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Several strategies are available. One should be best for your local situation.
This is just an example for South America. As a complementary measure test the
immunologic situation of: 1)all pregnant women, and vaccinate the seronegative
ones during puerperium. 2)reproductive age women of risk groups (physicians,
nurses, teachers), and vaccinate the seronegative ones or just vaccinate all
women in the risk group.
Cutts FT, Robertson SE, Diaz-Ortega JL, Samuel R (1997) Control of rubella
and congenital rubella syndrome (CRS) in developing countries, Part 1: Burden
of disease from CRS. Bull World Health Organ 75:55-68.
Robertson SE, Cutts FT, Samuel R, Diaz-Ortega JL. (1997) Control of rubella
and congenital rubella syndrome (CRS) in developing countries, Part 2:
Vaccination against rubella. Bull World Health Organ 75:69-80.
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