“…The results are similar to those of previous studies in the African region, which have reported rubella seropositive estimates of 72-99% in women of reproductive age, 7,[16][17][18][19][20][21][22][23][24] and 53-95% in pregnant women. 18,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] These serosurvey results and evidence from epidemiological investigations and CRS surveillance indicate that rubella virus is circulating on the African continent, causing rubella infections and CRS. 8,42 For pregnant women, rubella susceptibility is concerning because of the risk of CRS in the fetus.…”