Measles, Mumps, and Rubella - Centers for Disease Control and ...

TABLE 1. Acceptable presumptive evidence of immunity to measles, rubella, and mumpsMeaslesRubellaMumpsRoutine(1) documentation of adequatevaccination † :- preschool-aged children and,adults not at high risk: 1 dose- school-aged children (gradesK-12): 2 doses § , or(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmeasles(1) documented administrationof one dose of live rubellavirus, vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957 (exceptwomen of childbearing agewho could become pregnant †† )(1) documented administrationof one dose of live mumpsvirus vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmumpsPersons who work inhealth-care facilities*(1) documented administrationof 2 doses of live measlesvirus vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957 § , or(4) documentation of physiciandiagnosedmeasles(1) documented administrationof one dose of live rubellavirus, vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957 (exceptwomen of childbearing agewho could become pregnant †† )(1) documented administrationof one dose of live mumpsvirus vaccine †(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmumpsInternational travelers(1) documented administrationof 2 doses of live measlesvirus vaccine † **, or(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmeasles(1) documented administrationof one dose of live rubellavirus, vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957 (exceptwomen of childbearing agewho could become pregnant †† )(1) documented administrationof one dose of live mumpsvirus vaccine †(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmumpsStudents at post-high schooleducational institutions(1) documented administrationof 2 doses of live measlesvirus vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmeasles(1) documented administrationof one dose of live rubellavirus, vaccine † , or(2) laboratory evidence ofimmunity, or(3) born before 1957 (exceptwomen of childbearing agewho could become pregnant †† )(1) documented administrationof one dose of live mumpsvirus vaccine †(2) laboratory evidence ofimmunity, or(3) born before 1957, or(4) documentation of physiciandiagnosedmumps* Health-care workers include all persons (i.e., medical or nonmedical, paid or volunteer, full- or part-time, student or nonstudent, with or without patient-care responsibilities) whowork facilities that provide health care to patients (i.e., inpatient and outpatient, private and public). Facilities that provide care exclusively for elderly patients who are at minimalrisk for measles and rubella and complications of these diseases are a possible exception.† The first dose should be administered on or after the first birthday; the second dose of measles-containing vaccine should be administered no earlier than one month (i.e.,minimum of 28 days) after the first dose. Combined measles-mumps-rubella (MMR) vaccine generally should be used whenever any of its component vaccines is indicated.§ May vary depending on current state or local requirements. Health-care facilities should consider recommending a dose of MMR vaccine for unvaccinated workers born before 1957 who are at risk for occupational exposure to measlesand who do not have a history of measles disease or laboratory evidence of measles immunity.** Children aged 6–11 months should receive a dose of monovalent measles vaccine (or MMR, if monovalent vaccine is not available) before departure. Children who receive adose of measles-containing vaccine before their first birthdays should be revaccinated with two doses of MMR vaccine, the first of which should be administered when the childis aged 12–15 months (12 months if the child remains in a high-risk area) and the second at least 28 days later.†† Women of childbearing age are adolescent girls and premenopausal adult women. Because rubella can occur in some persons born before 1957 and because congenital rubellaand congenital rubella syndrome can occur in the offspring of women infected with rubella virus during pregnancy, birth before 1957 is not acceptable evidence of rubellaimmunity for women who could become pregnant.Vol. 47 / No. RR-8 MMWR 11