Nepal Declared Free of Rubella

Nepal becomes the first SE Asia nation declared free of rubella; vaccination remains key for India’s elimination goals.
Rubella

Nepal Declared Free of Rubella

Syllabus: Health, International Reports (UPSC Pelims)
Source: DTE

Context:

On August 18, 2025, the WHO declared Nepal free of rubella as a public health problem, making it the first country in WHO’s Southeast Asia Region to achieve this milestone.


About Rubella

  • Also called German measles, rubella is a highly contagious viral disease spread through respiratory droplets.
  • Particularly risky during pregnancy, as it can cause miscarriage, stillbirth, or Congenital Rubella Syndrome (CRS) in infants.

Symptoms of Rubella

  • Fever (initial stage, mild)
  • Rash starting on the face and spreading across the body
  • Conjunctivitis, headache, muscle pain
  • Tender/swollen lymph nodes
  • General malaise
  • Many infections are asymptomatic, complicating detection.

Problems in Unborn Babies (CRS)

Rubella infection during pregnancy can cause:

  • Heart disease
  • Microcephaly (small head size)
  • Hearing loss
  • Vision problems

Treatment & Prevention

  • No specific antiviral treatment is available.
  • Supportive care: rest, hydration, fever management.
  • Vaccination is key: MMR vaccine (Measles, Mumps, Rubella) prevents infection.

India’s Status

  • India still reports sporadic rubella cases.
  • Measles-Rubella (MR) Campaign (2017): Vaccination drive for children aged 9 months–15 years.
  • Target: Elimination of measles & rubella by 2023–24, aligned with WHO’s South-East Asia regional goals.

Nepal’s success underscores the importance of universal immunisation, robust surveillance, and health campaigns for rubella elimination.

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