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Who is at Highest Risk for Getting Rubella?


Rubella was declared eliminated in the U.S. in 2004. In 2018, there were four reported cases of rubella in the U.S. and between 2009 and 2017, there were an average of five rubella cases per year. There were no reported cases of CRS in the U.S. in 2018.1 2

However, rubella is endemic in many countries globally. Those most at risk for rubella are travelers who visit countries where rubella is endemic.3 Up to 50 percent of people with rubella will not have any symptoms (asymptomatic) of illness and persons may be exposed to the illness from someone who is contagious but not showing signs of infection.4

IMPORTANT NOTE: NVIC encourages you to become fully informed about Rubella and the Rubella vaccine by reading all sections in the Table of Contents, which contain many links and resources such as the manufacturer product information inserts, and to speak with one or more trusted health care professionals before making a vaccination decision for yourself or your child. This information is for educational purposes only and is not intended as medical advice.

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1 U.S. Centers for Disease Control and Prevention. TABLE 2l. Annual reported cases of notifiable diseases, by region and reporting area - - United States and U.S. Territories, 2018. In: National Notifiable Diseases Surveillance System. 2019.

2 World Health Organization (WHO). Incidence time series for United States of America (USA). In: WHO vaccine-preventable diseases: monitoring system. Oct. 12, 2020.

3 Communication and Education Branch, National Center for Immunization and Respiratory Diseases (NCIRD) and the Centers for Disease Control (CDC). Chapter 14: Rubella - Maintenance of Elimination. In: Manual for the Surveillance of Vaccine-Preventable Diseases. Centers for Disease Control (CDC) Mar. 6, 2020.

4 U.S. Centers for Disease Control and Prevention. Transmission. In: Rubella (German Measles, Three-Day Measles). Dec. 31, 2020.

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