OHCP Exposed to or Infected with Measles, Mumps, Rubella, and SARS-CoV-2
The measles, mumps, rubella viruses and the novel SARS-CoV-2 are spread primarily by droplets and droplet nuclei generated by an infected person during talking, breathing, coughing, and sneezing; by direct contact with nasal or throat secretions; and less frequently by touching freshly contaminated articles and environmental surfaces.47-50 In oral healthcare settings, administrative policies and work restrictions are primarily predicated on the mode of transmission of these pathogens and the period of infectivity of exposed or infected OHCP (Table 6)1,2 and (Table 7).51,52
Table 6. Work Restrictions: Measles, Mumps, and Rubella Infections.1,2
Table 7. Work Restrictions: SARS-CoV-2.51,52
Note: For OHCP who are not severely immunocompromised and who were asymptomatic throughout their infection may return to work when at least 10 days have passed since the date of their first positive viral diagnostic test.
Note: OHCP who are severely immunocompromised may produce replication-competent virus beyond 20 days after symptom onset or, for those who were asymptomatic throughout their infection, the date of their first positive viral test. Consultation with infectious diseases specialists is recommended. Use of a test-based strategy for determining when these HCP may return to work could be considered.
* Risk criteria for potential exposure:
Prolonged close contact (>15 minutes) with a patient, visitor, or HCP with confirmed SARS-CoV-2 infection and