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What is rubella?

  • Rubella is a mild viral infection which lasts about three days.
  • A rare infection in the United States due to routine immunizations.

Signs and Symptoms

  • Many children do not show any signs or symptoms.
  • A red or pink rash may appear on the face and spread throughout the body.
  • Swollen glands behind the ears.
  • May have a slight fever.
  • May experience joint aches or pain in most adults and rarely seen in children.

Incubation and Contagious Period

  • Incubation period is between 14-23 days or usually happens between 16-18 days.
  • During the contagious period the viral infection may spread seven days before to fourteen days after the rash has appeared.

How is the viral infection spread?

  • From the respiratory route (sneezing or coughing).
  • Through direct contact of the nose or throat secretions.

How is it controlled?

  • Routine immunizations according to current recommendations.
  • Review immunization status of all children.
  • Children who are not up to date on their immunization records should be excluded from group care settings if there is an outbreak.

Caregiver, Teacher, and Family Roles

  • Report the infection to staff members of the child care programs or school for decisions and action related level of care for the ill child.
  • Alerts all possible exposed family members and staff to keep an eye out for symptoms.
  • Reports infection to the health department.
  • Staff members who care for children should have immunity documented because the viral infection can cause a miscarriage, fetal death, mental retardation, or severe abnormalities among pregnant women.

Group Setting

  • Exclude children from group settings because rubella is a highly communicable illness.
  • If an outbreak occurs, exclude exposed children who have not been immunized until they’ve become immunized or until the health department determines it is safe for them to return.
  • Readmit children to group settings six days after onset of rash.
  • Readmit children to group settings once the child is able to participate and function normally without compromising the health and safety of other children.

Information on this site is intended for Angel Kids Pediatrics patients only. Always consult your doctor before beginning, modifying, or discontinuing any treatment plan.

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