Investigation of a Rubella Outbreak in Kyrgyzstan in 2001: Implications for an Integrated Approach to Measles Elimination and Prevention of Congenital Rubella Syndrome

In 1999, the Ministry of Health of Kyrgyzstan adopted the goal of measles elimination. This opportunity was used to launch a rubella and congenital rubella syndrome prevention program. Between January and August 2001, a rubella outbreak occurred in Bishkek City and Chui Oblast. Rubella surveillance...

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Bibliographic Details
Published in:The Journal of infectious diseases 2003-05, Vol.187 (Supplement-1), p.S235-S240
Main Authors: Dayan, Gustavo H. , Zimmerman, Laura , Shteinke, Ludmila , Kasymbekova, Kalya , Uzicanin, Amra , Strebel, Peter , Reef, Susan 
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age groups
Antibodies, Viral - blood
Child
Child, Preschool
Congenital rubella syndrome
Disease Outbreaks
Epidemiology
European Region
Female
Humans
Infections
Kyrgyzstan - epidemiology
Male
Measles
Population Surveillance
Pregnancy
Pregnancy Complications, Infectious - prevention & control
Preventive medicine
Rubella
Rubella - epidemiology
Rubella - immunology
Rubella - prevention & control
Rubella Syndrome, Congenital - prevention & control
Seroepidemiologic Studies
Surveillance
Urban Population
Vaccination
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Summary:In 1999, the Ministry of Health of Kyrgyzstan adopted the goal of measles elimination. This opportunity was used to launch a rubella and congenital rubella syndrome prevention program. Between January and August 2001, a rubella outbreak occurred in Bishkek City and Chui Oblast. Rubella surveillance data were reviewed for Kyrgyzstan (1981–2000) and rubella case‐patient and laboratory information from Bishkek City and Chui Oblast during the outbreak. The data suggest that rubella is endemic in Kyrgyzstan with periodic epidemics every 3–5 years. From January to August 2001, 1936 rubella case‐patients were reported from Bishkek City and Chui Oblast; 242 were tested and 176 (73%) were laboratory confirmed. Most case‐patients were 3–14 years old. However, the incidence rate per 100,000 among persons aged 15–35 years increased ⩾40‐fold from 1 in 2000 to 41 in 2001. These findings highlight the importance of introducing rubella‐containing vaccine in conjunction with measles elimination activities.
ISSN:0022-1899
1537-6613
DOI:10.1086/368037