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COMMON CONDITIONS: INFECTIOUS DISEASES  27

         Rubella





              Rubella (German measles) is a contagious viral illness that is
                                                                            WARNING
              now uncommon due to immunization. Usually, it causes little
              more than a mild red rash that spreads from the face to the body.  Contact your doctor immediately if:
              Often there are no symptoms. A child may start with a mild fever,  ● You are pregnant and suspect
                                                                     you may have been in contact with
              swollen glands, and a runny nose 2–3 weeks after contact with
                                                                     someone who has rubella
              the infection. Adults may also have a headache and joint pain.
              The main risk of rubella is that it can harm the fetus if a woman
              contracts the virus in pregnancy, particularly in the early months.



              See your doctor first
                                                                    DRUG REMEDIES
              Arrange to see your doctor if you suspect
              that you have rubella. Check when to attend   Analgesics will help bring down a fever and
              the office, because of the risk of infecting   relieve headache and joint pain.
              a woman who is pregnant.
                                                            ● For a child, give acetaminophen (see p.177) or
                                                            ibuprofen (see p.185). Make sure you ask your
                                                            pharmacist to recommend a product for your child.
         What you can do yourself                           ● Adults can take acetaminophen (see p.177) or
                                                            ibuprofen (see p.185).
              When there are symptoms, they are often so mild
              they need little or no treatment. The rash does not
              itch and disappears within a few days.
                                                                       PREVENTION
              ● Take an analgesic to reduce fever and relieve
              headache and joint pain (see DRUG REMEDIES, right).
                                                            Immunization against rubella is given as
              ● Drink plenty of fluids to prevent dehydration.  part of the MMR (measles, mumps, rubella) vaccine.
              ● As soon as you think that you have rubella,  ● Make sure your child has the full recommended
              avoid contact with anyone who might be pregnant.  series of MMR immunizations.
                                                            ● An attack of rubella also confers immunity, but
              Rubella is infectious for about 7 days before the
                                                            if you plan to become pregnant, have your immunity
              rash develops and for about 5 days afterward.
                                                            checked first, even if you have had rubella. Make sure
                                                            you are immunized, if necessary, before you conceive.
                                                            Immunity check
              Seek further medical advice                   A simple blood test will establish
              Arrange to see your doctor if you develop:    your immunity to rubella.
              ● Headache or drowsiness
              ● Joint pain or sore eyes
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