Thanks untuk mamanya Dafi .. 
This helps a lot.

>>> mamanya Dafi <[EMAIL PROTECTED]> 09/13/01
02:46pm >>>
Ini artikelnya.

Mamanya Dafi

What is rubella?
Rubella, more commonly known as German measles or
three-day measles, is a relatively mild but highly
contagious viral infection characterized by a pink-red
rash, a mild fever, and swollen lymph nodes along the
sides of the neck or below the ears. It resembles
regular measles, but is not the same
disease.(According to the American Medical
Association, the term "German" has nothing to do with
the country; instead it's probably derived from the
Latin word germanus, which means "similar to.")
Because most children in the United States get the
measles, mumps, and rubella (MMR) vaccine between 12
and 15 months, cases of rubella are rare here. Only
364 cases of rubella were reported in the United
States in 1998, and 74 percent of those cases were in
unimmunized people over 20 years old, according to the
Centers for Disease Control and Prevention. Before the
rubella vaccine was licensed in the 60s, the disease
was quite common among preschool and elementary school
children. Because the virus is so contagious, it
spread like wildfire through schools. Rubella is not
dangerous for young children, but it can be for unborn
babies during their first trimester in utero. It can
cause congenital rubella syndrome (CRS) in the fetus
that can lead to miscarriages, stillbirths, and severe
birth defects. A woman infected during her first
trimester has an 85 percent chance of having a baby
with CRS. Before the vaccine came along, rubella
caused birth defects in 20,000 U.S. infants a year.
Today only about five children a year are born with
birth defects caused by rubella. In fact, the vaccine
was developed primarily to protect susceptible
pregnant women, not because rubella was dangerous for
children. Pregnant women who received the vaccine as
children are immune to the disease. 

What are some of the other signs and symptoms?
The rash first appears on the face and later spreads
to other parts of the body. It is characterized by
pink or light red spots, which may merge to form
evenly colored patches (although some children never
get a rash). The rash isn't itchy or uncomfortable.
Your child will be only mildly ill; he may have a
low-grade fever between 100 and 101 degrees F. The
virus runs its course in about three days and the rash
disappears in about five days. 

How does it spread?
While rubella is not as contagious as measles or
chicken pox, your child could become infected by
inhaling droplets of saliva or mucus that spread
through the air when an infected person sneezes or
coughs. Although the rash normally lasts less than a
week, a child is considered contagious from a week
before the rash appears to seven days after it goes
away. If you are pregnant and have never been
immunized, it's particularly important to stay away
from an infected child for at least a week after the
rash disappears. 

Should I call the doctor?
Yes. Because rubella is so rare, your doctor needs to
report any cases to the local public health
department. Plus, rubella is easily confused with
other illnesses such as measles or scarlet fever, so
he will probably want to examine your child and take
blood samples to confirm the diagnosis. You should
also call if your child's fever goes above 101 degrees
F, or if he gets sicker than the symptoms described
above. 

How should I treat it?
Because rubella is usually a very mild illness, you
won't need to do much. If your pediatrician okays it,
you can give your child acetaminophen to ease any
discomfort caused by a fever. Antibiotics won't work
against rubella because it's caused by a virus, not
bacteria. 

How can I prevent my child from coming down with
rubella?
The MMR vaccine is the best way to protect your child
from this illness. It is usually given at 12 to 15
months of age, and again at 4 to 6 years of age, as
part of your child's scheduled immunizations. 
--from babycenter-----

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