Rubella Prevention

Abstract

These revised Immunization Practices Advisory Committee recommendations for the prevention of rubella update the previous recommendations to include current information about vaccine effectiveness, duration of immunity, vaccination in pregnancy, and progress in controlling congenital rubella syndrome. Although there are no basic changes in approach, the available epidemiologic data indicate that the elimination of congenital rubella syndrome can be achieved and even hastened by focusing particular attention on more effective delivery of vaccine to older persons—particularly women of childbearing age. The importance of vaccinating preschool-aged children is also emphasized. As the incidence of rubella declines, serologic confirmation of cases becomes more important. Recommendations for international travel are included.