation, including a review of medical records, of each reported syphilis case or suspect case, confirming the stage of the disease;
b. For each syphilis case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D);
c. If the syphilis case is pregnant, ensure that the syphilis case obtains the serologic testing for syphilis required in subsections (A)(1) and (A)(2); and
d. Comply with the requirements specified in R9-6-1103 concerning treatment and health education for a syphilis case.
4. The operator of a blood bank , blood center , or plasma center shall notify a donor of a test result with significant evidence suggestive of syphilis, as required under A.R.S. § 32-1483 and 21 CFR 630.6.
B. Contact control measures: When a syphilis case has named a contact, a local health agency shall comply with the requirements specified in R9-6-1103 concerning notification, testing, treatment, and health education for the contact.
C. Outbreak control measures: A local health agency shall:
1. Conduct an epidemiologic investigation of each reported syphilis outbreak; and
2. For each syphilis outbreak, submit to the Department the information required under R9-6-206(E).