If a new employee in a health care setting cannot produce documentation of receiving any dose of MMR, what should be done?
Persons born in or after 1957 who work in health care facilities of any kind and cannot document prior vaccination should receive two doses of MMR separated by at least 4 weeks. Alternatively, serologic testing could determine if the person is immune to measles and rubella. Persons born before 1957 are generally considered immune to measles. However, ACIP recommends that at least one dose of MMR be considered for persons in this age group who do not have documentation of a measles-containing vaccination, history of physician-diagnosed measles, or laboratory evidence of measles and rubella immunity.
