Rubella immunization policies for health care personnel.

Rubella vaccination of children in the United States has resulted in a shift in the age of affected and susceptible individuals toward older age groups. In an effort to reduce the incidence of congenital rubella syndrome, the American Academy of Pediatrics and the Advisory Committee on Immunization Practices have recommended rubella vaccine for all male and female medical personnel who might contract and spread rubella to pregnant women. A survey of hospitals and outpatient practices in Little Rock, Arkansas, revealed extremely low compliance with the recommendation, suggesting the need for further education or legislation on rubella immunization for health care personnel.