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Prevention of Congenital Rubella Infection: Symposium Summary

In opening the 1969 conference, Dr Lewis Thomas congratulated the participants on being "assembled to mark the beginning of the end of a major disease." That note of optimism was somewhat tempered by Dr David Sencer in the closing session, when he said that "Eradication will not take place when the vaccine is licensed, but only when the reservoir of susceptibles has been drained by immunization." In the intervening 15 years, much has been learned and done, but much remains to be learned and much more remains to be done. In only a few countries has significant progress been made toward eliminating the problem of congenital rubella infection (by whatever approach). We know congenital rubella infection causes tragic damage throughout the world. We have highly effective and safe vaccines that make this tragedy unnecessary. It now remains for us to fulfill the optimism of 15 years ago by using these preventive measures wisely and widely.