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February 20, 1981, Vol 245, No. 7 >
ARTICLE | February 20, 1981

Rubella Vaccination of Hospital Employees FREE

Stephen R. Preblud, MD; Alan R. Hinman, MD
JAMA. 1981;245(7):736-737. doi:10.1001/jama.1981.03310320058031
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References

Before rubella vaccine was introduced in the United States in 1969, rubella was primarily a disease of elementary school-aged children.1 However, outbreaks have also occurred in adolescent and young adult populations (eg, military recruits2) because 15% to 20% of persons in these age groups were susceptible.1,3 Widespread vaccination of young children has successfully interrupted the characteristic six- to nine-year rubella epidemic cycle, reduced overall reported endemic rubella activity by 70%, and decreased the number of reported cases in children younger than 15 years by 85%.1

On the other hand, the risk of rubella among adolescents and young adults, who now account for most reported cases, has declined less dramatically, as evidenced by their unchanged susceptibility rate1,4 and by outbreaks in secondary schools,5 colleges,5-7 and military bases.3,8 Because hospital employees are likely to be as susceptible as the general public,9-14 outbreaks in

REFERENCES

1 +
Preblud SR, Serdula MK, Frank JA Jr, et al:  Rubella vaccination in the United States: A ten-year review . Epidemiol Rev 1980;;2:171-194.
2 +
Peczenik A, Gauld R:  Rubella at a military installation . Arch Environ Health 1963;;6:657-663.
3 +
Pollard RB, Edwards EA:  Epidemiologic survey of rubella in a military recruit population . Am J Epidemiol 1975;;101:431-437.
4 +
Preblud SR, Halsey WA, Herrmann KL, et al:  Susceptibility to measles and rubella in Merchant Marine cadets, Kings Point Long Island, New York, 1977 . Read before the 13th Immunization Conference, Louisville, March 6, 1978 .
5 +
Rubella Surveillance, July 1973-December 1975, Center for Disease Control. US Dept of Health, Education, and Welfare publication No. 1976-641-307/4583. Government Printing Office, 1976, pp 1-15.
6 +
Rubella Surveillance, January 1976-December 1978, Center for Disease Control. US Dept of Health and Human Services publication No. (CDC) 80-8023. Government Printing Office, 1980, pp 1-32.
7 +
Guyer B, Giandelia IW, Bisno AL, et al:  The Memphis State University rubella outbreak: An example of changing rubella epidemiology . JAMA 1974;;227:1298-1300.
8 +
 Rubella in Air Force recruits—Texas, 1977-1978 . Morbidity Mortality Weekly Rep 1980;;29:73-75.
9 +
 Rubella testing and immunization of health personnel . Calif Morbidity 1978;;3( (suppl) ):1-4.
10 +
Weiss KE, Falvo CE, Buimovici-Klein E, et al:  Evaluation of an employee health service as a setting for rubella screening and immunization program . Am J Public Health 1979;;69:281-283.
11 +
Chappell JA, Taylor MAH:  Implications of rubella susceptibility in young adults . Am J Public Health 1979;;69:279-281.
12 +
McLaughlin MC, Gold LH:  The New York rubella incident: A case for changing hospital policy regarding rubella testing and immunization . Am J Public Health 1979;;79:287-289.
13 +
 Rubella in Hospital Personnel and Patients-Colorado . Morbidity Mortality Weekly Rep 1979;;28:325-327.
14 +
Polk BF, White JA, DeGirolami PC, et al:  An outbreak of rubella among hospital personnel . N EnglJ Med 1980;;303:541-545.
15 +
Public Health Service Advisory Committee on Immunization Practices:  Rubella vaccine . Morbidity Mortality Weekly Rep 1978;;27:451-454, 459.
16 +
New York State Public Health Law 2803, section 720.6.
17 +
McCubbin JH, Smith JS:  Rubella in a practicing obstetrician: A preventable problem . Am J Obstet Gynecol 1980;;136:1087.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Preblud SR, Serdula MK, Frank JA Jr, et al:  Rubella vaccination in the United States: A ten-year review . Epidemiol Rev 1980;;2:171-194.
2 +
Peczenik A, Gauld R:  Rubella at a military installation . Arch Environ Health 1963;;6:657-663.
3 +
Pollard RB, Edwards EA:  Epidemiologic survey of rubella in a military recruit population . Am J Epidemiol 1975;;101:431-437.
4 +
Preblud SR, Halsey WA, Herrmann KL, et al:  Susceptibility to measles and rubella in Merchant Marine cadets, Kings Point Long Island, New York, 1977 . Read before the 13th Immunization Conference, Louisville, March 6, 1978 .
5 +
Rubella Surveillance, July 1973-December 1975, Center for Disease Control. US Dept of Health, Education, and Welfare publication No. 1976-641-307/4583. Government Printing Office, 1976, pp 1-15.
6 +
Rubella Surveillance, January 1976-December 1978, Center for Disease Control. US Dept of Health and Human Services publication No. (CDC) 80-8023. Government Printing Office, 1980, pp 1-32.
7 +
Guyer B, Giandelia IW, Bisno AL, et al:  The Memphis State University rubella outbreak: An example of changing rubella epidemiology . JAMA 1974;;227:1298-1300.
8 +
 Rubella in Air Force recruits—Texas, 1977-1978 . Morbidity Mortality Weekly Rep 1980;;29:73-75.
9 +
 Rubella testing and immunization of health personnel . Calif Morbidity 1978;;3( (suppl) ):1-4.
10 +
Weiss KE, Falvo CE, Buimovici-Klein E, et al:  Evaluation of an employee health service as a setting for rubella screening and immunization program . Am J Public Health 1979;;69:281-283.
11 +
Chappell JA, Taylor MAH:  Implications of rubella susceptibility in young adults . Am J Public Health 1979;;69:279-281.
12 +
McLaughlin MC, Gold LH:  The New York rubella incident: A case for changing hospital policy regarding rubella testing and immunization . Am J Public Health 1979;;79:287-289.
13 +
 Rubella in Hospital Personnel and Patients-Colorado . Morbidity Mortality Weekly Rep 1979;;28:325-327.
14 +
Polk BF, White JA, DeGirolami PC, et al:  An outbreak of rubella among hospital personnel . N EnglJ Med 1980;;303:541-545.
15 +
Public Health Service Advisory Committee on Immunization Practices:  Rubella vaccine . Morbidity Mortality Weekly Rep 1978;;27:451-454, 459.
16 +
New York State Public Health Law 2803, section 720.6.
17 +
McCubbin JH, Smith JS:  Rubella in a practicing obstetrician: A preventable problem . Am J Obstet Gynecol 1980;;136:1087.

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