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[Rubella in Poland in 1999]
M P Czarkowski1, J Sitarska-Gołebiowska
1Zakład Epidemiologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.
Abstract:
In Poland in 1999 rubella was characterized by an epidemiological stability. A total of 30 958 rubella cases (including one case of Congenital Rubella Syndrome) were registered. The incidence rate was 80.1 per 100,000 and was 28% lower than in 1998. Of all reported cases, children aged 14 and less accounted for 94.6% cases. The highest incidence rate was among children aged 7 years (752.8 per 100,000). Comparing with the eighties, the last decade was characterized by a decline of the mean incidence rate in the population under 30 years of age, which was probably the consequence of mandatory vaccinations of 13 year old schoolgirls. Also, a decline of incidence rate among 2-5-year old children was observed, which was probably due to recommended vaccinations with MMR-II vaccine. The incidence rate among children aged 6-9 years was higher in 1999, as compared with previous years. Of all rubella cases, 0.5% were hospitalized. No deaths from rubella were reported.
Insights
In 1999, Poland reported stable rubella epidemiology with 30,958 cases, primarily in children under 14. Declining incidence in younger children suggests vaccination success, though rates rose in 6-9 year olds.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Context:
- Rubella incidence in Poland during 1999 showed epidemiological stability.
- A total of 30,958 rubella cases were registered, including one Congenital Rubella Syndrome case.
- The overall incidence rate was 80.1 per 100,000, a 28% decrease from 1998.
Purpose:
- To analyze the epidemiological characteristics of rubella in Poland in 1999.
- To assess the impact of vaccination programs on rubella incidence across different age groups.
- To identify trends in rubella cases, particularly among children.
Summary:
- Children aged 14 and under constituted 94.6% of all reported rubella cases.
- The highest incidence rate was observed in 7-year-old children (752.8 per 100,000).
- A decline in rubella incidence in the under-30 population compared to the 1980s was noted, likely due to mandatory vaccinations for schoolgirls and recommended MMR-II vaccinations for younger children.
Impact:
- The study highlights the effectiveness of vaccination strategies in reducing rubella incidence, especially in younger populations.
- Despite overall declines, a rise in incidence among 6-9 year olds warrants further investigation.
- The findings underscore the importance of sustained vaccination efforts to maintain rubella control and prevent Congenital Rubella Syndrome.