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From January to April 2013, Poland reported 21,283 rubella cases (55.2 per 100,000 inhabitants), the highest number since 2007. Some 81% of cases were among 15-29 year-old males. This outbreak reflects the history of immunisation policies - selective vaccination of adolescent girls since 1989, then universal two-dose measles-mumps-rubella vaccination, since 2004. The extent of virus circulation among adults increases the risk of congenital rubella infections and jeopardises the World Health Organization Regional Office for Europe 2015 elimination goal. .

Ongoing outbreak of rubella among young male adults in Poland: increased risk of congenital rubella infections