{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T08:13:50Z","timestamp":1768724030345,"version":"3.49.0"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T00:00:00Z","timestamp":1376870400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>In recent years the number of pregnant women susceptible to rubella has increased markedly. In the West Midlands the proportion has risen from 1\u00b74% in 2004 to 6\u00b79% in 2011. Locally, the proportion of non-immune women ranges from 1\u00b76% in those born prior to 1976 to 17\u00b78% in those born since 1986. The latter group comprises those given MMR in their second year with no further booster doses. The number of non-immune women will continue to rise as a consequence of low MMR uptake in the late 1990s. Repeat testing of samples with values &lt;10\u00a0IU\/ml and the need to vaccinate women postnatally have increased the workload of laboratory and maternity units. Screening for rubella in pregnancy has no advantages for the current pregnancy and it may be time to review the universal MMR vaccination programme which in turn would remove the need for continuing this practice.<\/jats:p>","DOI":"10.1017\/s0950268813002045","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T10:43:54Z","timestamp":1376909034000},"page":"1114-1117","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Is the MMR vaccination programme failing to protect women against rubella infection?"],"prefix":"10.1017","volume":"142","author":[{"given":"S.","family":"SKIDMORE","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"BOXALL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"LORD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,8,19]]},"reference":[{"key":"S0950268813002045_ref1","unstructured":"Public Health England. Infectious Diseases in Pregnancy Screening Programme. Handbook for Laboratories (http:\/\/infectiousdiseases.screening.nhs.uk\/standards). Accessed 6 August 2013."},{"key":"S0950268813002045_ref7","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2008.16.5.29188"},{"key":"S0950268813002045_ref2","unstructured":"Antenatal screening for rubella susceptibility\u00a0\u2013\u00a02011 review (www.screening.nhs.uk\/policydb_download.php?doc=172). Accessed 6 August 2013."},{"key":"S0950268813002045_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268810002748"},{"key":"S0950268813002045_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2011.11.045"},{"key":"S0950268813002045_ref4","unstructured":"Boxall E , Hodgkiss S , Tonks A . Antenatal screening in the West Midlands. Fourth report May 2007. nfectious Diseases July 2003\u2013June 2006 (http:\/\/www.screening.nhs.uk\/getdata.php?id=8935). Accessed 6 August 2013."},{"key":"S0950268813002045_ref3","unstructured":"NICE. Routine postnatal care of women and their babies. NICE clinical guidance 37. National Institute for Health and Care Excellence, 2006 (http:\/\/www.nice.org.uk\/CG037). Accessed 6 August 2013."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268813002045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T21:20:35Z","timestamp":1555968035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268813002045\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,19]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["S0950268813002045"],"URL":"https:\/\/doi.org\/10.1017\/s0950268813002045","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,19]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2013\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}