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Walter A. Orenstein, MD; Stephen R. Preblud, MD; Kenneth J. Bart, MD; Alan R. Hinman, MD
Center for Prevention Services Centers for Disease Control Atlanta

JAMA. 1986;255(2):197.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

We are gratified that Dr Kindrachuk made the efforts he did to try to ensure mothers of children were immune to rubella. We would like to clarify some points that should facilitate assessing the immunity status of mothers and offering vaccine.

Several courses of action are available to physicians in well-baby clinics to determine immunity to rubella and to offer vaccine. Acceptable evidence of rubella immunity should be considered either documentation of receipt of rubella vaccine on or after the first birthday or documentation of a serological test demonstrating rubellaspecific antibodies.¹ Women lacking such evidence can be vaccinated without serological screening (the preferred course), screened by serological tests and offered vaccine at a later date if the test indicates susceptibility, or referred to their own physician for evaluation. All alternatives are acceptable but vaccinating without screening saves the patient the cost of the serological test and avoids . . . [Full Text PDF of this Article]

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