Ariz. Admin. Code § 9-6-371

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-6-371 - 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-establishment-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, registered nurse practitioner, or local health agency.

2. A diagnosing health care provider or an administrator of a health care institution, either personally or through a representative and in consultation with the local health agency, shall isolate and institute droplet precautions for a rubella case through the seventh calendar day after the rash appears.

3. An administrator of a health care institution, either personally or through a representative, shall exclude a rubella:

a. Case from working at the health care institution from the onset of illness through the seventh calendar day after the rash appears; and

b. Suspect case from working at the health care institution until evaluated and determined to be noninfectious by a physician, physician assistant, registered nurse practitioner, or local health agency.

4. 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 one working day after receiving the report and provide to the Department the information 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 Table 2.4, the information required under R9-6-206(D); and

d. Ensure that one or more specimens from each rubella case or suspect case, as required by the Department, are submitted to the Arizona State Laboratory.

5. An administrator of a correctional facility or shelter, either personally or through a representative, shall comply with the rubella control measures recommended by a local health agency or the Department.

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 assistant, registered nurse practitioner, state health officer, 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 representative, 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 recommendations for exclusion.

3. A local health agency shall:

a. Determine which rubella contacts will be quarantined or excluded, according to R9-6-303, to prevent transmission; and

b. Provide or arrange for immunization of each non-immune rubella contact within 72 hours after last exposure, if possible.

Ariz. Admin. Code § R9-6-371

Adopted effective April 4, 1997 (Supp. 97-2). Former R9-6-371 renumbered to R9-6-381; new R9-6-371 renumbered from R9-6-363 and amended by final rulemaking at 10 A.A.R. 3559, effective October 2, 2004 (Supp. 04-3). Former R9-6-371 renumbered to R9-6-378; new R9-6-371 renumbered from R9-6-366and amended by final rulemaking at 14 A.A.R. 1502, effective April 1, 2008 (Supp. 08-2). Amended and renumbered from R9-6-365 by final rulemaking at 23 A.A.R. 2607, effective 1/1/2018.