https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN43834-ALARACT_0602025-000-WEB-1.pdf
ALARACT 060/2025
DTG: R 131500Z MAY 25
UNCLAS
SUBJ/ALARACT 060/2025 – MEASLES EXCLUSION GUIDANCE
THIS ALARACT MESSAGE HAS BEEN TRANSMITTED BY JSP ON BEHALF OF
HQDA, DCS, G–9
1. (U) REFERENCES:
1.A. (U) DODI 6060.02, CHILD DEVELOPMENT PROGRAMS (CDPs) (AVAILABLE AT
HTTPS://WWW.ESD.WHS.MIL/)
1.B. (U) DODI 6060.04, YOUTH SERVICES (YS) POLICY (AVAILABLE AT
HTTPS://WWW.ESD.WHS.MIL/)
1.C. (U) AR 40–562, IMMUNIZATIONS AND CHEMOPROPHYLAXIS FOR THE
PREVENTION OF INFECTIOUS DISEASES
1.D. (U) ARMY DIRECTIVE 2020–17, CHILD, YOUTH, AND SCHOOL SERVICES
IMMUNIZATION REQUIREMENTS
2. (U) PURPOSE: POLICY CLARIFICATION.
2.A. (U) IMMUNIZATION REQUIREMENTS WILL BE IMPLEMENTED IN
ACCORDANCE WITH REFERENCE 1.A.
2.B. (U) IN THE EVENT OF A DECLARATION OF A MEASLES OUTBREAK ON AN
INSTALLATION, APPROPRIATED AND NONAPPROPRIATED EMPLOYEES, AS
WELL AS FAMILY CHILD CARE PROVIDERS, LOCAL NATIONAL PERSONNEL,
SPECIFIED VOLUNTEERS, AND CONTRACTORS WHO ARE NOT IMMUNIZED,
WILL BE EXCLUDED FROM THE PROGRAM FOR THEIR HEALTH PROTECTION
AND THE PROTECTION OF THE HEALTH OF OTHER CHILDREN, STAFF, AND
VOLUNTEERS UNTIL THE COMMUNICABLE PERIOD OF THE OUTBREAK IS
OVER.
2.C. (U) DURING A DECLARED OUTBREAK OF MEASLES, IF APPROPRIATED AND
NONAPPROPRIATED EMPLOYEES, AS WELL AS FAMILY CHILDCARE
PROVIDERS, LOCAL NATIONAL PERSONNEL, SPECIFIED VOLUNTEERS, OR
CONTRACTORS, CHOOSE TO OBTAIN IMMUNIZATION AGAINST MEASLES PER
THE HEADQUARTERS, DEPARTMENT OF THE ARMY, OFFICE OF THE SURGEON
GENERAL, THE EXCLUDED ADULTS MAY RETURN TO THE PROGRAM AFTER
THEY HAVE RECEIVED TWO DOSES OF THE MEASLES, MUMPS, RUBELLA
COMBINATION (MMR) VACCINE WITH GREATER THAN OR EQUAL TO 28 DAYS
BETWEEN 1ST AND 2ND SHOTS IN SERIES.
3. (U) PROCEDURES:
3.A. (U) UPON DECLARATION OF A MEASLES OUTBREAK, PROGRAM MANAGERS
WILL IDENTIFY ALL APPROPRIATED AND NONAPPROPRIATED EMPLOYEES, AS
WELL AS FAMILY CHILD CARE PROVIDERS, LOCAL NATIONAL PERSONNEL,
SPECIFIED VOLUNTEERS, AND CONTRACTORS WHO HAVE NOT PROVIDED
DOCUMENTATION OF IMMUNITY TO MEASLES. THIS WOULD INCLUDE THOSE
INDIVIDUALS WHO HAVE APPROVED OR SUBMITTED MEDICAL OR NONMEDICAL
EXEMPTION FOR THE MMR VACCINE.
3.B. (U) AT THE DECLARATION OF AN INSTALLATION MEASLES OUTBREAK, ALL
NON-IMMUNIZED APPROPRIATED AND NONAPPROPRIATED EMPLOYEES, AS
WELL AS FAMILY CHILD CARE PROVIDERS, LOCAL NATIONAL PERSONNEL,
SPECIFIED VOLUNTEERS, AND CONTRACTORS, ARE TO BE EXCLUDED FROM
THE PROGRAM ACTIVITY UNTIL THE INSTALLATION DEPARTMENT OF PUBLIC
HEALTH OFFICE DETERMINES THAT CONDITIONS ALLOW FOR UNIMMUNIZED
OR UNDER-IMMUNIZED EMPLOYEES AND STAFF TO RETURN TO THE
PROGRAM.
3.C. (U) DATA ON ALL SUSPECTED AND CONFIRMED CASES OF MEASLES WILL
BE COLLECTED AND MAINTAINED TO ALLOW REPORTING BY INDIVIDUAL
PROGRAMS. PERSONAL INFORMATION WILL BE SECURED AND ACCESS
LIMITED IN ACCORDANCE WITH HEALTH INSURANCE PORTABILITY AND
ACCOUNTABILITY ACT (HIPPA) AND PRIVACY ACT STANDARDS.
3.D. (U) CHILD AND YOUTH SERVICES PROGRAMS WILL SUBMIT TO THE
DEPUTY CHIEF OF STAFF, G–9, ANY DATA OR RECORDS ON ALL OUTBREAKS
OF MEASLES TO INCLUDE REPORTING OF ALL APPROVED MEDICAL AND NON-
MEDICAL IMMUNIZATION WAIVERS AT THE LOCATION.
4. (U) DCS, G–9 POINT OF CONTACT IS DONNA GARFIELD,
DONNA.K.GARFIELD.CIV@ARMY.MIL.
5. (U) THIS ALARACT MESSAGE EXPIRES ON 20 MAY 2026.