Control of a Case.
A health officer or health care provider shall recommend
that a case :
(1) Be isolated from a
woman of childbearing age who is not immune or is of unknown immunity, from the
onset of illness through the 7th day after appearance of the rash
(2) May not attend a school, workplace, or
child care facility from the onset of the illness through the 7th day after the
appearance of the rash.
Control of Contacts.
Nonimmune individuals for rubella, in
general, are people who:
(i) Have not received
at least one dose of rubella containing vaccine on or after the first
(ii) Have no
documentation of immunity or disease; or
(iii) Were born in or after 1957.
(b) A health officer shall
restrict or exclude a nonimmune contact from attending a school, health care
facility, child care facility, or workplace until 21 days after the onset of
rash in the last case of rubella.
A health officer:
(a) May require all nonimmune individuals to be
excluded from a school, workplace, or child care facility when a case of
rubella is diagnosed or suspected in a student, employee, or volunteer of the
school or facility; and
authorize readmission by documented proof of immunity in the form of an
immunization record, serologic test, or the low likelihood of disease
C. Infection Control. A health care provider
shall practice droplet precaution for 7 days after onset of the rash.
Proof of Immunity for Health Care Workers.
(1) A worker born in or after 1957 working at
least 20 hours each week who is newly retained as medical staff, a direct or
contractual employee, or a volunteer of a hospital classified as a "general
hospital" under Health-General Article, § 19-307, Annotated Code of
Maryland, shall have documentation of receipt of either one dose of live
rubella virus vaccination on or after becoming 1 year old or proof of immunity
by blood test for antibody to rubella. The hospital shall keep the vaccine or
immunity status of each worker on file.
(a) A hospital shall grant a medical
exemption for any worker who presents a written statement from a licensed
physician or a health officer indicating that immunization against rubella is
medically contraindicated or detrimental to the worker's health. The statement
shall indicate whether the exemption should be permanent or temporary. If the
exemption is temporary, the statement shall indicate the date on which the
worker is to receive the immunization. A hospital shall withdraw a temporary
medical exemption on the day following that date. If the exemption is
permanent, the hospital shall maintain a record of the worker's rubella
antibody test results.
(b) If a
worker objects to an immunization upon the grounds that it conflicts with the
worker's bona fide religious beliefs and practices, the hospital shall grant a
religious exemption to the worker for the immunization. The hospital shall
maintain a record of the worker's rubella antibody test results.
Md. Code Regs. 10.06.01.15
adopted effective December 26, 1980 (7:26 Md. R. 2420)
.15 repealed effective August 7, 1989 (16:15 Md. R. 1650)
Regulations .15 adopted effective August 7, 1989 (16:15 Md. R.
1650); amended effective
Md. R. 516, eff. 5/18/2020