Section R9-6-350. 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-estab- lishment-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 evaluated and determined to be noninfectious by a physician, physician assistant, or registered nurse practitioner.

2.        A diagnosing health care provider or an administrator of a health care institution, either personally or through a rep- resentative, shall isolate and institute airborne precau- tions for a measles case from onset of illness through the fourth calendar day after the rash appears.

3.        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 informa- tion 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 Article 2, Table 4, the information required under R9-6-206(D); and

d.        Ensure that specimens from each measles case, as required by the Department, are submitted to the Arizona State Laboratory.

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 repre- sentative, 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 recommenda- tions for exclusion.

2.        A local health agency shall provide or arrange for immu- nization 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 assis- tant, registered nurse practitioner, state health offi- cer, or local health officer affirming serologic evidence of immunity to measles; or

c.        Documentary evidence of birth before January 1, 1957.

Historical Note

Renumbered from R9-6-743 and amended effective Octo- ber 19, 1993 (Supp. 93-4). Former Section R9-6-350 renumbered to R9-6-353; new Section R9-6-350 renum- bered from R9-6-347 effective April 4, 1997 (Supp. 97-2).

Former R9-6-350 renumbered to R9-6-358; new R9-6- 350 renumbered from R9-6-342 and amended by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-350 renumbered to R9-6-355; new R9-6-350 renumbered from R9-6-347 and amended by final rulemaking at 14 A.A.R. 1502, effective April 1, 2008 (Supp. 08-2).