May 7, 1986
As you are aware, for some time thought has been given to an appropriate course of action by the University in light of available epidemiological data indicating that there is a cohort of adolescents and young adults among whom are University students--who are vulnerable to measles and rubella.
Following review of available information and consultation with you and others, the attached Measles and Rubella Policy was developed. The policy is effective immediately.
David Pierpont Gardner
UNIVERSITY OF CALIFORNIA
Office of the President
May 7, 1986
While both measles and rubella may be mild diseases when they occur in childhood, measles, in particular, can have serious sequelae. Immunization programs, begun in 1963 for measles and in 1969 for rubella, have sharply reduced the incidence of these diseases, although neither has yet been eradicated. In California, children have been required to show proof of immunity of these diseases before entering school; since 1968 for measles and since 1980 for rubella. For adults, both diseases are of more consequence than they are to children; measles is a more serious illness in itself, and rubella poses the risk of fetal damage to pregnant women who contract the disease.
The University is concerned about measles and rubella because recent epidemiological data indicate that there is a cohort of adolescents and young adults who are vulnerable to these diseases. Many of this group, born between 1957 and 1967, are too young to have acquired natural immunity and just old enough to have missed participation in effective vaccination campaigns; others grew up in parts of the country or the world where immunization was not required. Although the incidence rates for measles and rubella on college campuses are low and susceptibility levels appear to be declining, the college-age population (student and non-student alike) is at some risk. Because outbreaks of measles and rubella are disruptive to campus activities, are expensive to control, and are a source of risk to other unimmunized populations both on the campus and in the community, and because effective vaccines are available for the prevention of these diseases, the following Measles and Rubella Policy is adopted.
The education program shall be supplemented by the provision on campus of services that may be requested by students, such as testing for immunity to measles and rubella, and vaccination or revaccination against these diseases. The program shall be provided even on those campuses whose Chancellors elect to implement a mandatory campus policy (see B. below) for the benefit of the general campus community, and particularly for those individuals who may be exempt from the mandatory requirement.
The Chancellors shall report to the Office of the President on plans for the health education and voluntary immunization program being implemented on the campus, initially by September 1, 1986, and on the progress thereafter annually on July 1, beginning in 1987.
Prior to implementing this requirement, campus guidelines must be developed and disseminated. Such guidelines should be derived from the best available information and should include, but not be limited to, the following current information:
Persons born before 1957 are likely to have been infected naturally and generally need not be considered susceptible.
Neither a personal nor a physician-certified history of disease is acceptable evidence of immunity.
Campus guidelines shall be monitored and brought up-to-date if and when new information becomes available.
If Chancellors choose to require documentation of immunity, they shall report this decision to the Office of the President when it is made, and shall report on the campus experience with the program annually on July 1, beginning in 1987.