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Rubella surveillance to June 1994: third joint report from the PHLS and the National Congenital Rubella Surveillance Programme.
- Source :
-
Communicable disease report. CDR review [Commun Dis Rep CDR Rev] 1994 Nov 11; Vol. 4 (12), pp. R146-52. - Publication Year :
- 1994
-
Abstract
- A downward trend in the incidence of acquired rubella in England and Wales was reversed in 1993 when there were local outbreaks. These affected young adult males in particular, especially those living in college residences. Some spread to local antenatal populations occurred. Twenty-five confirmed infections were reported in pregnant women, most of whom were young and in their first pregnancy; this compares with totals of 12 and two in 1991 and 1992, respectively. Reports of congenital rubella have not risen since the 1993 outbreaks. Diagnosis lags behind birth, however, and further evaluation may be needed. Notifications of 14 infants, including one set of triplets, born with congenital infection since the beginning of 1991 have been received. Nine of the 12 mothers were immigrants, and three of these acquired their infection abroad. Data on antibody prevalence have revealed a large pool of susceptible males aged 10 to 25 years, which indicates that outbreaks in males would continue for some years if no action were taken. The national measles and rubella vaccination campaign in schools this month should abolish the difference in susceptibility between boys and girls up to 16 years of age and hasten progress towards the interruption of rubella transmission in the United Kingdom. Susceptibility in girls aged 13 to 14 years rose to 5.8% in 1993 from an average of 3.6% between 1986 and 1992. This suggests that the vaccination of schoolgirls has recently declined, but this component of the selective rubella vaccination programme will be discontinued after the measles and rubella campaign.(ABSTRACT TRUNCATED AT 250 WORDS)
- Subjects :
- Adolescent
Adult
Child
Child, Preschool
Disease Susceptibility
England epidemiology
Female
Humans
Immunization Programs
Infant
Infant, Newborn
Male
Pregnancy
Pregnancy Complications, Infectious epidemiology
Pregnancy Complications, Infectious prevention & control
Rubella diagnosis
Rubella prevention & control
Rubella transmission
Rubella Syndrome, Congenital classification
Rubella Syndrome, Congenital epidemiology
Rubella Syndrome, Congenital prevention & control
Sex Factors
Wales epidemiology
Population Surveillance methods
Rubella epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1350-9349
- Volume :
- 4
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Communicable disease report. CDR review
- Publication Type :
- Academic Journal
- Accession number :
- 7529090