An outbreak of congenital rubella syndrome in Solomon Islands, 2013

Authors

  • Kara N Durski WHO Headquarters, Geneva, Switzerland
  • Carol Tituli National Referral Hospital, Honiara, Solomon Islands
  • Divi Ogaoga Ministry of Health and Medical Services, Honiara, Solomon Islands
  • Jennie Musto Office of the WHO Representative in Solomon Islands, Honiara, Solomon Islands
  • Cynthia Joshua Ministry of Health and Medical Services, Honiara, Solomon Islands
  • Alfred Dofai National Referral Hospital, Honiara, Solomon Islands
  • Jennie Leydon Victorian Infectious Diseases Reference Laboratory (VIDRL), The Doherty Institute, Melbourne, Victoria, Australia
  • Eric Nilles Division of Pacific Technical Support, WHO, Suva, Fiji

DOI:

https://doi.org/10.5365/wpsar.2015.6.4.005

Abstract

Introduction: During May 2012, a rubella outbreak was declared in Solomon Islands. A suspected case of congenital rubella syndrome (CRS) was reported from one hospital 11 months later in 2013. This report describes the subsequent CRS investigation, findings and measures implemented.

Methods: Prospective CRS surveillance was conducted at the newborn nursery, paediatric and post-natal wards, and the paediatric cardiology and ophthalmology clinics of the study hospital from April to July 2013. Retrospective case finding by reviewing medical records was also undertaken to identify additional cases born between January and March 2013 for the same wards and clinics. Cases were identified using established World Health Organization case definitions for CRS.

Results: A total of 13 CRS cases were identified, including two laboratory-confirmed, four clinically confirmed and seven suspected cases. Five CRS cases were retrospectively identified, including four suspected and one clinically confirmed case. There was no geospatial clustering of residences. The mothers of the cases were aged between 20 and 36 years. Three of the six mothers available for interview recalled an acute illness with rash during the first trimester of pregnancy.

Discussion: Additional CRS cases not captured in this investigation are likely. Caring for CRS cases is a challenge in resource-poor settings. Rubella vaccination is safe and effective and can prevent the serious consequences of CRS. Well planned and funded vaccination activities can prevent future CRS cases.

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Published

03-02-2016

How to Cite

1.
Durski KN, Tituli C, Ogaoga D, Musto J, Joshua C, Dofai A, Leydon J, Nilles E. An outbreak of congenital rubella syndrome in Solomon Islands, 2013. Western Pac Surveill Response J [Internet]. 2016 Feb. 3 [cited 2026 Mar. 21];7(1). Available from: https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/406

Issue

Vol. 7 No. 1 (2016): January – March

Section

Outbreak Investigation Report

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