Table Of Content

UMASS/AMHERST in nil 312066 0374 7034 3 Guidelines for the Control of Vaccine-Preventable Diseases 1993 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GOVERNMENT D0CUUn.ro COLLECTIONS EEB o ; ;g$4 «nhen^ of Massachusetts S Depository Copy TABLE OF CONTENTS Topic Page Investigation of Vaccine-Preventable Diseases 1 (including list of immunization epidemiologists and regions) Summary Information on Vaccine-Preventable Diseases 2 Measles Control 3 Mumps Control 9 Rubella Control 14 Pertussis Control 19 Haemophilus Influenzae type b (Hib) Control 29 Definitions 33 Attachments Appendix MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Bureau of Communicable Disease Control Investigation of Vaccine-Preventable Diseases 1. Report case to appropriate health authorities: Providers report to the local board of health in the town in which they practice. Local boards of health report to their regional epidemiologist. In addition, providers may contact their regional epidemiologist. Regional epidemiologists report to the state Department of Public Health. 2. Verify diagnosis: Obtain description ofillnessfrom patient, family member of patient and health care provider. Does it meet the case definition? For measles, mumps and rubella, encourage serology submission. For pertussis, encourage laboratory confirmation (Culture/DFA, serology). Specimens should be submitted to the State Laboratory Institute, 305 South Street MA Jamaica Plain, 02130. 3. Obtain the case's immunization history from the health care provider. (Minimal acceptable documentation: Month/year administered.) 4. Identify possible sources of exposure Are there other contacts with similar symptoms in the family, day care, school, work setting, social group? Was there travel to other areas one incubation period prior to onset of symptoms? Did the case have visitors from other areas one incubation period prior to onset of symptoms? 5. Prevent spread Inform BOH's, MD's, medical settings, schools, day cares Isolate case during infectious period Identify everyone who was in contact with case during infectious period Think about "zones of exposure," consider the following groups household members school/day care medical facility where the patient was seen work place of case (especially day cares, schools and medical settings) religious/social groups sports teams, other-extra curricular groups bus mates close friends Identify susceptibles (will differ for each disease), paying attention to high- risk individuals Isolate susceptibles for the required period (The Isolation and Quarantine Regulations apply to students/health care workers only) Immunize/prophylax when appropriate Maintain surveillance of contacts for two incubation periods Please refer to your regional epidemiologist for assistance in implementation of these guidelines. 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Guidelines for the control of vaccine-preventable diseases : 1993 PDF

94 Pages·1993·3.5 MB·English
by  Massachusetts. Dept. of Public Health
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Preview Guidelines for the control of vaccine-preventable diseases : 1993

UMASS/AMHERST in nil 312066 0374 7034 3 Guidelines for the Control of Vaccine-Preventable Diseases 1993 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GOVERNMENT D0CUUn.ro COLLECTIONS EEB o ; ;g$4 «nhen^ of Massachusetts S Depository Copy TABLE OF CONTENTS Topic Page Investigation of Vaccine-Preventable Diseases 1 (including list of immunization epidemiologists and regions) Summary Information on Vaccine-Preventable Diseases 2 Measles Control 3 Mumps Control 9 Rubella Control 14 Pertussis Control 19 Haemophilus Influenzae type b (Hib) Control 29 Definitions 33 Attachments Appendix MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Bureau of Communicable Disease Control Investigation of Vaccine-Preventable Diseases 1. Report case to appropriate health authorities: Providers report to the local board of health in the town in which they practice. Local boards of health report to their regional epidemiologist. In addition, providers may contact their regional epidemiologist. Regional epidemiologists report to the state Department of Public Health. 2. Verify diagnosis: Obtain description ofillnessfrom patient, family member of patient and health care provider. Does it meet the case definition? For measles, mumps and rubella, encourage serology submission. For pertussis, encourage laboratory confirmation (Culture/DFA, serology). Specimens should be submitted to the State Laboratory Institute, 305 South Street MA Jamaica Plain, 02130. 3. Obtain the case's immunization history from the health care provider. (Minimal acceptable documentation: Month/year administered.) 4. Identify possible sources of exposure Are there other contacts with similar symptoms in the family, day care, school, work setting, social group? Was there travel to other areas one incubation period prior to onset of symptoms? Did the case have visitors from other areas one incubation period prior to onset of symptoms? 5. Prevent spread Inform BOH's, MD's, medical settings, schools, day cares Isolate case during infectious period Identify everyone who was in contact with case during infectious period Think about "zones of exposure," consider the following groups household members school/day care medical facility where the patient was seen work place of case (especially day cares, schools and medical settings) religious/social groups sports teams, other-extra curricular groups bus mates close friends Identify susceptibles (will differ for each disease), paying attention to high- risk individuals Isolate susceptibles for the required period (The Isolation and Quarantine Regulations apply to students/health care workers only) Immunize/prophylax when appropriate Maintain surveillance of contacts for two incubation periods Please refer to your regional epidemiologist for assistance in implementation of these guidelines. 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