{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:23:38Z","timestamp":1784193818548,"version":"3.55.0"},"reference-count":15,"publisher":"BMJ","issue":"6506","license":[{"start":{"date-parts":[[1985,11,16]],"date-time":"1985-11-16T00:00:00Z","timestamp":500947200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,11,16]]},"abstract":"<jats:p>The effect of school and adult vaccination on susceptibility to rubella in women of childbearing age was assessed in the Manchester area, where the population attending antenatal clinics is over 40 000 a year. Between 1979 and 1984 the proportion susceptible fell from 6.4% to 2.7%. In 1984, 4.2% of nulliparous women were susceptible compared with 1.4% of women in their second or subsequent pregnancy. Eighty five per cent of pregnant women screened and found to be non-immune were vaccinated post partum before leaving hospital. Requests for prevaccination screening of non-pregnant women increased in response to a national campaign and at the time of local outbreaks of rubella but only two thirds of those found to be nonimmune were subsequently vaccinated. During 1983 and 1984 infection was confirmed in 57 pregnant women--2% of those non-immune. Selective vaccination has reduced susceptibility to rubella in the childbearing population, but it is suggested that mass vaccination of children of both sexes should be added to the existing policy to control circulation of wild rubella virus and reduce the risk of infection to pregnant women who remain susceptible.<\/jats:p>","DOI":"10.1136\/bmj.291.6506.1398","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1398-1401","source":"Crossref","is-referenced-by-count":36,"title":["Effect of selective vaccination on rubella susceptibility and infection in pregnancy."],"prefix":"10.1136","volume":"291","author":[{"given":"C L","family":"Miller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P J","family":"Sequeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Cradock-Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Longson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E C","family":"Wiseberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1985,11,16]]},"reference":[{"key":"ref_1","article-title":"Social Security. Rubella prophylaxis","author":"I Department of Health and","year":"1970","unstructured":"I Department of Health and Social Security. Rubella prophylaxis. London: DHSS, 1970. (Circular 9\/70.)"},{"key":"ref_2","article-title":"Social Security. Rubella immunisation","author":"Department of Health and","year":"1983","unstructured":"Department of Health and Social Security. Rubella immunisation. London: HMSO, 1983. (HN(83)33.)"},{"key":"ref_3","first-page":"1511","article-title":"Immunisation policies","volume":"286","author":"Dudgeon, J.A.","year":"1983","unstructured":"Dudgeon JA. Immunisation policies. BrMedJ 1983;286:1511.","journal-title":"BrMedJ"},{"key":"ref_4","article-title":"Social Security. Rubella immunisation","author":"Circular","year":"1972","unstructured":"Department of Health and Social Security. Rubella immunisation. London: DHSS, 1972. (Circular"},{"key":"ref_5","first-page":"760","article-title":"Rubella vaccination of schoolgirls: factors affecting vaccine uptake","volume":"i:","author":"Peckham, C.S.; Marshall, W.C.; Dudgeon, J.A.","year":"1977","unstructured":"\/72.) 5 Peckham CS, Marshall WC, Dudgeon JA. Rubella vaccination of schoolgirls: factors affecting vaccine uptake. BrMedJ 1977;i:760-1.","journal-title":"BrMedJ"},{"key":"ref_6","first-page":"40","article-title":"National congenital rubella surveillance programme","volume":"291","author":"Smithells, R.W.; Sheppard, S.; Holzel, H.; Dickson, A.","year":"1971","unstructured":"Smithells RW, Sheppard S, Holzel H, Dickson A. National congenital rubella surveillance programme 1 July 1971-30 June 1984. BrMedJf 1985;291:40-1.","journal-title":"BrMedJf"},{"key":"ref_7","article-title":"Population Censuses and Surveys. Abortion statistics series AB No 5 1978","author":"Office of","year":"1980","unstructured":"Office of Population Censuses and Surveys. Abortion statistics series AB No 5 1978. London: HMSO, 1980."},{"key":"ref_8","article-title":"Population Censuses and Surveys. Abortion statistics series AB No 6 1979","author":"Office of","year":"1981","unstructured":"Office of Population Censuses and Surveys. Abortion statistics series AB No 6 1979. London: HMSO, 1981."},{"key":"ref_9","article-title":"Rubella vaccination","volume-title":"10 Department of Health and Social Security. Rubella vaccination in schoolgirls","author":"Officer, Chief Medical","year":"1979","unstructured":"Chief Medical Officer. Rubella vaccination. London: DHSS, 1979. (CMO(79)6.) 10 Department of Health and Social Security. Rubella vaccination in schoolgirls. London: HMSO, 1985. (SBL 607.)"},{"key":"ref_10","first-page":"12","article-title":"Congenital rubella syndrome","volume":"iii:","author":"Officer, Chief Medical","year":"1983","unstructured":"Chief Medical Officer. Congenital rubella syndrome. London: DHSS, 1983. (CMO(83)4.) 