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Home / Infectious Diseases / Viral Infections / Rubella (German Measles): Causes, Transmission, Prevention & Medications

Rubella (German Measles): Causes, Transmission, Prevention & Medications

Sep 03, 2025 Kefas Solomon Kefas Solomon

What is Rubella?

Rubella, also known as German measles, is a contagious viral illness that is usually mild in children but can cause severe complications when it affects pregnant women. The condition is caused by the rubella virus, which belongs to the togavirus family (Togaviridae). Unlike hepatitis or other causes of liver disease, rubella is not linked to the liver but instead targets the respiratory system and spreads through the bloodstream. The most visible sign is the rubella rash on the face and body, but the impact of this virus goes far beyond the skin.

The rubella incubation period is about 14 days, though it can range from 12 to 23 days. During this time, an infected person may show no signs yet can still spread the virus. Because of this, rubella virus transmission in schools and workplaces can happen before symptoms even appear. This hidden spread makes public awareness and rubella prevention strategies vital to global health.

Causes of Rubella Infection

The singular cause of rubella is the rubella virus, which replicates in the upper respiratory tract and then travels throughout the body. Let us examine the main causes and risk factors:

1. Viral Entry Through the Nose and Throat

Infection begins when droplets containing the virus are inhaled. The pathogen infects cells in the respiratory system before entering the bloodstream, leading to a widespread rash. This explains why rubella rash on face and body is one of the earliest signs.

2. Lack of Immunization

People who have never received the measles, mumps, and rubella (MMR) vaccine remain at risk. Rubella outbreaks in unvaccinated populations highlight how weak immunity allows the virus to spread quickly.

3. Congenital Transmission

Congenital rubella syndrome in pregnancy occurs when the virus passes from mother to unborn child. The risks include deafness, cataracts, heart defects, and developmental delays. The consequences are most severe if infection happens in the first trimester.

4. Crowded Settings

Environments like schools, daycare centers, and offices can encourage rubella virus spread among children and adults. This risk is higher when overall vaccination rates are low.

Symptoms of Rubella

Rubella symptoms are often mistaken for other viral illnesses. Some individuals remain asymptomatic, which makes diagnosis challenging. However, the most recognized signs include:

1. Rubella rash: Small, pink or red spots start on the face and spread to the trunk and limbs. This is why rubella is sometimes called the “three-day measles.”

2. Flu-like signs: Mild fever, sore throat, runny nose, and headache are common early symptoms. These may appear before the rash.

3. Swollen lymph nodes: Tender swelling behind the ears or at the back of the neck helps doctors confirm a rubella infection diagnosis.

4. Joint pain in adults: Women often experience joint stiffness and pain from rubella virus, especially in hands and knees.

5. Congenital symptoms: Babies with congenital rubella syndrome may suffer from blindness, deafness, heart disease, or slow growth.

How Rubella Spreads

Understanding how rubella spreads is essential for prevention. Transmission happens mainly through:

1. Airborne Droplets

Sneezing, coughing, or talking releases droplets that contain the virus. This makes rubella transmission in schools and households common.

2. Direct Contact

Sharing cups, utensils, or close physical contact with an infected person can spread the virus. Surfaces contaminated with droplets also pose a risk.

3. Maternal-Fetal Transmission

Pregnant women infected with rubella may pass it to their babies through the bloodstream, leading to congenital rubella infection during pregnancy.

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4. Silent Spreaders

Even without symptoms, an infected person can spread rubella one week before and one week after the rash appears. This prolonged contagious period makes rubella prevention strategies critical.

Prevention Strategies

The good news is that rubella can be prevented. The following measures are highly effective:

1. Vaccination (MMR Vaccine)

The MMR vaccine schedule for children recommends two doses, the first at 12–15 months and the second at 4–6 years. Adults without immunity should also be vaccinated. This ensures lifelong protection against rubella virus infection.

2. Pre-Pregnancy Immunization

Women should check their rubella immunity status before pregnancy. Getting vaccinated at least one month before conception prevents severe congenital rubella syndrome in newborns.

3. Avoiding Contact During Outbreaks

Limiting exposure to infected individuals reduces the chance of catching German measles infection. This is especially important for unvaccinated adults and pregnant women.

4. Public Health Programs

Nationwide vaccination campaigns, such as the rubella elimination program in the Philippines, demonstrate how herd immunity can protect entire populations.

5. Strengthening Immunity Naturally

A healthy immune system can reduce complications. Many people turn to natural remedies for rubella infection, such as vitamin C, zinc, and antioxidant supplements, to support recovery.

Recommended Supplements for Treating Rubella Infection

When dealing with viral infections like rubella or trying to strengthen your body’s natural defense system, supporting immunity becomes a top priority. Alongside vaccination and healthy living, certain natural supplements are known to boost immune function, improve recovery, and protect the body from harmful pathogens. Forever Living offers a range of carefully formulated supplements that provide these benefits.

Forever ImmuBlend is a complete immune support supplement made with a blend of powerful botanicals, vitamins, and minerals. It contains maitake and shiitake mushrooms, known for their immune-enhancing effects, along with vitamins C and D, which fight free radicals and help the body resist infections. With added zinc and lactoferrin, it promotes the growth of healthy immune cells and balances gut bacteria. This supplement is vegetarian-friendly, gluten-free, and designed to support the body’s defenses from every angle.

Forever Bee Propolis is another remarkable product that draws its strength from nature. Propolis, collected by bees to protect their hives, is rich in over 300 natural compounds. It provides essential vitamins, minerals, and antioxidants while offering antimicrobial and anti-inflammatory effects. It helps the respiratory system, supports wound healing, and can even combat digestive problems. Many people use bee propolis as a daily defense against infections and to maintain overall wellness.

Forever Garlic Thyme combines the benefits of garlic, with its active compound allicin, and thyme, which contains thymol. Together they support cardiovascular health, strengthen the immune system, and fight harmful microbes. They also play a role in managing blood sugar and reducing risks of chronic health conditions, making this supplement valuable for long-term health maintenance.

Forever Active Pro-B is a probiotic supplement that restores balance in the digestive system. Containing six clinically studied strains of good bacteria, it provides more than 8 billion CFU per dose. With its unique cryo-protection and prebiotic fiber support, it helps probiotics survive stomach acid and reach the intestines where they are most effective. A balanced gut flora not only improves digestion but also enhances nutrient absorption and strengthens immune defenses.

Forever Aloe Vera Gel is one of the brand’s signature products, made with 99.7% pure inner leaf aloe. Aloe vera is well known for its soothing and healing properties. This drink promotes hydration, supports skin health, and helps regulate body systems. It also aids digestion, strengthens the liver, kidneys, joints, and heart, and boosts energy levels. With natural antibacterial and antiviral compounds, it helps the body fight infections, reduce inflammation, and regenerate cells.

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2025-09-03  Kefas Solomon

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