We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Rubella in an Immunized Island Population

Ronald P. Hattis, MD; Scott B. Halstead, MD; Kenneth L. Herrmann, MD; John J. Witte, MD
JAMA. 1973;223(9):1019-1021. doi:10.1001/jama.1973.03220090039008.
Text Size: A A A
Published online


Although the epidemiology of rubella virus has been studied in detail,1-8 the marked variation in epidemic potential of rubella virus in different population groups remains unexplained. The introduction of rubella into the highly susceptible population in Hawaii has seldom resulted in epidemic disease.9 In contrast, at the US Army recruit training camp at Fort Ord, Calif, rubella is endemic throughout the year and a very high proportion of susceptible men (including Hawaiian recruits) become infected during the short period of basic training.3,10 During the winter of 1970-1971, rubella was introduced into Kauai, an island community where the rubella immunity status had been accurately defined. This report summarizes the epidemiology of the outbreak and discusses some host-dependent factors that may be related to the epidemiology of this virus.

Materials and Methods 

Studied Area.—  Kauai is the fourth largest of the Hawaiian Islands (555 square miles). Its racially diverse


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.