MR Vaccine to Eradicate Rubella Virus in Indonesia for Save Prospective Young

Generation

Rubella also known as German Measles is an acute febrile ilness characterized by

rash and lymphadenopathy that can affect to neonatal, childhood, and adult infections occur
through the mucosa of the upper respiratory. It is the mildest of common viral exanthemes
caused by Rubella Virus. Rubella Virus, a member of the Togaviridae family, is the sole
member of the genus Rubivirus. Altough this virus only cause mild viral exanthemes,
infection during early pregnency may result in serious abnormalities of the fetus, including
congenital malformations and mental retardation. The consequences of rubella in utero are
reffered to as the congenital rubella syndrome. 1
Rubella is world wide distribution not except in Indonesia.Every year through
surveilance is reported more than 11.000 cases suspect of measles have lab confirmed show
16-43% is rubella certainly. From 2010 until 2015 it is estimated 30.463 cases of rubella. The
number cases is estimated to be lower than the actual figures in the field because there are
still unreported cases. Surveillance data over the past five years shows that 70% of rubella
cases occur at the age of less than 15 years old. Considering rubella can not be cured make
the one of public health problem. Fortunately rubella can be prevented through give live
attenuated vaccines of rubella. So that the Indonesia goverment give vaccines of rubella as
one of the national immunization programs. Indonesia use vaccine combination Measles-
Rubell(MR) who started in this year august until september 2017. Vaccination of MR is
given to children who aged 9 months to less than 15 years during the campaign. Total of 6
provinces, 119 districts/municipalities and 3.579 health center will carry out a campaign
targeting children aged 9 months until less than 15 years to be given MR vaccination number
34.964.384 children.2,3
The primary reason for the rubella vaccination program is to prevent congenital
infection by decreasing the number of susceptible people in the population, especially
children. As a result, there are fewer seronegative mothers and a smaller chance they will be
exposed to the virus infectious children. Because only one serotype for rubella exists and
humans are the only one serotype for rubella exist and humans are the only reservoir,
vaccination of largeproportion of the population can significantly reduce the likelihood of
exposure to the virus.4
But every decision who made by goverment always make pro and contra in
community, including this program. Pro community group said MR vaccine is beneficial
because give immunity from rubella virus or rubeola virus so can prevent measles or rubella
and contra community group said this vaccine is not halal because this vaccine suspect
contains something forbidden(haram).
In here i don’t blame every argument because that is depending on belief every
people they can choose to use it or not but need to know that goverment always trying to
give the best to their people to increase their immunity from rubella virus because altough
deathly cause this virus is rarely, rubella virus can make congenital malformation and
abnormalities of fetus. Indonesia health ministry confirm this vaccine is halal because this
vaccine develop from chicken embryo.5
So i hope goverment efforts give MR Vaccination to society will decrease cases of
infection by rubella virus and eradicate this virus because if eradication of this virus is
succesful we can save prospective young generation is better.
 References

1. Brooks GF, et al. Medical Microbiology 26th Edition. New York : Mc Graw Hill
Medical: 2014.
2. Indonesia Health Minister. Status measles and rubella in Indonesia right now. Jakarta
: Indonesia Health Minister.2017
3. Indonesia Health Minister. Technical guidance, campaign, and intoduction MR
vaccine. Jakarta : Indonesia Health Minister.2017.
4. Murray PR, et al. Medical Microbiology 8th Edition. Canada : Elsevier : 2016
5. Kusuma EF. Menkes: vaksin rubella tidak haram. https://news.detik.com/berita/d-
3585564/menkes-imunisasi-rubella-tidak-haram. (acces on August 27th 2017)