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This preliminary study indicates that a high proportion of adult females in Cape Town are immune to rubella, and that, unlike the situation in the UK, natural rubella infections are common before 4 years of age. At least 10 children with the congenital rubella syndrome have been seen in the Cape Town group of teaching hospitals in a 5 1/2-year period since October 1971. Continuous serological surveillance is essential in order to implement the most effective programme of immunization in any particular area and also to be able to determine whether the vaccine is successfully preventing the birth of children with congenital rubella infection.
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