Routine screening or vaccination of other young men, of older men, and of postmenopausal women is not recommended. These newer tests, therefore, appear to be both more accurate and more convenient than HI when performed in laboratories with demonstrated proficiency. A history of rubella vaccination can identify many who may be protected. Effectiveness of Early Detection Rubella vaccine, once administered, is efficacious. The effectiveness of a strategy of screening and follow-up vaccination to prevent CRS may be assessed by its effect on the incidence of CRS and of rubella infection and susceptibility in women of childbearing age.
Evidence regarding rubella susceptibility is supplied by a cohort study from Scotland.
An alternative strategy to prevent rubella infection in women of childbearing age is routine vaccination without screening. There are few data concerning rubella screening or vaccination in older men or in women past childbearing age.