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Last Updated: 15 Sep 08
    Rubella
    Rubivirus
 


stain of rubella
The name rubella is derived from latin, meaning “little red.” It was initially considered to be a variant of measles or scarlet fever and was called “third disease.” It was not until 1814 that it was first described as a separate disease in the German medical literature. In 1914, Hess postulated a viral etiology based on his work with monkeys. Hiro and Tosaka in 1938 confirmed the viral etiology by passing the disease to children using filtered nasal washings from acute cases. Following a widespread epidemic of rubella infection in 1940, Norman Gregg, an Australian ophthalmologist, reported in 1941 the occurrence of congenital cataracts among 78 infants born following maternal rubella infection in early pregnancy. This was the first reported recognition of congenital rubella syndrome (CRS). RUBELLA VIRUS Rubella virus was first isolated in 1962 by Parkman and Weller. Rubella virus is classified as a togavirus, genus Rubivirus. It is most closely related to group A arboviruses, such as Eastern and Western Equine Encephalitis viruses. It is an enveloped RNA virus, with a single antigenic type that does not cross-react with other members of the togavirus group. Rubella virus is relatively unstable and is inactivated by lipid solvents, trypsin, formalin, ultraviolet light, extremes of pH and heat, and amantadine.
 
    VIS          PACKAGE INSERTS          INFO PAPER

POLICIESmore...
  Standards for Immunization Delivery at Basic Combat Training (BCT) Posts PDF  18 Nov 05
 Author: Kiley

CLINICALmore...
  Immunization Safety Review: Measles-Mumps-Rubella Vaccine and Autism  28 Jan 04
  Notice to Readers: Revised ACIP Recommendation for Avoiding Pregnancy After  14 Dec 01
  Control and Prevention of Rubella: Evaluation and Management of Suspected O  13 Jul 01

ACIP GUIDELINESmore...
  Measles, Mumps, and Rubella — Vaccine Use and Strategies for Elimination of  22 May 98
 Recommendations of the Advisory Committee on Immunization Practices (ACIP)

MMQC MESSAGESmore...
  MMQC-08-1157  15 Apr 08
 MERCK / PROQUAD (MEASLES, MUMPS, RUBELLA AND VARCELLA VIRUS VACCINE LIVE (MMRV)) / INFORMATION BULLETIN
  MMQC-07-1155  23 May 07
 MERCK / UPDATE ON AVAILABILITY OF PROQUAD [MEASLES, MUMPS, RUBELLA, AND VARICELLA (OKA/MERCK) VIRUS VACCINE LIVE] / MERCK LETTER
  MMI-05-4004  26 May 05
 MMR AND INACTIVATED POLIOVIRUS VACCINES ON NEW ACCESSION

SAFETY/ADVERSE EVENTSmore...
  What Clinicians Need to Know About MMRV Vaccine Safety
 CDC

CONSUMERmore...
  Facts About Rubella For Adults  01 Jul 05
 National Foundation for Infectious Diseases

PACKAGE INSERTmore...
  ProQuad (Merck)
 Package Insert measles-mumps-rubella-varicella vaccine
  M-M-R II (Merck)
 Package Insert
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