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Measles Information For Health Care Workers

If you feel you have been exposed or are experiencing any signs/symptoms of Measles, DO NOT COME TO WORK. Call Infection Control, (806) 743-1379. Below are the key symptoms of Measles.

Recognizing Measles: Key Symptoms and Diagnosis

• Early symptoms (2-4 days): cough, runny nose and conjunctivitis (the “3 Cs”).
• Fever ≥ 101 °F
• Koplik spots: Small, white spots inside mouth on the cheeks, appearing 1-2 days before the rash
• Rash progression: Starts on the face and spreads downward, typically lasting about a week

Exposure Response & Post-Exposure Prophylaxis (PEP)

• Health care worker exposure: If unvaccinated or unsure of immunity, report immediately by calling Infection Control at (806) 743-1379
• PEP options may include:
  • MMR vaccine within 72 hours of exposure can prevent disease
  • Immune globulin (IG) within six days for high-risk individuals (pregnant, immunocompromised or infants under 12 months)
• Work restrictions: Exposed, non-immune health care workers should be excluded from duty from day 5 through day 21 post-exposure

Vaccination and Immunity Guidelines

• Ensure immunity: Health care workers should have two documented doses of the MMR vaccine or laboratory-confirmed immunity
• Booster considerations: If at high-risk (frequent patient interactions), a booster dose may be recommended
• Encourage vaccination: Promote MMR vaccination for patients and staff to limit further spread

Final Takeaway: Stay Prepared and Proactive
Measles outbreaks can escalate quickly, but with proper precautions, early detection and timely intervention, we can minimize the impact. Review your vaccination records, reinforce infection control protocols and stay informed on local case updates. For more detailed guidance, refer to the CDC or your local health department’s recommendations. More information can be found by visiting the . Stay safe and thank you for your dedication to patient care!

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Viral Respiratory Infections

1. For asymptomatic healthcare personnel who have a known or suspected exposure to a respiratory virus not addressed elsewhere in this guideline or other interim guidance+:
   • Work restrictions are not necessary.
   • Wear source control from the day of first exposure through at least the 5th day after last exposure*.
   • Monitor for development of signs or symptoms of a viral respiratory infection for at least 5 days after their last exposure.
     • Healthcare personnel who develop signs or symptoms of a viral respiratory infection should be restricted from work as described in recommendation 2.

2. For healthcare personnel with a suspected or confirmed viral respiratory infection not addressed elsewhere in this guideline or other interim guidance+:
   • Restrict from work until:
     • At least 3 days have passed from symptom onset** (or from their first positive respiratory virus test if asymptomatic throughout their infection), AND
     • They are fever free for at least 24 hours without the use of antipyretics, AND
     • Symptoms are improving, AND
     • They feel well enough to return to work.
   • Wear source control upon return to work until at least the end of day 7, where the day of symptom onset (or first positive test if asymptomatic throughout their infection) is day 0***.

⁺ This recommendation is intended to apply to respiratory viruses such as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), influenza, respiratory syncytial virus (RSV), parainfluenza, rhinovirus, human metapneumovirus, and additional adenoviruses, endemic coronaviruses, enteroviruses, and others. This recommendation is NOT intended to apply to viral respiratory pathogens addressed in other sections of this guideline (i.e., measles, mumps, rubella, varicella, cytomegalovirus, parvovirus B19, and viral conjunctivitis) or other interim guidance (e.g., Middle East Respiratory Syndrome coronavirus).

^* Where the last day of exposure is day 0, making the first possible day of working without source control day 6.

^** Where the day of symptom onset is day 0, making the first possible day of return to work on day 4.

^*** Making the first possible day of working without source control day 8.

Please Remember:

• Being eligible to return to work does not mean an employee should return while significantly ill. Employees should use good judgment regarding their ability to safely perform their duties and should continue to practice appropriate respiratory hygiene and hand hygiene.
• Because �㽶ֱ�� includes clinical and healthcare environments, additional infection-prevention precautions or work restrictions may apply based on an employee's role, work location, patient population, symptoms, or specific circumstances. Employees working in clinical settings should continue to follow applicable departmental and Infection Prevention requirements.
• Employees whose symptoms worsen, recur, or do not improve should remain away from work and seek medical evaluation as appropriate.

For questions regarding your individual return-to-work circumstances, please contact Employee/Occupational Health.

Thank you for your continued commitment to protecting the health and well-being of our �㽶ֱ�� community.