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ARTICLE |

Increase in Rubella and Congenital Rubella

JAMA. 1991;265(9):1076-1077. doi:10.1001/jama.1991.03460090024009.
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CDC.  Case definitions for public health surveillance . MMWR 1990;39(no. (RR-13) ):32.
CDC.  Rubella and congenital rubella syndrome—United States, 1985-1988 . MMWR 1989;38:173-8.
Stehr-Green PA, Cochi SL, Preblud SR, Orenstein WA.  Evidence against increasing rubella seronegativity among adolescent girls . Am J Public Health 1990;80:88.
Link to Article[[XSLOpenURL/10.2105/AJPH.80.1.88]]
Chu SY, Bernier RH, Stewart JA, et al.  Rubella antibody persistence after immunization: sixteen-year follow-up in the Hawaiian Islands . JAMA 1988;259:3133-5.
Link to Article[[XSLOpenURL/10.1001/jama.1988.03720210023022]]
White CC, Koplan JP, Orenstein WA.  Benefits, risks, and costs of immunization for measles, mumps, and rubella . Am J Public Health 1985;75:739-44.
Link to Article[[XSLOpenURL/10.2105/AJPH.75.7.739]]
CDC.  Rubella prevention: recommendations of the Immunization Practices Advisory Committee (ACIP) . MMWR 1990;39(no. (RR-15) ).
Cochi SL, Edmonds LD, Dyer K.  Congenital rubella syndrome in the United States, 1970-1985: on the verge of elimination . Am J Epidemiol 1989;129:349-61.
Kaplan KM, Cochi SL, Edmonds LD, Zell ER, Preblud SR.  A profile of mothers giving birth to infants with congenital rubella syndrome: an assessment of risk factors . Am J Dis Child 1990;144:118-22.
Mississippi does not require reporting of rubella cases.
Based on definitions recommended by the Council of State and Territorial Epidemiologists (CSTE), a confirmed CRS case is a case with both congenital anomalies and laboratory evidence of rubella infection in a person, and a compatible case is a case that satisfies selected clinical criteria without laboratory confirmation.
Data on CRS are available from reports submitted weekly to NNDSS and from NCRSR maintained at CDC's Center for Prevention Services. The NNDSS CRS reports are case counts with demographic data and are tabulated by year of report. The NCRSR contains clinical and laboratory information on cases of CRS that are reported by state and local health departments. NCRSR cases are classified by year of patient's birth; data are considered provisional for any given year, because delays in diagnosis or reporting may result in updates of these figures.
Based on definitions approved by CSTE, an imported case of CRS is defined as CRS in a U.S. or non-U.S. citizen whose mother was outside the United States during her presumed exposure to rubella. If the timing of exposure to rubella cannot be determined, the mother must have been outside the United States throughout the 21 days before conception and the first 20 weeks of pregnancy.

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