Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review

Background. As part of regional elimination efforts, rubella-containing vaccines (RCV) have recently been introduced in the Philippines, yet the true burden of rubella and congenital rubella syndrome (CRS) in the country is largely unknown. Objective. To provide baseline information on rubella and C...

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Main Authors: Anna Lena Lopez, Peter Francis N. Raguindin, Maria Asuncion Silvestre, Xenia Cathrine J. Fabay, Ariel B. Vinarao, Ricardo Manalastas
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/8158712
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author Anna Lena Lopez
Peter Francis N. Raguindin
Maria Asuncion Silvestre
Xenia Cathrine J. Fabay
Ariel B. Vinarao
Ricardo Manalastas
author_facet Anna Lena Lopez
Peter Francis N. Raguindin
Maria Asuncion Silvestre
Xenia Cathrine J. Fabay
Ariel B. Vinarao
Ricardo Manalastas
author_sort Anna Lena Lopez
collection DOAJ
description Background. As part of regional elimination efforts, rubella-containing vaccines (RCV) have recently been introduced in the Philippines, yet the true burden of rubella and congenital rubella syndrome (CRS) in the country is largely unknown. Objective. To provide baseline information on rubella and CRS prior to routine vaccine introduction in the Philippines. Methods. We conducted a systematic literature review on rubella and CRS in the Philippines, including a cross-sectional study conducted in 2002 among 383 pregnant women attending the obstetric outpatient clinic of the Philippine General Hospital to assess rubella susceptibility of women of childbearing age. Results. 15 locally published and unpublished studies were reviewed. Susceptibility to rubella among women of childbearing age was higher in rural communities. Retrospective reviews revealed congenital heart diseases, cataracts, and hearing impairments to be most common presentations in children of CRS. In the cross-sectional study, 59 (15.4%) of the 383 pregnant women enrolled were seronegative for rubella IgG. Conclusion. Similar to other countries introducing RCV, it was only recently that surveillance for rubella has been established. Previous studies show substantial disabilities due to CRS and a substantial proportion of susceptible women who are at risk for having babies affected with CRS. Establishment of CRS surveillance and enhanced awareness on rubella case detection should be prioritized.
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spelling doaj-art-14bcf42b5e5b4d5bab0a0b08dab9e6ca2025-02-03T01:11:06ZengWileyInternational Journal of Pediatrics1687-97401687-97592016-01-01201610.1155/2016/81587128158712Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic ReviewAnna Lena Lopez0Peter Francis N. Raguindin1Maria Asuncion Silvestre2Xenia Cathrine J. Fabay3Ariel B. Vinarao4Ricardo Manalastas5University of the Philippines Manila, National Institutes of Health, Manila, PhilippinesUniversity of the Philippines Manila, National Institutes of Health, Manila, PhilippinesUniversity of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesUniversity of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesUniversity of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesUniversity of the Philippines Manila, Philippine General Hospital, Manila, PhilippinesBackground. As part of regional elimination efforts, rubella-containing vaccines (RCV) have recently been introduced in the Philippines, yet the true burden of rubella and congenital rubella syndrome (CRS) in the country is largely unknown. Objective. To provide baseline information on rubella and CRS prior to routine vaccine introduction in the Philippines. Methods. We conducted a systematic literature review on rubella and CRS in the Philippines, including a cross-sectional study conducted in 2002 among 383 pregnant women attending the obstetric outpatient clinic of the Philippine General Hospital to assess rubella susceptibility of women of childbearing age. Results. 15 locally published and unpublished studies were reviewed. Susceptibility to rubella among women of childbearing age was higher in rural communities. Retrospective reviews revealed congenital heart diseases, cataracts, and hearing impairments to be most common presentations in children of CRS. In the cross-sectional study, 59 (15.4%) of the 383 pregnant women enrolled were seronegative for rubella IgG. Conclusion. Similar to other countries introducing RCV, it was only recently that surveillance for rubella has been established. Previous studies show substantial disabilities due to CRS and a substantial proportion of susceptible women who are at risk for having babies affected with CRS. Establishment of CRS surveillance and enhanced awareness on rubella case detection should be prioritized.http://dx.doi.org/10.1155/2016/8158712
spellingShingle Anna Lena Lopez
Peter Francis N. Raguindin
Maria Asuncion Silvestre
Xenia Cathrine J. Fabay
Ariel B. Vinarao
Ricardo Manalastas
Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
International Journal of Pediatrics
title Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
title_full Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
title_fullStr Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
title_full_unstemmed Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
title_short Rubella and Congenital Rubella Syndrome in the Philippines: A Systematic Review
title_sort rubella and congenital rubella syndrome in the philippines a systematic review
url http://dx.doi.org/10.1155/2016/8158712
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