Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 06 - DISEASES
Chapter 10.06.01 - Communicable Diseases and Related Conditions of Public Health Importance
Section 10.06.01.12 - Measles (Rubeola)
Universal Citation: MD Code Reg 10.06.01.12
Current through Register Vol. 51, No. 19, September 20, 2024
A. Control of a Case. A health officer or health care provider shall recommend that a case may not attend a school, workplace, or child care facility from the onset of the illness at least through the 4th day after the rash appears.
B. Control of Contacts.
(1) Nonimmune Contacts.
(a) Nonimmune individuals for measles, in
general, are people who:
(i) Have not received
two doses of measles containing vaccine on or after the first
birthday;
(ii) Have no
documentation of immunity or disease; or
(iii) Were born in or after 1957.
(b) A health officer or health care provider
shall recommend
(i) Nonimmune contacts receive
measles vaccine within 72 hours of exposure if not medically contraindicated;
and
(ii) Nonimmune household or
other close contacts, particularly contacts younger than 1 year old, pregnant
women, persons with immunodeficiencies, or those for whom the vaccine is
contraindicated, be given immune globulin within 6 days of exposure.
(c) A health officer shall
restrict or exclude a nonimmune contact from attending a school, health care
facility, child care facility, or workplace until 21 days after the onset of
rash in the last case of measles.
(2) A health officer:
(a) May require all nonimmune individuals to
be excluded from a school, workplace, or child care facility when a case of
measles is diagnosed or suspected in a student, employee, or volunteer of the
school or facility; and
(b) Shall
authorize readmission upon documented proof of immunity in the form of
immunization record, serologic test, or the low likelihood of disease
transmission.
C. Infection Control. Health care providers shall practice airborne precautions from the onset of illness at least through the 4th day after the rash appears.
D. Proof of Immunity for Health Care Workers.
(1) A worker born in or after 1957 working at
least 20 hours each week who is newly retained as medical staff, a direct or
contractual employee, or a volunteer of a hospital classified as a "general
hospital" under Health-General Article, § 19-307, Annotated Code of
Maryland, shall have documentation of receipt of two doses of live measles
virus vaccine after becoming 1 year old or proof of immunity by blood test for
antibody to rubeola. The hospital shall keep the measles vaccination or
immunity status of each worker on file.
(2) Exemptions.
(a) A hospital shall grant a medical
exemption for any worker who presents a written statement from a licensed
physician or a health officer indicating that immunization against measles is
medically contraindicated or detrimental to the worker's health. The statement
shall indicate whether the exemption should be permanent or temporary. If the
exemption is temporary, the statement shall indicate the date on which the
worker is to receive the immunization. A hospital shall withdraw a temporary
medical exemption on the day following that date. If the exemption is
permanent, the hospital shall maintain a record of the worker's measles
antibody test results.
(b) If a
worker objects to an immunization upon the grounds that it conflicts with the
worker's bona fide religious beliefs and practices, the hospital shall grant a
religious exemption to the worker for the immunization. The hospital shall
maintain a record of the worker's measles antibody test results.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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