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August 1989

Rubella and Congenital Rubella Syndrome—United States, 1985–1988

Am J Dis Child. 1989;143(8):893-894. doi:10.1001/archpedi.1989.02150200037014

RUBELLA  A provisional total of 221 cases of rubella was reported in the United States in 1988 (0.1 cases per 100,000 population), the lowest since rubella became a nationally notifiable disease in 1966. The incidence of rubella has declined by more than 99% since 1969, the year rubella vaccine was licensed.In 1987, the last year for which complete data are available, 20 of 52 reporting areas (which comprise the 50 states, District of Columbia, and New York City [NYC]) reported no rubella cases, compared with 18 reporting areas in 1986 and 14 in 1985. The reported age-specific incidence rates of rubella declined for all age groups during these 3 years.Long-term trends of rubella incidence among specific age groups can be assessed by comparing recent data from the total United States with those from three areas for which agespecific data were available before 1975—Illinois, Massachusetts, and NYC. The reported

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