NAME: Rubella virus
SYNONYM OR CROSS REFERENCE: German measles, 3-day measles
CHARACTERISTICS: Togaviridae, genus Rubivirus; single-stranded positive sense RNA, icosahedral, enveloped, 50-80 nm diameter, teratogenic
PATHOGENICITY: Mild febrile infectious disease with a diffuse punctate and macular rash resembling measles; leukopenia; arthralgia and arthritis may arise as complications, especially in adult females; half of infections occur without rash; 30-50% of infections are asymptomatic; congenital rubella syndrome (CRS) may occur in infants born to women with rubella in 1st trimester - death, spontaneous abortions, congenital malformations, risk decreases with fetal development
EPIDEMIOLOGY: Worldwide; prevalent in winter and spring; endemic except in remote and isolated communities which have epidemics every 10-15 years; peaked in North America every 6-9 years before vaccine; in unvaccinated populations-childhood disease, in vaccinated population - young adult infections
HOST RANGE: Humans
INFECTIOUS DOSE: 60 units (nasal drops); 10 units (pharyngeal spray); 30 units (subcutaneous)
MODE OF TRANSMISSION: Contact with nasopharyngeal secretions of infected persons; droplet spread or direct contact with patients; indirect contact with freshly infected articles; in closed environments, all susceptibles may be infected; infected infants shed large quantities of virus
INCUBATION PERIOD: 12-23 days; usually 16-18 days
COMMUNICABILITY: Communicable for 1 week before and at least 4 days after onset of rash; highly communicable; infants with congenital rubella may shed virus for up to 1 year after birth
RESERVOIR: Humans
ZOONOSIS: None
VECTORS: None
DRUG SUSCEPTIBILITY: Not affected by antibiotics
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to many disinfectants - 1% sodium hypochlorite, 70% ethanol, glutaraldehyde, formaldehyde, lipid solvents, trypsin
PHYSICAL INACTIVATION: Infectivity lost after 30 min at 56° C, 4 min at 70° C and 2 min at 100° C; sensitive to ultraviolet light; degrades rapidly with conventional freezing
SURVIVAL OUTSIDE HOST: Survives for short periods outside of host
SURVEILLANCE: Rubella serology screen for antibodies, especially for a pregnant female contact in first trimester
FIRST AID/TREATMENT: No specific treatment
IMMUNIZATION: All females of reproductive age and all persons who may have contact with pregnant women should be immune; those found to be susceptible by review of immunization records or serological testing should be immunized unless medically contraindicated; vaccine is contraindicated for the immunocompromised and expectant mothers, or those planning on becoming pregnant within three months
PROPHYLAXIS: IG given after exposure in pregnancy may modify or suppress symptoms but may not prevent infection
LABORATORY-ACQUIRED INFECTIONS: 1 reported case up to 1974
SOURCES/SPECIMENS: Pharyngeal and nasal specimens, stool, urine, blood, CSF
PRIMARY HAZARDS: Accidental parenteral inoculation; droplet exposure of the mucous membranes; inhalation of concentrated aerosolized materials
SPECIAL HAZARDS: None
CONTAINMENT REQUIREMENTS: Biosafety level 2 practices, containment equipment and facilities for activities involving known or potentially infectious clinical materials or cultures
PROTECTIVE CLOTHING: Laboratory coat; gloves when direct contact with infectious materials is unavoidable; gloves and gown in biosafety cabinet
OTHER PRECAUTIONS: Women who may become or are pregnant, if seronegative, should be restricted from working with this agent
SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover spill with paper towels and then 1% sodium hypochlorite, starting at perimeter and working towards the centre; allow sufficient contact time (30 min) before clean up
DISPOSAL: Decontaminate before disposal; steam sterilization, incineration, chemical disinfection
STORAGE: In sealed containers that are appropriately labelled
Date prepared: February, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright ©
Health Canada, 2001
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