Incidence of congenital rubella in Greece has decreased

doi:10.1136/bmj.320.7246.1408

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G Giannakos, director, communicable diseases clinic,
M Pirounaki, infection specialist,
C Hadjichristodoulou, director (hadjich@ath.forthnet.gr)

Hellenic Army Medical Corps Directorate, Katchaki and Mesogeion 138, 11525 Athens, Greece
National Center of Surveillance and Intervention, Makedonias 6–8 Str, 10433 Athens, Greece

EDITOR—In their paper on the increase in congenital rubella occurring after immunisation in Greece, Panagiotopoulos et al used information that covered the period only until 1995.1 Since then the surveillance of rubella and immunisation policies have changed. In 1998 the National Center for Surveillance and Intervention was established and a new computerised surveillance system was introduced.

In September 1998 an outbreak of rubella was detected in army camps; it peaked in January 1999. Altogether 1174 cases were reported among unvaccinated male recruits aged 18–22 years. In January 1999 …