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As of October 16 2013, 14 171 rubella cases have been reported in Japan during 2013, compared to 2353 rubella cases in 2012.
Numbers of rubella cases have been highest in Osaka and Tokyo Metropolis Prefectures. Most cases occurred in the spring and summer which is the peak period for rubella in Japan. So far in 2013, 16 babies were born with congenital rubella syndrome, compared to 5 babies in all of 2012.
(Via CDC - accessed 18/11/13)
Advice for Travellers
Rubella infection has serious consequences for the unborn child if acquired by a woman during pregnancy. It should be confirmed that children have received their recommended doses of MMR at 12-15 months of age and again pre-school around 3 years 6 months, while unimmunised adults who have not had the disease themselves may consider vaccination if thought to be at risk. Two doses of MMR vaccine are required to give adequate protection.
