Vaccination Against Rubella: Benefit Or Harm

In Recent years, constantly there are heated debates about whether or not mass vaccination against rubella.

Rubella is a viral disease that can penetrate the human body of the virus causes damage to the lymphatic system, skin, mucous membranes. For her  typical slight temperature rise, softly pronounced a rash and increasing of all lymphatic nodes, which takes place practically without consequences for the three – four  days. The source of infection is always sick person or a virus carrier in the last days of the incubation period, which is usually 11 – 21 days. Even without treatment, the disease passes independently through two-three days, leaving a persistent lifelong immunity.

A stumbling block in the issue: need of vaccination against rubella or not is the fact that the disease, which are potentially dangerous to humans and does not threaten the development of complications causes the development of congenital malformations in the fetus. When infected pregnant woman during pregnancy, especially in the first trimester there is a spontaneous abortion or a baby is born with congenital rubella syndrome, which includes congenital heart defects, cataracts, deafness and severe violation of the neuro-psychical development. Therefore, when the disease rubella pregnant woman  in that case, if the double serology will determine the increase in antibody titer in the early stage of pregnancy raises the issue of vaccination measles rubella mumps. Less dangerous pregnancy in the first three months after it is vaccinated against rubella, in this case after vaccination it is recommended that the use of contraception during this period.

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Vaccination against rubella is carried out according to the order of the Ministry of health at that age.

at the age of 12 months – vaccination against measles, rubella, mumps;

- ages 6 years – vaccination against rubella, measles and mumps before entering the school.

age  13 years – vaccination against rubella of girls that have not previously had chicken pox;

at age 18 -25 years – vaccination against rubella  is conducted among girls and women previously without a history and without the medical court information about vaccination.

Proponents of mass vaccination against rubella refer to the fact that in 70-80 years of the last century (the period when vaccination was covered by the broad masses of children) number of diseases in pregnant women with rubella was very small. Currently, due to disruptions in vaccine availability and pass his time of vaccination due to the parent's refusal of vaccination in children under 1 year and in 6 years, the percentage of women of childbearing age who have blood antibodies against rubella virus becomes gradually lower and lower. The arguments used by the opponents of mass vaccination in its campaign for the rejection of the use of vaccination on a national scale. Vaccination against rubella, according to some experts, the vaccine is of inadequate quality, which does not pass muster in our country and is not accompanied by appropriate medical  control  for the very process of vaccination (not performed a physical examination and thermometry before inoculation, has not been examined in allergic anamnesis). In addition, several studies noted a low titer of antibodies in the blood of vaccinated children, that does not exclude the possibility of disease after a  carry out the full scope envisaged by the calendar of vaccination against rubella. It all overlaps also the human factor – if kids at the age from 1 year to 13 years can “drive” to the vaccine under duress, most women over this age are inoculated with great reluctance.

In our society, where every person has the right for completeness of all possible information, every woman needs to decide for itself whether to risk of Contracting rubella in pregnancy, if earlier it did not hurt this child's infection, or is it worth checking the blood for the presence of antibodies and be vaccinated against rubella during pregnancy.