Section R9-6-365. Rubella (German Measles)

A.      Case control measures:

1.        An administrator of a school or child care establishment, either personally or through a representative, shall:

a.        Exclude a rubella 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 seventh calendar day after the rash appears; and

b.        Exclude a rubella 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 droplet precautions for a rubella case through the seventh 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 rubella 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 rubella case or suspect case;

c.        For each rubella 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 rubella case, as required by the Department, are submitted to the Arizona State Laboratory.

B.       Contact control measures:

1.        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 rubella case or suspect case or of a patient who is or may be pregnant unless the worker first provides evidence of immunity to rubella consisting of:

a.        A record of immunization against rubella given on or after the first birthday, or

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 rubella.

2.        When a rubella 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.

3.        A local health agency shall provide or arrange for immu- nization of each non-immune rubella contact within 72 hours after last exposure, if possible.

Historical Note

Former Section R9-6-115, Paragraph (4), renumbered and amended as R9-6-758 effective January 28, 1987 (Supp. 87-1). Renumbered from R9-6-758 and amended effec- tive October 19, 1993 (Supp. 93-4). Former Section R9- 6-365 renumbered to R9-6-372; new Section R9-6-365 renumbered from R9-6-361 effective April 4, 1997 (Supp. 97-2). Former R9-6-365 renumbered to R9-6-373; new R9-6-365 renumbered from R9-6-356 and amended by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-365 renumbered to R9-6-370; new R9-6-365 renumbered from R9-6-360 and amended by final rulemaking at 14 A.A.R. 1502, effec- tive April 1, 2008 (Supp. 08-2).