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An outbreak investigation of congenital rubella syndrome in Solomon Islands, 2013

Kara N Durski1, Carol Tituli2, Divi Ogaoga3

  • 1WHO Headquarters, Geneva, Switzerland .

Western Pacific Surveillance and Response Journal : WPSAR
|October 21, 2016
PubMed

Insights

A rubella outbreak in the Solomon Islands led to a congenital rubella syndrome (CRS) investigation. The study identified 13 CRS cases, highlighting the need for rubella vaccination to prevent severe outcomes.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Surveillance

Background:

  • A rubella outbreak occurred in the Solomon Islands in May 2012.
  • A suspected case of congenital rubella syndrome (CRS) was reported in 2013, prompting an investigation.

Purpose of the Study:

  • To investigate suspected cases of congenital rubella syndrome (CRS) following a rubella outbreak.
  • To describe the findings and implemented measures for CRS cases.

Main Methods:

  • Prospective CRS surveillance was conducted from April to July 2013.
  • Retrospective case finding reviewed medical records for cases born between January and March 2013.
  • Established World Health Organization case definitions were used to identify CRS cases.

Main Results:

  • A total of 13 CRS cases were identified: 2 laboratory-confirmed, 4 clinically confirmed, and 7 suspected.
  • Five additional cases were identified retrospectively.
  • Mothers' ages ranged from 20 to 36 years, with three recalling rash illness in early pregnancy.

Conclusions:

  • Further CRS cases may exist beyond this investigation.
  • Managing CRS cases presents challenges in resource-limited settings.
  • Rubella vaccination is crucial for preventing CRS and its severe consequences.
Abstract

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