Northern Kentucky Health Department

Rubella (German Measles)

Print this fact sheet

What is rubella?

Rubella, or German measles, is caused by the rubella virus. It is a mild illness that can be prevented by immunization. However, if a pregnant woman contracts rubella, there could be harmful effects for her baby. Therefore, pregnant women who have been exposed to rubella should contact their physician immediately.

What are the symptoms of rubella?

The symptoms of rubella include rash, low-grade fever, swollen glands in the area behind the ears and, for adults, aching joints. If a rash appears, it appears on the face and progresses from head to foot, lasting about three days. However, many children do not exhibit symptoms.

How is rubella spread?

Rubella is spread by droplets expelled during sneezing, coughing or talking. Rubella is also spread via direct contact with the nose or throat fluids of an infected person. Rubella is contagious one week before to at least four days after the onset of the rash.

How can I keep from getting rubella?

Rubella can be prevented by immunization. Since the vaccine was developed in 1969, infants and children have received immunization as part of the MMR –measles, mumps, rubella –vaccine trio.

The vaccine is first given at age 12-15 months and a second dose is given between age 4 and 6 years.

Kentucky law requires that all children in child care or school settings be immunized.

According to the CDC, approximately 93 percent of children under the age of 3 have been immunized for rubella.

If you were born before 1969, it is possible that you were exposed to rubella, but do not assume you have immunity without confirmation by a lab test.  

If I’ve been exposed to rubella, how long will it take for symptoms to develop? The initial symptoms of rubella take two to three weeks to develop —usually 16 to 18 days after exposure.
What should I do if I think I have been exposed? Contact your physician if you are pregnant and have been exposed to rubella.

Contacts of confirmed cases should be vaccinated, but this does not necessarily prevent additional cases.

What treatments are available for rubella? How serious is the disease?

There is no treatment for rubella. The illness runs its course within a few days.

Rubella isn’t usually a serious illness in children, but it can be very serious for a pregnant woman. The infection is likely to spread to the fetus, potentially causing congenital rubella syndrome, which can result in miscarriages, stillbirths and severe birth defects.

How many cases of rubella have been reported in Northern Kentucky? Nationally? There have been no cases of rubella reported in Northern Kentucky.

Overall, fewer than 10 cases of rubella are reported in the U.S. each year. All reported cases since 2002 originated in other countries.

Where can I get more information on rubella?

For more information online, you can visit the CDC’s Web page on rubella at http://cdc.gov/vaccines/vpd-vac/rubella/ or the March of Dimes site at http://www.marchofdimes.com/pnhec/188_673.asp.

Or, for more information on the Health Department’s programs, please call Epidemiology Services at 859.363.2070.

Created: 7/23/08
Sources: Northern Kentucky Health Department Epidemiology;
Centers for Disease Control and Prevention