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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.
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Section 1. Active and Passive Immunization
IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES
Health Care Personnel 1
Adults whose occupations place them in contact with patients with contagious diseases are at increased risk of contracting vaccine-preventable diseases and, if infected, transmitting them to their patients. All health care personnel should protect themselves and susceptible patients by receiving appropriate immunizations. Physicians, health care facilities, and schools for health care professionals should play an active role in implementing these policies. Vaccine-preventable infections of special concern to people involved in the health care of children are as follows (see the disease-specific chapters in Section 3 for further recommendations).
Rubella. Outbreaks of rubella among health care personnel have been reported. Although the disease is mild in adults, the risk to a fetus necessitates documentation of rubella immunity in health care personnel of both sexes. People should be considered immune on the basis of serologic tests or documented proof of rubella immunization on or after the first birthday. A history of rubella disease is unreliable and should not be used in determining immune status. All susceptible people should be immunized with MMR vaccine
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Red Book 2006 2006: 441-452.[Extract] [Full Text]