Section 690.620  Rubella (German Measles) (Including Congenital Rubella Syndrome) (Reportable by telephone, facsimile or electronically as soon as possible, within 24 hours)

a)         Control of Case.

1)         Standard Precautions shall be followed.  Droplet Precautions shall be followed for persons in health care facilities for 7 days after onset of rash.

2)         Infants with congenital rubella syndrome may shed virus for months.

Contact Precautions shall be followed for infants under 12 months of age with Congenital Rubella Syndrome in a health care facility, unless urine and pharyngeal virus cultures are negative for rubella virus after 3 months of age.

3)         Rubella cases should be insolated from pregnant females.  If a pregnant woman is exposed, a blood specimen should be obtained and tested for rubella IgG specific and IgM specific antibodies.

4)         Cases shall be excluded from school, child care facilities or the workplace for 7 days after rash onset.

b)         Control of Contacts.  No restrictions.

c)         Laboratory Reporting.

Laboratories shall report to the local health authority patients who have a positive result on any laboratory test indicative of and specific for detecting rubella virus infection, including positive results from IgM (rubella specific) serology, rubella virus isolates, or a significant rise in antibody results from IgG (rubella specific) from paired serologies.

(Source:  Amended at 32 Ill. Reg. 3777, effective March 3, 2008)