title: Outbreak of Rubella Among Cadets in an Academy.
abstract: BACKGROUND
  Rubella is traditionally considered a childhood disease, but has the potential to cause outbreaks in closed community of young adults. The present paper describes one such outbreak in a military training establishment.
  
  
  METHODS
  The cases of rubella outbreak were identified by clinical features (fever, rash and lymphadenopathy) and confirmed by detection of high titre of anti-rubella IgM antibodies by enzyme-linked immunosorbent assay. Initial serum samples were also tested for antibodies against measles, scrub typhus and dengue. Salient epidemiological features of the outbreak were studied.
  
  
  RESULTS
  163 cadets were admitted in the local military hospital within two months. The cases presented with fever, coryza, lymphadenopathy and maculopapular rash. 117 (71.78%) of the samples showed presence of anti-rubella IgM antibodies.
  
  
  CONCLUSIONS
  Rubella outbreaks in military communities have the potential to adversely affect military training/operations. The need for administration of vaccination against rubella in such population may be reviewed.
authors.affiliation: Associate Professor (PSM), DY Patil Medical College, Pune.
authors.forename: A
authors.initials: A
authors.lastname: Banerjee
authors.affiliation: Classified Specialist (Pathology & Microbiology), DRDE, Gwalior.
authors.forename: A K
authors.initials: AK
authors.lastname: Sahni
authors.affiliation: Associate Professor (Microbiology), AFMC, Pune.
authors.forename: R M
authors.initials: RM
authors.lastname: Gupta
authors.affiliation: Medical Officer, HQ 54 Inf Div (Med), C/o 56 APO.
authors.forename: V S
authors.initials: VS
authors.lastname: Grewal
authors.affiliation: Ex-Commandant, MH Jallandhar.
authors.forename: Z
authors.initials: Z
authors.lastname: Singh
keywords: Military academy; Rubella outbreak