Abstract
The incidence of congenital rubella was found to be 2.3 times higher in Asian than non-Asian births in England and Wales. This was attributed in part to higher susceptibility to rubella in Asian than non-Asian women, as shown by antenatal serological data from public health laboratories in Leeds, Luton, and Manchester. Examination of the ethnic origin of pregnant women requesting laboratory testing after contact with rubella or rash and of women with laboratory confirmed rubella in pregnancy also suggested that the disease was being underdiagnosed in pregnant Asian women. Failure to prevent congenital rubella by termination of infected pregnancies may therefore contribute to the increased incidence of the syndrome in Asians. Health education programmes about the dangers of rubella in pregnancy and of the need for vaccination can readily be promoted in the Asian community through existing ethnic organisations. Protection of other ethnic minorities likely to be at similar increased risk may require a vaccination programme aimed at national elimination of rubella.
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- Ethnic minority women and congenital rubella. Br Med J (Clin Res Ed) 1983 Jul 9;287(6385):129–130. doi: 10.1136/bmj.287.6385.129-c. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller C. L., Miller E. Rubella vaccination in the UK: time for a complete strategy. Lancet. 1985 Sep 28;2(8457):732–732. doi: 10.1016/s0140-6736(85)92976-9. [DOI] [PubMed] [Google Scholar]
- Miller C. L., Miller E., Sequeira P. J., Cradock-Watson J. E., Longson M., Wiseberg E. C. Effect of selective vaccination on rubella susceptibility and infection in pregnancy. Br Med J (Clin Res Ed) 1985 Nov 16;291(6506):1398–1401. doi: 10.1136/bmj.291.6506.1398. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Modell B., Petrou M., Ward R. H., Fairweather D. V., Rodeck C., Varnavides L. A., White J. M. Effect of fetal diagnostic testing on birth-rate of thalassaemia major in Britain. Lancet. 1984 Dec 15;2(8416):1383–1386. doi: 10.1016/s0140-6736(84)92070-1. [DOI] [PubMed] [Google Scholar]