12 Chief Medical Officer. Congenital rubella syndrome. London: DHSS, 1983. (CMO(83)5.) 13 Chief Medical Officer. National rubella campaign. London: DHSS, 1983. (CMO(83)8.) 14 Public Health Laboratory Service Working Party on Rubella. Studies on rubella in pregnancy. Br MedJ 1968;iii:203.","journal-title":"Studies on rubella in pregnancy. Br MedJ; Congenital rubella syndrome"},{"key":"ref_11","first-page":"287","article-title":"Implementation of the rubella vaccination programme in Manchester","volume":"5","author":"Jones, A.E.","year":"1983","unstructured":"Jones AE. Implementation of the rubella vaccination programme in Manchester. Community Med 1983;5:287-94.","journal-title":"Community Med"},{"key":"ref_12","first-page":"119","article-title":"Role of the occupational health service in screening and increasing the uptake of rubella immunisation","volume":"290","author":"Jachuck, S.J.; Bound, C.L.; Jones, C.E.","year":"1985","unstructured":"Jachuck SJ, Bound CL, Jones CE. Role of the occupational health service in screening and increasing the uptake of rubella immunisation. BrMedJ 1985;290:119-22.","journal-title":"BrMedJ"},{"key":"ref_13","year":"1985","unstructured":"(Accepted 13 August 1985)"},{"key":"ref_14","article-title":"The Fourth World Congress on Emergency and Disaster Medicine was held recently in Brighton on the eve of a national campaign to train people in communities in cardiopulmonary resuscitation. The Resuscitation Council of the United Kingdom, the British Heart Foundation, and the British Association for Immediate Care sponsor this scheme. People from more than 30 countries attended. These countries use a rich variety of approaches to emergencies that occur out of hospital, yet few have adopted community training schemes for cardiopulmonary resuscitation. At Brighton several concerns were expressed repeatedly. Can people trained in such schemes do harm if they perform resuscitation on people who are not in cardiac arrest? Is vigorous resuscitation harmful to people whose hearts have stopped beating? Can such schemes train people to an adequate level of skill that will be remembered over time? Does cardiopulmonary resuscitation really save lives?","unstructured":"The Fourth World Congress on Emergency and Disaster Medicine was held recently in Brighton on the eve of a national campaign to train people in communities in cardiopulmonary resuscitation. The Resuscitation Council of the United Kingdom, the British Heart Foundation, and the British Association for Immediate Care sponsor this scheme. People from more than 30 countries attended. These countries use a rich variety of approaches to emergencies that occur out of hospital, yet few have adopted community training schemes for cardiopulmonary resuscitation. At Brighton several concerns were expressed repeatedly. Can people trained in such schemes do harm if they perform resuscitation on people who are not in cardiac arrest? Is vigorous resuscitation harmful to people whose hearts have stopped beating? Can such schemes train people to an adequate level of skill that will be remembered over time? Does cardiopulmonary resuscitation really save lives?"},{"key":"ref_15","article-title":"By 1985 over 450 000 people had been trained in Seattle and adjoining King County. Guided by this training, people in King County initiate resuscitation for half of all cardiac arrests. We have recorded detailed information on over 3000 patients who had a cardiac arrest in King County, all of whom had cardiopulmonary resuscitation provided by people in the community or emergency medical personnel, or both.3 Can this American experience answer some of the concerns of those who attended the Brighton meeting?","unstructured":"By 1985 over 450 000 people had been trained in Seattle and adjoining King County. Guided by this training, people in King County initiate resuscitation for half of all cardiac arrests. We have recorded detailed information on over 3000 patients who had a cardiac arrest in King County, all of whom had cardiopulmonary resuscitation provided by people in the community or emergency medical personnel, or both.3 Can this American experience answer some of the concerns of those who attended the Brighton meeting?"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.291.6506.1398","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.291.6506.1398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T19:19:49Z","timestamp":1765480789000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.291.6506.1398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,11,16]]},"references-count":15,"journal-issue":{"issue":"6506","published-online":{"date-parts":[[1985,11,16]]},"published-print":{"date-parts":[[1985,11,16]]}},"alternative-id":["10.1136\/bmj.291.6506.1398"],"URL":"https:\/\/doi.org\/10.1136\/bmj.291.6506.1398","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"value":"0267-0623","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,11,16]]}}}