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The European Journal of Public Health Advance Access originally published online on October 16, 2008
The European Journal of Public Health 2008 18(6):688-690; doi:10.1093/eurpub/ckn098
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© The Author 2008. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Short Report

Eliminating congenital rubella syndrome in Spain: does massive immigration have any influence?

D. Carnicer-Pont1,2, I. Peña-Rey1,3, V. Martinez de Aragón1,3, F. de Ory1,4, A. Dominguez1,5, N. Torner1,6, J.A. Caylà1,2 and the Regional Surveillance Network*

1 Epidemiological Network of Biomedical Investigation Centres—Epidemiology and Public Health (CIBERESP), Spain
2 Public Health Agency of Barcelona, Spain
3 National Center of Epidemiology, Institute of Health Carlos III, Madrid, Spain
4 National Center of Microbiology. Institute of Health Carlos III, Madrid, Spain
5 Department of Public Health, University of Barcelona, Spain
6 Department of Health, Generalitat of Catalonia, Spain

Correspondence: Dr Dolors Carnicer-Pont, Public Health Agency of Barcelona, Epidemiology Service, Lesseps 1, Barcelona, 08023, Spain, tel: + 34 93 238 45 55, fax: + 34 93 218 22 75, e-mail: dcarnice{at}aspb.es

Received June 10, 2008 , accepted September 19, 2008

In this short report we highlight the importance of implementing good immunization programs adapted to the epidemiological situation of rubella and congenital rubella syndrome (CRS), discuss the influence of massive immigration and stress the need to improve surveillance and control by implementing comprehensive national surveillance and promoting awareness among primary healthcare workers and midwives to find out any signs and symptoms compatible with rubella in pregnant women who have recently arrived from countries with high susceptibility to rubella infection.

Keywords: congenital rubella syndrome, elimination, immigration, immunization, surveillance

*Regional Surveillance Network: Amós Garcia Rojas: Autonomous Community of Canary Islands; Luis Garcia Comas: Autonomous Community of Madrid; Virtudes Gallardo: Autonomous Community of Andalucía; Isabel Huertas Zarco: Autonomous Community of Valencia; Alberto Malvar Pintos: Autonomous Community of Galicia; María Jesús Rodríguez Recio: Autonomous Community of Castilla y León


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