Guidelines for the control of vaccine-preventable diseases : 1993

94 Pages·1993·3.5 MB·English

by  Massachusetts. Dept. of Public Health

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. The
towns they cover and their telephone numbers are on the following pages.
1
1
UzoCC»cDO~ u1r«cC«5--D 2•=""cD£> w —.C2>Co2DCcCcDD_«C3q"D x=TC>3D 3Cact_-D 3.2C '2=« 2OO T2cg£3 _~Cro %CC^D _1CQ0DJ CcdD ~Cu£D -.vcorcE 2=ga) w7.caa_53 C2<CaOO_ODi>f4C-Di IoCD —J S-HkIQ_ 1CET=OO 1Cot$ET=oO »- co
il O-0C0CDCCOCOCOCOCO0OCOCOCOCOCO I
"§
Je!
3
CD.. Q_
:c < c
_ JC3ZD O§ o « o CO so
124CQC-OD". «C0<l/_)) c<cCEoD iiC«XnnO 2I^CCDD I»C>§D £XT0O) 2XCTOD -IOg fXCOD |XC3D s_oCCOiTlb—DO _CC)DD —XocCD _ZCiCC>l-DDD 7eC>3Dn 7TCECCo3ODD 2-3O T7hCC53-DD COiCO—D *CCCCOD-DD>D *£CCOC_-DD> *oOCO-> >><M™J <z»C$D 5zC™$=D 02z«eSC0D ^z-<ciO=S "fzcOE!2£E2Ok(0°cC_0D>*d.'2-n££DjC_£ETDOdC.2Dq*T"«gC3=_JDfX8"C0
«o<
co
CO C
1° o
-rJ* oCD ^ T3 Co 2. co •cC-»D
CEooM nt"«-O? T<CEI3OS <ETI2CODO P2<O= t<2Ec«-o 2<CCDOCD^CD00CD 0tCDEQj™CCOCj0CZ3QD-CV0CDQ—-CcCoOD-CQcUC)oD-U.CcCDoiUioQU. 2CCDJaOioi_nUOB>coUAA UmuCCmiD QoTOn TrfCC3iDDe la1O)u*laEilv§ECiD l.g_u--lgcull>JiGOf?) O^cTOO2^OcCD OI*iCC-_DD> 2OcCCkDD_ XcaC£TO
OC Tt
_CD
CP
5DCCChCa(CD-DDDDCC0O OCD 2ICS>D. oS3 *£C3cD tCCD CoO CT'D*CC3wOC3jDDCCco3O 2h*coaEC--D> 1 2 Cq_ ."2J~, CTOD -uCD "ttC2;D JCtoO>2D; -5Coo82O -s§oCi°O-D> Ste«ECC?£D 2£.§CCO.—D *u®cCOO>oD
= i*f~) r*»
°
CD CM
5 C CD
o o r-
in <>0 oCO CD
OD"£_C•» >>OCCDD I<Lfi.) ^X2Oc-.Xpcow3O XcC3O _2SSl '_cCl5dD £OCC.DO.2CoS°g?=•T==2o=O-C™>oDcocC-2Do">.l- =.' Ct5Cc0D-OooO. 222O• r2XCOD1 c„CD TX3 C«2CLjD _D8QC_D. QE-cC_Dn =0tQ-o. Q•coC_£D D§cT>oCO "D*T3Cg:O 2.Cx>bO:
(- o
co
CO
Q ^ 2
—<DIZUOiC-i OoCCEtCDoDoD c^poCCjnDO» <§U 1<CO ££<>><£_q<£53<ol»oOtmiCCamD>m..£mCCotoToODc*io;cl3oxQlr£>-f22lCfD iiCDUlCOlOCC3OD-Oid>Oi-CCCQDDui£"jCD luCoO.l^oioTOlooi^l^l-l9
t- If)
J
c
osi c re
._=>rEo _rE3O>~ *UCg>> SToCrJeIrCr>e. d£oOv W W WW*2oo3; wrrwcrZeee Si ^Oi -Erreec^~»^s»B-- S•—3 oa. co E °
Q_ 0_ 0_ oc tr (X
O
cO o 00 E
LL. in re
8.32ooC «CIo£ or>e coo £X«*re I0ocr5e I§§03" JX_ire s^X§o .*gcaE jIm-TO •_-2gm=S-2icm 2T"|Im5J5s2r&me2cr!me22•25t—Z~rreeZ°Z2Z2O™OcroeOScrid_oe |.rOfn=e) "IIaCt>ccre Ccr3Me• cCL<iotOiOn kao_> oCO
(3 (J _J
re a. X CoN
c CO <
o
*->
*J re
TNO C3O
00 CoD co C
«r-e> muni sach cmo O re
..<g£o <So3 ^<V2 <c|> _.O2ErwrQoee-Cg«r>Oe Gorc3Qe OQ.rtQeo, 0r|ac0e°CloroQs>.O|c£.UcOreQreQ.Q2'Q3 ;Cr$raOoee> j«Er(r-=eeAi *cCor-Oe> LlirCU—eDl_.LrfcLec Irr>eeIt3r>e CEcoCoOO oolas COC*coCo-NOO> CiOni oLa<LLXLUL £OCoO -oEa5j
rae
a o >
? re c =re 35aO|2 C*5* f— </> "sOoO e*rw-e' lQolre CgorrcOeeo£^g CoN .c"orrE°een)cOa.Oc1crOecIfc(l/.fiq)nc?no, ^c£Crroeeo>cUtQ>Ccto.ot^-)c!Cr=D=Oeo/OT"^-)g35-sSi.irr2'-^eeir^-IrC-ee'>"Sa3i>>>.c>—•b?O=h>s:>oc3
o re © t "o CO AD CO 0B Q) 6
CD
c re
Xre 0O0
£ — o
= •c— o —g OI>• ^T•3 TT§53 ~ ZreZErerZecoZr—Ve,Zo=cZsuo"O0o6o3C.-*<~Coco O—sZr/1e QrcoaSCe 0LoX<0O r|e (c_ "rcoe ^«tor5oe ^5rrreee ^I0r3eI^CrrJee^^c23reS"T.co&iD3izJ*CrrC*eezr3>>ez-0r3>»Oe.z<05S°).z0TCfCS3i. --Oro°Oej
D.
CO
^
CD
rae c w
<•~cO-<T£c3om0mJ 2arr1-ee 3—acS)u^I1-ur^ue 5urQo3 uQoocQrTErru.3ee joi1"-L?JLCJL.im£ioO J3r52e rc8O-o <<ir>oC-emo"pi0Dj0rr>55eC—ruc0a TpCtO330oocrCeo»w0.jcUO(ErAUe0rc>Q0e>-QcLouaC) 3—Oaicr>Oe-rXcerX=e
h- in

