<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12-1" citation="COMAR 10.06.01.12-1" title_num="10" subtitle_num="06" chapter_num="01" heading="Mumps.">
  <paragraph num="A.">
    <text>Control of a Case. A health officer or health care provider shall recommend that a case may not attend a school, workplace, or child care facility from the onset of illness through the 5th day after onset of parotitis.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Control of Contacts.</text>
    <paragraph num="(1)">
      <text>Nonimmune Individuals.</text>
      <paragraph num="(a)">
        <text>Nonimmune individuals for mumps, in general, are people who:</text>
        <paragraph num="(i)">
          <text>Have not received two doses of mumps containing vaccine on or after the first birthday;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Have no documentation of immunity or disease; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Were born in or after 1957.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>A health officer shall restrict or exclude a nonimmune contact from attending a school, health care facility, child care facility, or workplace until 25 days after the onset of parotitis in the last case of mumps.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A health officer:</text>
      <paragraph num="(a)">
        <text>May require all nonimmune individuals to be excluded from a school, workplace, or child care facility when a case of mumps is diagnosed or suspected in a student, employee, or volunteer of the school or facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall authorize readmission upon documented proof of immunity in the form of:</text>
        <paragraph num="(i)">
          <text>An immunization record;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A serologic test; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The low likelihood of disease transmission.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Infection Control. A health care provider shall practice droplet precautions for 5 days after onset of parotitis.</text>
  </paragraph>
</regulation>