An Evaluation of the United States Rubella Immunization Program

While the U.S. rubella immunization program has controlled epidemic rubella, endemic rubella activity still occurs and affects primarily adolescents and young adults. Further declines in congenital rubella can be expected only if there is a concerted effort to vaccinate older, susceptible individuals, especially women of childbearing age, as well as all children 12 months of age or older.