Preventing German Measles: Vaccination Tips for Travelers and Expecting Mothers - Obstetrics and Gynecology

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Prevention of German Measles (Rubella)


Hello Doctor: Recently, there has been an increase in measles outbreaks in Japan and Germany.
I am planning to travel to Japan at the end of this year, but I am unsure if the vaccine in my body is still effective.
How long before traveling should I get vaccinated? What precautions should I take while traveling? I also saw news reports from the National Institute of Infectious Diseases in Japan urging women who plan to become pregnant to receive two doses of the vaccine before pregnancy.
If I plan to become pregnant after the age of 30, how should I arrange this? Thank you.

Xiao Bo, 20~29 year old female. Ask Date: 2018/10/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, at your age, you should have received vaccinations during childhood, so there is no need for additional shots.
If you are concerned, just keep your distance from anyone with a rash on their skin.
Wishing you good health.

Reply Date: 2018/10/30

More Info


Preventing German Measles: Vaccination Tips for Travelers and Expecting Mothers
German measles, also known as rubella, is a contagious viral infection that can have serious consequences, especially for pregnant women and their unborn children. It is crucial to understand how to prevent this disease, particularly when traveling to areas where outbreaks may occur, such as Japan, where recent reports indicate an increase in cases.

Vaccination Status and Timing
If you are unsure about your vaccination status, the first step is to consult with your healthcare provider. They can perform a blood test to check for the presence of rubella antibodies. If you do not have immunity, it is recommended to receive the rubella vaccine (part of the MMR vaccine, which also protects against measles and mumps) as soon as possible. Ideally, you should get vaccinated at least 4-6 weeks before your planned trip to Japan. This timeframe allows your body to develop the necessary immunity to protect you from the virus.


Vaccination Recommendations for Pregnant Women
For women who are planning to become pregnant, it is essential to ensure that you are immune to rubella before conception. The Centers for Disease Control and Prevention (CDC) recommends that women of childbearing age receive two doses of the MMR vaccine if they have not been previously vaccinated or do not have immunity. The first dose is typically given in childhood, with the second dose administered at least 28 days later. If you are 30 years old and planning to conceive, it is advisable to get vaccinated before trying to conceive, as rubella infection during pregnancy can lead to severe birth defects, including congenital rubella syndrome, which can cause hearing loss, heart defects, and developmental delays in the child.


Precautionary Measures While Traveling
While traveling, especially to areas with reported outbreaks, there are several precautionary measures you can take to minimize your risk of exposure to rubella:
1. Avoid Crowded Places: Try to limit your time in crowded areas where the risk of exposure to infectious individuals is higher.


2. Practice Good Hygiene: Wash your hands frequently with soap and water, or use hand sanitizer when soap is not available. Avoid touching your face, especially your eyes, nose, and mouth.

3. Wear a Mask: In crowded places or when social distancing is not possible, wearing a mask can provide an additional layer of protection.

4. Stay Informed: Keep up to date with health advisories from the CDC or the World Health Organization regarding rubella outbreaks in your travel destination.

5. Consult Healthcare Providers: Before traveling, discuss your plans with a healthcare provider who can give you personalized advice based on your health history and travel itinerary.


Conclusion
In summary, preventing German measles, particularly for travelers and women planning to conceive, involves ensuring proper vaccination and taking necessary precautions while traveling. If you are uncertain about your vaccination status, consult with your healthcare provider to determine if you need the MMR vaccine. By taking these steps, you can significantly reduce your risk of contracting rubella and protect your future children from its potentially devastating effects. Always prioritize your health and the health of your future family by being proactive about vaccinations and preventive measures.

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