Since the beginning of 2013, ongoing outbreaks of rubella, also known as German measles, have been reported in Japan and Poland. In Japan, over 14,000 cases have been reported, mainly concentrated in the Osaka and Tokyo Metropolis Prefectures. In Poland, over 36,000 cases have been reported throughout the country.
Pregnant women who are not protected against rubella either through vaccination or previous rubella infection should avoid travelling to Japan and Poland during this outbreak. This is especially important during the first 20 weeks of pregnancy.
The Public Health Agency of Canada reminds travellers to make sure their rubella vaccination is up-to-date.