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Rubella Vaccination
Joel L. Nitzkin, MD, MPH
Dade County Department of Public Health Miami, Fla
JAMA. 1976;235(7):704.
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To the Editor.—
In the article by Schoenbaum et al (233:151, 1975), entitled "Epidemiology of Congenital Rubella Syndrome: The Role of Maternal Parity," the authors fail to consider the possibility that young primiparas of lower socioeconomic class may have extensive contact with children in and around their home environment. Nowhere in the study did the authors look at ethnic group, residential location, or socioeconomic status to rule out the possibility that a portion of both their private and nonprivate patient populations may be living in crowded and substandard housing. Rubella serologic data from the Miami area1 suggest that female blacks have a substantially higher rate of both rubella immunity and seroconversion during the childbearing years than either Spanish-speaking or English-speaking white women-a phenomenon that might well be related to nonoccupational contact with children in the home environment.
In suggesting programming for adolescent girls on the grounds of "efficiency," the
. . . [Full Text PDF of this Article]
Footnotes
Edited by John D. Archer, MD, Senior Editor.
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