Rubella, also known as German measles or 3-day measles, is a mild often exanthematous disease of infants and children that is severe and associated with complications in adults. It is self-limiting disease associated with a characteristic maculopapular rash.
It is caused by a single-stranded RNA virus classified as a togavirus, genus Rubivirus.
Transmission is through airborne or droplets shed from respiratory secretions.
Highly communicable at the onset of the rash, however viral shedding may also occur 5-7 days before, to 5-7 days or more following appearance of the rash.
The incubation period is 14-21 days.
Children under 2 years who received the measles-mumps-rubella-varicella (MMRV) vaccine as a second measles-containing vaccine (MCV) following an MMR vaccine did not have an elevated risk of febrile seizures (FSs), according to an Australian study. The introduction of the MMRV vaccine also increased MCV coverage in Australia.
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Baseline body mass index (BMI) and, to a lesser extent, school socioeconomic status are associated with subsequent weight status in schoolchildren, according to a study. Lifestyle behaviours show a lower effect as compared with prior BMI, but children with a healthier lifestyle have a reduced risk of overweight and obesity at follow-up.
Late presentation of developmental dysplasia of the hip (DDH) leads to open surgery and is potentially rooted in the lack of institutionalized newborn clinical screening, according to a Singapore study.