Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 1 - COMMUNICABLE DISEASE CONTROL › Rule 2.5 - Disease Reporting and Control › Section 2.5-118 - Measles (rubeola); specific control measures

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-41-2-1
Affected: IC 16-41-2; IC 16-41-9
Sec. 118.
The specific control measures for measles (rubeola)
				  (infectious agent: measles virus) are as follows:
(1) An investigation by a department field
				representative, in cooperation with the local health officer, shall be
				performed immediately, include case management, and consist of the following:
(A) Ascertainment of immunization
				history.
(B) Case
				ascertainment.
(C) Identification
				and listing of contacts. Contacts are defined as any individual who was in the
				same room while the case was present or for two (2) hours afterwards at any
				time during the infectious period. The infectious period is defined as four (4)
				days before rash onset until four (4) days after the appearance of the rash.
				All children and adults (including staff members) attending the same school,
				daycare, or preschool as the case are defined as contacts.
(D) For outbreak control in public or private
				schools, daycare facilities, preschools, or postsecondary facilities, on the
				same day that a report of a suspected case of measles is received, school
				personnel shall do the following:
(i) Conduct
				an inquiry into absenteeism to determine the existence of any other cases of
				the illness.
(ii) Immediately
				report the suspect case or cases to the local health department or the
				department.
(iii) Send a notice
				home with each student, attendee, or employee born in or after 1957 who has not
				presented proof of immunity explaining that the student, attendee, or employee
				shall be excluded from the date of the letter, until acceptable proof of
				immunity is received by the school, daycare facility, preschool, or
				postsecondary facility, or in the case of medical or religious exemptions,
				until twenty-one (21) days after the onset of the last reported measles case.
				Persons receiving second doses of measles-containing vaccine, as well as
				previously unvaccinated persons receiving their first dose as part of the
				outbreak control program, may be immediately readmitted to school provided all
				persons without documentation of immunity have been excluded and that
				vaccination occurred within seventy-two (72) hours of exposure. Acceptable
				proof of immunity shall consist of a:
(AA)
				written record from the student's or employee's physician, parent, or guardian
				that indicates the dates of vaccination (on or after the first birthday) and
				the type of vaccine administered;
(BB) laboratory report showing confirmation
				of previous measles infection; or
(CC) laboratory report showing a protective
				measles antibody titer.
(iv) Make available to officials of the local
				health department or the department, or both, involved in investigating and
				controlling the outbreak, immunization records of all students and employees
				born in or after 1957 in the school or attendees, students, and employees born
				in or after 1957 in the daycare or preschool.
(E) For outbreak control in health care
				facilities, all health care workers and employees, regardless of age, without
				evidence of immunity who have been exposed to measles should be excluded from
				the facility from the fifth day to the twenty-first day after exposure, even if
				postexposure vaccination or immune globulin (IG) was administered.