Rubella and congenital rubella syndrome--United States, January 1, 1991-May 7, 1994

Following a resurgence of rubella and congenital rubella syndrome (CRS) during 1989-1991, the reported number of rubella cases during 1992 and 1993 was the lowest ever recorded. However, outbreaks of rubella have continued to occur, indicating the need for intensified and sustained efforts to reach the goal of eliminating indigenous rubella and CRS in the United States by 1996. This report summarizes surveillance for rubella and CRS from January 1, 1991, through May 7, 1994. Information is based on cases reported to the National Notifiable Disease Surveillance System (NNDSS) and a telephone survey of 28 areas reporting rubella to obtain verification and information on age, laboratory confirmation, and vaccination status of persons with rubella reported in 1993.