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Congenital rubella syndrome in fiji, 1995-2010

Sheetalpreet Singh1, Frances Bingwor, Katherine Tayler-Smith

  • 1Health Information Unit, Division of Health Information, Research and Analysis, Ministry of Health, Government Buildings, P.O. Box 2223, Suva, Fiji.

Journal of Tropical Medicine
|February 23, 2013
PubMed

Insights

Reports of congenital rubella syndrome (CRS) are increasing in Fiji, despite no clear link to rubella incidence. Enhanced surveillance and rubella vaccination are crucial for public health.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Congenital rubella syndrome (CRS) is a preventable consequence of maternal rubella infection during pregnancy.
  • Effective rubella vaccination programs are essential for preventing CRS outbreaks.
  • Surveillance systems are critical for monitoring disease trends and informing public health interventions.

Purpose of the Study:

  • To determine the incidence of congenital rubella syndrome (CRS) in Fiji between 1995 and 2010.
  • To investigate the relationship between CRS incidence and notified rubella cases over the 16-year study period.
  • To identify trends in CRS reporting and inform public health strategies in Fiji.

Main Methods:

  • A descriptive, retrospective review was conducted on recorded congenital abnormalities in live births across Fiji.
  • Data spanned a 16-year period, from 1995 to 2010.
  • Infants meeting CRS criteria were identified and classified based on diagnostic confirmation levels.

Main Results:

  • A total of 294 infants met the criteria for suspected or confirmed CRS.
  • The incidence of reported CRS cases showed a significant linear increase annually (OR 1.045 per year).
  • No significant association was found between the incidence of CRS and reported rubella cases (P = 0.3).

Conclusions:

  • There is an upward trend in suspected congenital rubella syndrome (CRS) cases reported in Fiji.
  • Improved clinical and laboratory diagnostic capabilities are needed to accurately confirm or exclude CRS cases.
  • Strengthening rubella vaccination coverage is vital to mitigate the risk of CRS in Fiji.

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