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Although rubella is usually a mild illness, it can be very dangerous during pregnancy because it can cause serious birth defects in a developing baby. Before the rubella vaccine became available, it was a common childhood illness. Rubella is caused by a different virus than measles.) /Pg 10 0 R /K [5] >> endobj 40 0 obj << /Type /StructElem /S /H3 /P 32 0 R /T (Who gets rubella?) /E (Who gets rubella?) /Pg 10 0 R /K [6] >> endobj 41 0 obj << /Type /StructElem /S /P /P 32 0 R /E (Anyone who has not had rubella or has not been vaccinated against it can become infected. Although rubella is now uncommon in the United States because of vaccination, cases still occur in other parts of the world where vaccination rates are lower.) /Pg 10 0 R /K [7] >> endobj 42 0 obj << /Type /StructElem /S /H3 /P 32 0 R /T (How do people get rubella?) /E (How do people get rubella?) /Pg 10 0 R /K [8] >> endobj 43 0 obj << /Type /StructElem /S /P /P 32 0 R /E <527562656C6C6120737072656164732066726F6D20706572736F6E20746F20706572736F6E207468726F75676820746865206169722E205768656E20616E20696E66656374656420706572736F6E20636F75676873206F7220736E65657A65732C207468652076697275732063616E20656E74657220616E6F7468657220706572736F6E907320626F6479207468726F75676820746865206E6F7365206F72207468726F61742E> /Pg 10 0 R /K [9] >> endobj 44 0 obj << /Type /StructElem /S /P /P 32 0 R /E (People with rubella can spread the virus from about seven days before the rash appears until about seven days after the rash begins.) /Pg 10 0 R /K [10] >> endobj 45 0 obj << /Type /StructElem /S /H3 /P 32 0 R /T (What are the symptoms of rubella?) /E (What are the symptoms of rubella?) /Pg 10 0 R /K [11] >> endobj 46 0 obj << /Type /StructElem /S /P /P 32 0 R /E (Rubella symptoms are often mild, and up to half of infected people may have no symptoms at all while still being able to spread the virus.) /Pg 10 0 R /K [12] >> endobj 47 0 obj << /Type /StructElem /S /P /P 32 0 R /E (Symptoms may include:) /Pg 10 0 R /K [13] >> endobj 48 0 obj << /Type /StructElem /S /P /P 130 0 R /E (Low-grade fever) /Pg 10 0 R /K [14] >> endobj 49 0 obj << /Type /StructElem /S /P /P 131 0 R /E (Headache) /Pg 10 0 R /K [15] >> endobj 50 0 obj << /Type /StructElem /S /P /P 132 0 R /E (Mild pink eye \(redness or swelling of the eye\)) /Pg 10 0 R /K [16] >> endobj 51 0 obj << /Type /StructElem /S /P /P 133 0 R /E (General discomfort or fatigue) /Pg 10 0 R /K [17] >> endobj 52 0 obj << /Type /StructElem /S /P /P 134 0 R /E (Swollen lymph nodes) /Pg 10 0 R /K [18] >> endobj 53 0 obj << /Type /StructElem /S /P /P 135 0 R /E (Cough) /Pg 10 0 R /K [19] >> endobj 54 0 obj << /Type /StructElem /S /P /P 136 0 R /E (Runny nose) /Pg 10 0 R /K [20] >> endobj 55 0 obj << /Type /StructElem /S /P /P 137 0 R /E (Sore throat) /Pg 10 0 R /K [21] >> endobj 56 0 obj << /Type /StructElem /S /P /P 138 0 R /E (A rash that usually begins on the face and spreads to the rest of the body) /Pg 10 0 R /K [22] >> endobj 57 0 obj << /Type /StructElem /S /H3 /P 32 0 R /T (Are there complications from rubella infection?) /E (Are there complications from rubella infection?) /Pg 10 0 R /K [23] >> endobj 58 0 obj << /Type /StructElem /S /P /P 32 0 R /E (Rubella is usually mild, but complications can occur. 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A blood test can determine whether a person is protected through prior infection or vaccination.) /Pg 11 0 R /K [1] >> endobj 71 0 obj << /Type /StructElem /S /P /P 33 0 R /E (How is rubella diagnosed? ) /Pg 11 0 R /K [2] >> endobj 72 0 obj << /Type /StructElem /S /P /P 33 0 R /E (A health care provider may suspect rubella based on symptoms, recent exposures, and vaccination history. Laboratory testing is used to confirm infection.) /Pg 11 0 R /K [3] >> endobj 73 0 obj << /Type /StructElem /S /P /P 33 0 R /E (What is the treatment for rubella? ) /Pg 11 0 R /K [4] >> endobj 74 0 obj << /Type /StructElem /S /P /P 33 0 R /E (There is no specific cure for rubella. Treatment focuses on relieving symptoms and may include:) /Pg 11 0 R /K [5] >> endobj 75 0 obj << /Type /StructElem /S /P /P 147 0 R /E (Rest) /Pg 11 0 R /K [6] >> endobj 76 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Fluids) /Pg 11 0 R /K [7] >> endobj 77 0 obj << /Type /StructElem /S /P /P 149 0 R /E (Medicines to reduce fever or discomfort) /Pg 11 0 R /K [8] >> endobj 78 0 obj << /Type /StructElem /S /P /P 33 0 R /E (Most people recover on their own without complications.) /Pg 11 0 R /K [9] >> endobj 79 0 obj << /Type /StructElem /S /P /P 33 0 R /E (How can rubella be prevented?) /Pg 11 0 R /K [10] >> endobj 80 0 obj << /Type /StructElem /S /P /P 33 0 R /E (Rubella is a vaccine-preventable disease. Vaccination is the best way to protect against rubella infection. 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