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LCDR Daniel E. Lehane, MC; LCDR Neil R. Newberg, MC; CAPT Walter E. Beam, Jr., MSC

JAMA. 1970;213(13):2236-2239.

Abstract
The effectiveness of herd immunity as a method of protecting rubella-susceptible individuals during epidemic conditions was evaluated. Six groups of Marine trainees were followed longitudinally through a rubella epidemic. Levels of herd immunity in these groups ranged from 87% to 100%. All susceptible men developed rubella infection with a 2:1 inapparent to apparent infection ratio. In a military population rubella is characterized as an endemic disease with seasonal epidemics. Arthritis and arthralgia were found in 21% of 292 cases of rubella in adult men. Vaccination of selected susceptible adult women is needed.

Author Affiliations
USNR; USNR; USN

From the Naval Medical Field Research Laboratory, Camp Lejeune, NC.

Footnotes
The opinions and assertions contained herein are those of the authors and are not to be construed as official or a reflection of the views of the US Navy Department or the naval service at large.

Reprint requests to Naval Medical Field Research Laboratory, Camp Lejeune, NC 28542 (CAPT Jesse F. Adams).

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