Section R9-6-356. 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 per- tussis; and

b.        Exclude a pertussis suspect case from the school or child care establishment until evaluated and deter- mined to be noninfectious by a physician, physician assistant, or registered nurse practitioner.

2.        An administrator of a health care institution, either per- sonally 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   deter-

mined to be noninfectious by a physician, physician assistant, or registered nurse practitioner.

3.        A diagnosing health care provider or an administrator of a health care institution, either personally or through a rep- resentative, 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.        Conduct an epidemiologic investigation of each reported pertussis case or suspect case; and

b.        For each pertussis case, submit to the Department, as specified in Article 2, Table 4, the information required under R9-6-206(D).

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 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 identify contacts of a pertussis case and, if indicated, shall provide or arrange for a con- tact to receive antibiotic prophylaxis.

Historical Note

Former Section R9-6-115, Paragraph (38), renumbered and amended as R9-6-750 effective January 28, 1987 (Supp. 87-1). Renumbered from R9-6-750 and amended effective October 19, 1993 (Supp. 93-4). Former Section R9-6-356 renumbered to R9-6-360; new Section R9-6- 356 renumbered from R9-6-353 and amended effective April 4, 1997 (Supp. 97-2). Former R9-6-356 renum- bered to R9-6-365; new R9-6-356 renumbered from R9- 6-348 and amended by final rulemaking at 10 A.A.R.

3559, effective October 2, 2004 (Supp. 04-3). Former R9- 6-356 renumbered to R9-6-361; new R9-6-356 renum- bered from R9-6-351 and amended by final rulemaking at 14 A.A.R. 1502, effective April 1, 2008 (Supp. 08-2).