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RUBELLA (GERMAN MEASLES)

Rubella

​Rubella, also called German measles, is a disease caused by a virus. It spreads from person to person. Thanks to vaccines, rubella has been mostly gone from the U.S. since 2004. However, it can still come back if people get infected in other countries, return to the U.S. and spread it to people who are not vaccinated. 

Rubella is usually mild in children and adults. However, it is very dangerous during pregnancy, especially in the first trimester. If a pregnant person gets rubella, it can cause serious problems for their baby, including birth defects, or even miscarriage. 

Symptoms & How It Spreads 

Rubella often starts with a red rash that begins on the face and spreads to the rest of the body. The rash usually lasts about 3 days. Other symptoms may include: 

  • Fever 

  • Headache 

  • Runny nose 

  • Cough 

  • Red or itchy eyes 

  • Swollen glands behind the ears or neck 

  • Joint pain (more common in teens and adults) 

Some people with rubella don’t feel sick at all, but they can still spread the virus. 

Rubella spreads through the air when an infected person coughs or sneezes. A person can spread rubella a week before the rash appears and up to 7 days after. 

Rubella is dangerous during pregnancy. If a pregnant woman gets rubella, her baby could be born with congenital rubella syndrome (CRS). CRS birth defects can include: 

  • Deafness or hearing loss 

  • Eye proble​​​ms like cataracts 

  • Heart defects 

  • Learning delays 

  • Liver or brain problems 

  • A special rash called a “blueberry muffin” rash 

Babies with CRS can spread rubella to others for up to 1 year.

Vaccine Recommendations 

The best way to prevent rubella is to get the MMR vaccine, which protects against measles, mumps, and rubella. There is also an MMRV vaccine that includes protection against chickenpox (varicella). 

Children should get two doses: 

  • First dose: 12–15 months old 

  • Second dose: 4–6 years old 

Teens and adults who haven’t been vaccinated should also get the MMR vaccine. 

Pregnant people should not get the MMR vaccine during pregnancy. If you’re planning to get pregnant and haven’t been vaccinated, get the vaccine at least 1 month before becoming pregnant. 

For more information about immunization recommendations, see CDPH’s Vaccine for All webpage 

Why Vaccination is Important 

Rubella infection can be prevented by vaccination. Getting vaccinated protects your children, pregnant people, and the community. After 1 dose, about 95% of people are protected. After 2 doses, almost everyone is protected for life. 

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