The changing epidemiology of rubella in the 1990s: on the verge of elimination and new challenges for control and prevention

SE Reef, TK Frey, K Theall, E Abernathy, CL Burnett… - Jama, 2002 - jamanetwork.com
ContextIn 1989, the United States established a goal to eliminate indigenous rubella and
congenital rubella syndrome (CRS) by 2000. Reported rubella cases are at record low
levels; however, cases and outbreaks have occurred, primarily among unvaccinated foreign-
born adults. ObjectiveTo evaluate the current epidemiology of rubella and CRS and assess
progress toward elimination. Design, Setting, and SubjectsAnalysis of rubella cases
reported to the National Notifiable Diseases Surveillance System from 1990 through 1999 …