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David J. Mersy, MD; Diane Madlon-Kay, MD
St Paul, Minn

JAMA. 1992;268(17):2377.

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

To the Editor.

—Lee et al¹ point out that drug rehabilitation programs provide an appropriate setting to perform rubella testing. They also point out that at least 24% of women in their cluster of congenital rubella syndrome had a history of illicit substance use.

In 1990, we reported on the rubella immunity status of chemically dependent adolescent females admitted to a residential treatment center.² In that study, 129 subjects were screened for rubella antibody. Of the study sample, 12.4% were found to be nonimmune by titer. No statistical relationship was found between self-reported immunization status and actual titer findings. In that study, attempts were made to give vaccine to those susceptible to rubella. Of the 16 women found to be nonimmune, only 56% were successfully vaccinated. Subjects had often left the facility before informed consent could be obtained from their parents. Our findings confirm that drug rehabilitation programs . . . [Full Text PDF of this Article]

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