Rubella

Description

Rubella is a highly contagious disease that is caused by a virus. It occurs mainly in winter and spring. Rubella is still common in many countries. However, the risk of getting rubella in Canada is very low.

Rubella is usually benign. However, it can cause complications, especially for pregnant women. For example, rubella can cause miscarriage or defects in the fetus.

Symptoms

Some people who get rubella do not have any symptoms. In other people, symptoms appear 2 to 3 weeks after they first become infected and last around 1 week. The symptoms of rubella are as follows:

  • skin rash. The rash starts on the face and then spreads to the rest of the body. The rash lasts around 3 days;
  • mild fever (below 39°C);
  • nausea;
  • conjunctivitis (red eyes).

Teenagers and adults may also develop the following symptoms:

  • swelling of the lymph nodes behind the ears and in the neck;
  • cold-like symptoms such as sneezing or a runny nose, which occur after the skin rash appears;
  • joint pain.

When to consult

If you are pregnant and have had contact with someone who has rubella, see your doctor. He/she will give you his/her recommendations.

Treatment

There is no specific treatment for rubella. Antibiotics are not helpful because the infection is caused by a virus rather than bacteria.

You can relieve your symptoms by taking over-the-counter medications such as acetaminophen, for example Tylenol®, or ibuprofen, for example Advil®.

You must also drink plenty of liquids and rest to help fight the infection.

Children and teenagers

If your child is over 3 months old, you can give him/her acetaminophen, for example Tylenol®. Make sure you follow the directions that come with the product for your child’s weight.

Do not give acetylsalicylic acid, for example aspirin, to children and teenagers. This medication could cause a serious disease of the brain and liver called “Reye’s syndrome” in some children and teenagers.

Complications

Possible complications of rubella are:

  • arthritis, especially in women;
  • miscarriage, in pregnant women;
  • birth defects, if the mother had rubella while she was pregnant.

More rarely, rubella can cause:

  • encephalitis (infection of the brain);
  • a temporary decrease in blood cells that help in blood clotting, which can lead to internal hemorrhage.

Transmission

The rubella virus is spread by contact with secretions from the nose or throat of an infected person. Therefore, rubella is easily spread between family members or between children who go to the same daycare or school. A pregnant woman can pass rubella on to her fetus because the virus is able to cross the placenta. A baby with congenital rubella syndrome can also pass the virus on through its urine.

Protection and Prevention

Vaccination

Vaccination is the best way to protect yourself against rubella.

The rubella vaccine is a combined vaccine, that is, it protects against several diseases at the same time. The vaccine recommended varies depending on the person’s age.

According to the recommended immunization schedule, children can be given their first dose of the rubella vaccine at 12 months of age.

If you are planning a pregnancy, make sure you are protected against rubella. Avoid getting pregnant for one month after vaccination against rubella.

Procedure for getting vaccinated

Under the Québec Immunization Program, everyone can get vaccinated against rubella for free.

Consult the Québec Immunization Program page to find out the procedure for getting vaccinated.

Preventing transmission

Sick children and adults should stay home from school and work and avoid young children and pregnant women. They should stay home until 7 days after the appearance of the skin rash. Here are some other recommendations to prevent the spread of rubella:

  • avoid close contact with other family members, such as kissing and hugging;
  • cough or sneeze into the bend of your elbow or upper arm, or cover your mouth and nose with a tissue;
  • wash your hands often.

People at Risk

Anyone who has not had the vaccine or who has not had rubella can become infected. Since the immunization program starts at 12 months of age, children under 12 months of age are most at risk of getting rubella.

Special Conditions

In Québec, rubella is a reportable disease.

Laboratory staff and health professionals must inform the public health authorities if they detect a case of rubella.

Last update: September 11, 2017 9:14 AM

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