R9-6-391. Syphilis

A. Case control measures: 1. A syphilis case shall obtain serologic testing for syphilis three months, six months, 12 months, and 24 months after initiating treatment, unless more frequent or longer testing is recommended by a local health agency. 2. A health care provider shall order serologic testing for syphilis for a pregnant individual at 28 to 32 weeks gestation and at delivery. 3. A local health agency shall: a. Conduct an epidemiologic investigation, including a review of medical records, of each reported syphilis case or suspect case, confirming the stage of the disease; b. For each syphilis case, submit to the Department, as specified in Table 2.4, the information required under R9-6-206(D); c. If the syphilis case is pregnant, ensure that the syphilis case obtains the serologic testing for syphilis required in subsections (A)(1) and (A)(2); and d. Comply with the requirements specified in R9-6- 1103 concerning treatment and health education for a syphilis case. 4. The operator of a blood bank, blood center, or plasma center shall notify a donor of a test result with significant evidence suggestive of syphilis, as required under A.R.S. § 32-1483 and 21 CFR 630.6. B. Contact control measures: When a syphilis case has named a contact, a local health agency shall comply with the requirements specified in R9-6-1103 concerning notification, testing, treatment, and health education for the contact. C. Outbreak control measures: A local health agency shall: 1. Conduct an epidemiologic investigation of each reported syphilis outbreak; and 2. For each syphilis outbreak, submit to the Department the information required under R9-6-206(E).