Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 690 - CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS CODE › Subpart D - DETAILED PROCEDURES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 690.520 - Measles, Suspect, Probable or Confirmed (Reportable by telephone immediately, within three hours, upon initial clinical suspicion or laboratory test)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Control of
				Case
All cases, including suspect cases, with measles shall
				  isolate themselves at home and shall be excluded from school, work, and child
				  care facilities for at least four days after appearance of the rash.
b) Control of Contacts
1) All susceptible contacts (persons six
				months of age or older who have not yet received a total of two doses of
				measles-containing vaccine) and who have no contraindications to receiving the
				vaccine) should begin vaccination with live virus measles vaccine. Vaccine
				should be administered within 72 hours after exposure for maximal protection.
				When vaccine is given prior to the first birthday, a second dose shall be given
				on or after the first birthday, and a third dose at least 28 days later but
				prior to school entry (four to six years of age).
2) Susceptible contacts with high risk of
				severe illnesses or complications or with measles vaccine contraindications
				should be given immune globulin (IG) within six days after exposure. IG is not
				indicated for contacts who have received one dose of vaccine at 12 months of
				age or older unless they are immunocompromised. Live measles vaccine shall be
				given five to six months later to those IG recipients, provided that the
				vaccine is not contraindicated.
3)
				Susceptible contacts who have not received vaccination within the appropriate
				time frame shall be excluded from school, workplace, child care facility, or
				other facilities until 21 days after last exposure to a measles case.
4) Susceptible contacts receiving IG as
				post-exposure prophylaxis shall isolate themselves at home and shall be
				excluded from school, work, and child care facilities for at least 21 days
				after the last exposure to a measles case. Local health authorities may
				increase this period of exclusion to 28 days if investigation warrants
				additional measures to prevent further spread of the disease.
5) Health care personnel with direct patient
				contact shall be required to provide proof of immunity to measles as described
				by the Advisory Committee on Immunization Practices (see Section
				690.20(a)(7)).
6) Susceptible health care workers exposed to
				measles shall receive a dose of measles-mumps-rubella (MMR) vaccine and shall
				be removed from all patient contact and excluded from the facility from the
				fifth to the 21st day after the exposure.
				Susceptible health care workers may return to work on the
				22nd day after exposure. Regardless of vaccination
				history, personnel who become ill with prodromal symptoms or rash shall be
				removed from all patient contact and excluded immediately from the facility
				until four days after the onset of the rash.
7) Local health authorities, in consultation
				with the Department, may require additional exclusions if there is reason to
				believe these recommendations will prevent further spread of the disease. (See
				Section 2310-15 of the Department of Public Health Powers and Duties
				Law)