Kate, your sister-in-law, is around to experience fertility treatments.


Her doctor insists that she receive the rubella vaccination, and then dally several weeks before beginning the actual fertility regimen. Kate call you and wants to know why she has to do this. You ask her if she is competent to produce evidence of vaccination for rubella (also known as German measles). She say no; her family had a house fire a few years ago and those documents were lost.
"But I had German measles when I be in second grade!" she say. "I remember that I was really sick and missed almost a month of school."
You suggest that she follow her doctor's direction and get the immunization.
1. What is the causative agent of rubella?
2. What type of disease is rubella? Do you focus, from Kate's description, that she had rubella in second level? Why or why not?
3. What does the vaccine consist of?
4. Why did the doctor recommend Kate be vaccinated? Why does the doctor recommend a waiting period after inoculation before Kate gets pregnant?
5. The doctor offer Kate the option of having her blood checked for antibodies to the virus. Would the question paper be checking for immunoglobulin M or G (IgM or IgG)? Explain your answer.

Answers:    I know someone who had rubella when pregnant. Caused a lot of birth defect in her child. Only an idiot would fight over this thing--there's no downside to getting the shot, and the horrors of getting rubella while pregnant are too awful to contemplate.

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