NAC441A.610. Measles (rubeola).

     1. The health authority shall investigate each report of a case having measles (rubeola) or suspected case considered to have measles (rubeola) to classify the case, to determine the extent of any outbreak, to identify the source of the infection, to identify any susceptible contacts and to determine the need for exclusion, isolation and immunization of the case and any contacts.

     2. A case having measles or a suspected case considered to have measles must be excluded from child care facilities, schools, sporting events sponsored by schools, sensitive occupations, public gatherings, and from contact with susceptible persons outside of his or her household for at least 5 days after the onset of rash.

     3. If a case having measles or a suspected case considered to have measles is in a medical facility, the medical facility shall provide care to the case or suspected case in accordance with respiratory isolation or other appropriate disease specific precautions for at least 5 days after the onset of rash.

     4. An employee of a medical facility shall not have direct contact with any case or suspected case unless the employee has provided proof of immunity to measles.

     5. On the same day that a report of a case having measles or suspected case considered to have measles in a school or child care facility is received, the principal, director or other person in charge of the school or child care facility shall:

     (a) Conduct an inquiry into absenteeism to determine the existence of any other cases of the illness in the school or child care facility.

     (b) Report the case or suspected case to the health authority.

     (c) Review the records of immunization of all enrolled children to identify those who are not adequately immunized against measles.

     (d) Notify the parent or legal guardian of each child who has not presented proof of immunity to measles, that the child is excluded from attendance at the school or child care facility, effective the following morning:

          (1) Until acceptable proof of immunity to measles is received by the child care facility or school; or

          (2) If the child has not been immunized to measles because of a medical or religious exemption, until 14 days after the onset of the last reported case.

     (Added to NAC by Bd. of Health, eff. 1-24-92)