1 1
>
«•a. -oo g|
QX *~~ m -o a
• CM —
LO c3«OQX9. S°a £Ea «ceo- xa> 2- Na o a. c
•-15°t3Eo-~I5s§oO• O*j"o•3o3| '050 1X5 0CCC>a9MM• 5—JQsC2!-^^>E°&>a z2c258oCa -°XrS«owS. coU—iDEe.—J2o<*Oo0- xIiE82"If§•c>c 3So•..5§2> 1.£=IOC•e-I£«>2aaoE0..
a
U in «:
CO C« X ll
((0030 2 8 a •o. c« ivcn
0()A a .c£ •* .2 ~ c ..^uCO~Sa. c ^ "o'555
*o O§ *ancc>»>u .5•12 a§• zEo-Ix*£• 5I•S«Q-IXsoE2 X0oEo•>) =ac• .£2 E J£O2•°O5=>«rc3 -o«Q-o••O-x"^|2fc iSL£3OtL- l£aII•U "OCoCDDO)
0)
2 S a > > a cm
1 c a a o
IrIIo ">u(50 o =c• C«a x 1c • x§a>xr•o «:1s, ''cc5c> •
fS-t3 co O $•2 *•>S 2» ~1X8 ou£o Xa°o) "O°s 5O2\oc x*c_ .-xa>2s C0O)
c• XS z• X 3 S " : i c
X3 O IS? o
a 3e (0 s • 5s. sc ~• 2•- eo 1_ E• CO
Is"= Eo z cm i O .£ o -o < 2 z E
c
o
>
"5
<5
E
E
3 ~
=
0} caCa —3«3 E•aCa>Sa3• ecaCac dm3• c 3~ T5a3. CO
Q. CcC a TaJ TaJ I• 5a- CaC ^ CM CcoO
* CM ICIM) 0>0- rti-l 0T0-
CM (0 4 <C "O
r» oo CO
o
45
o
a 9 c ^?
a E XC r3 a = X
5c s3 C3C 0.
2
Digitized by the Internet Archive
2014
in
https://archive.org/details/guidelinesforconOOmass