Rubella Information for Health Care

HCP Born in 1957 or Later

For health care personnel (HCP) born in 1957 or later without serologic evidence of immunity or prior vaccination, give 2 doses of MMR, 4 weeks apart. HCP born in 1957 can be considered immune to measles, mumps, or rubella only if they have documentation of: 

A) laboratory confirmation of disease or immunity or

B) appropriate vaccination against measles, mumps, and rubella (i.e., 2 doses of live measles and mumps vaccine given on or after the first birthday and separated by 28 days or more, and at least 1 dose of live rubella vaccine). 

HCP with 2 documented doses of MMR are not recommended to be serologically tested for immunity. If they are tested and results are negative or equivocal for measles, mumps, and/or rubella, these HCP should be considered to have presumptive evidence of immunity to measles, mumps, and/or rubella and are not in need of additional MMR doses. 

HCP Born Prior to 1957

Any HCP born prior to 1957 is considered acceptable enough evidence to measles, mumps, and rubella immunity. 2 doses of MMR vaccine should be considered for unvaccinated HCP born before 1957 who do not have laboratory evidence of disease or immunity to measles and/or mumps. One dose of MMR vaccine should be considered for HCP with no laboratory evidence of disease or immunity to rubella. 

For HCP who do not have evidence of immunity, 2 doses of MMR vaccine are recommended during an outbreak of measles or mumps and 1 dose during an outbreak of rubella. HCP who have had 2 doses of MMR and are identified by public health authorities as being at an increased risk for mumps because of an outbreak should receive a third doses of MMR to improve protection. 

Healthcare Personnel Vaccination Recommendations (immunize.org)