TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER k: COMMUNICABLE DISEASE CONTROL AND IMMUNIZATIONS
PART 690 CONTROL OF COMMUNICABLE DISEASES CODE
SECTION 690.570 PLAGUE (REPORTABLE BY TELEPHONE IMMEDIATELY, WITHIN THREE HOURS UPON INITIAL CLINICAL SUSPICION OF THE DISEASE)


 

Section 690.570  Plague (Reportable by telephone immediately, within three hours upon initial clinical suspicion of the disease)

 

a)         Control of Case

 

1)         Standard precautions shall be followed.  For all patients, droplet precautions shall be followed until pneumonia has been determined not to be present.

 

2)         For patients with pneumonic plague, droplet precautions shall be followed until 48 hours after initiation of effective antimicrobial therapy and the patient has a favorable clinical response.  Antimicrobial susceptibility testing is recommended.

 

3)         Cases and their clothing should be treated to eliminate fleas.

 

4)         The Department will refer information about animal contacts to the Illinois Department of Agriculture or the Illinois Department of National Resources for follow-up.

 

b)         Control of Contacts

 

1)         Contacts to pneumonic plague cases shall be offered chemoprophylaxis and placed under surveillance with close observation for developing illness for seven days.  For contacts who refuse chemoprophylaxis, strict quarantine is required for seven days.

 

2)         Contacts to bubonic plague shall be disinfested with an appropriate insecticide and kept under surveillance with close observation for developing illness for seven days.  Contacts to bubonic plague should be offered chemoprophylaxis.

 

c)         Laboratory Reporting

 

1)         Laboratories shall report to the local health authority patients from whom Yersinia pestis is cultured or patients who have a positive result on any other laboratory test indicative of and specific for detecting Yersinia pestis infection.

 

2)         Laboratories shall forward clinical materials that are suspect or confirmed positive for Yersinia pestis to the Department's laboratory.

 

3)         Laboratories shall report any Yersinia pestis isolates from animals or the environment during an individual case or outbreak investigation.

 

(Source:  Amended at 38 Ill. Reg. 5533, effective February 11, 2014)