According to the Official Journal, rubella is now a notifiable disease for doctors, as are cholera or tuberculosis.
Like cholera, rabies, tuberculosis or zika, rubella is now among the notifiable diseases (MDO) that doctors and biologists must report to regional health agencies and Public Health France, guaranteeing anonymity patients. According to Public Health France, the MDO system is to "act and prevent the risk of epidemic, but also (to) analyze the evolution over time of these diseases and adapt public health policies to the needs of the population."
"Surveillance of rubella infections in pregnant women and cases of congenital rubella in newborns was established in France in 1976 through the Renarub network," says Public Health France. this network is to evaluate the impact of vaccine policy and progress towards the elimination of congenital rubella ".
Today, the security system extends to the entire population, as recommended by the High Council of Public Health (HCSP) in 2017. According to him, this initiative was "justified by the existence of 'a heterogeneous vaccination coverage according to territories and populations, which can lead to localized outbreaks'.
Rubella and contagions
A person with rubella is contagious between 5 to 8 days before and 5 to 8 days after the onset of skin lesions. Only salivary secretions (kissing) are contagious, not pimples. In this interval, it is preferable that the patient does not come into contact with unvaccinated persons or persons at risk, such as pregnant women.
What to do for pregnant women? Conventionally, a vaccinated pregnant woman protects her child with antibodies during pregnancy and until about 6 months after birth. If it is not vaccinated, it is recommended to carry out a blood test to look for possible antibodies, witnesses of an old infection. In case of negative serology, it is advisable to check the serology every month and to avoid contact with unvaccinated infants or more generally anyone with an extensive rash.
The rubella vaccination schedule
Rubella is a generally benign disease, but infection with the virus during the first months of pregnancy may be responsible for fetal deaths or congenital malformative rubella. It is also for this reason that the measles-mumps vaccinerubella is one of 11 vaccines now mandatory for children born after January 1, 2018.
Traditionally, the vaccination schedule consists of injecting a dose of MMR (Measles, Mumps, Rubella) vaccine at 12 months, then a second injection between 16 and 18 months. For people who have never been vaccinated against rubella, a catch-up is possible. It consists of injecting two doses of vaccine at least one month apart.