Heilbrigðisskýrslur - 01.12.1969, Side 90

1969
— 88 —
b. Án lömunar (aparalytica).
1960 1961 1962 1963 1964 1965 1966 1967 1968 1969
Sjúkl. 99 99 99 99 99 2 99 99 99
Dánir alls „ 99 99 99 99 99 99 23. Rauðir hundar (086 rubella). Töflur II, III og IV, 23. 99 99 99
1960 1961 1962 1963 1964 1965 1966 1967 1968 1969
Sjúkl. 71 120 125 3763 2317 91 139 58 55 84
Dánir „ „ „ Á skrá í 11 héruðum. 99 99 99 99 99 99 99
Eftirfarandi er tekið úr ensku heilbriírðisskýrslunum fvrir árið 1970.
On the State of the Pv.blic Health, prefið út af Department of Health and
Social Security. Rétt þykir að birta kaflann á ensku fyrir nákvæmni
sakir:
..Rubella
3,55. Rubella is, as a rule. a mild disease and seldom gives rise to serious
comnlications. After an extensive epidemic of rubella in Australia in
1940, however. an increase in the number of infants with con,yenital
cataract was observed and in most of them it was possible to obtain a
history of maternal rubella in the earlv months of presmancy (Gregg,
1941). Many of these infants also had conyenital heart disease and other
defects. These findings were confirmed by other workers in Australia
(Swan et ah. 1943). and subsequently by workers in other parts of
the world. These studies. which were at first largelv retrospective.
established two points: —
1. the close association between congenital malformations and
maternal rubella in the first 12 to 16 weeks of pregnancy;
2. a characteristic pattern of defects involving mainly the heart, eye
and auditory apnaratus, either singly or in combination.
Early estimates based on retrospective studies of the risk of congenital
malformations after rubella during the first trimester put the figure as
high as 80—90 per cent (Swan, 1949), but later estimates, based on
nrospective studies, indicated a much lower risk (Manson et al., 1960;
Lundström, 1962). Figures tend to vary in different reports but a
reasonable estimate seems to be that the risk of damage to the fetus
as a result of maternal rubella approaches 80 per cent when infection
occurs in the first month of pregnancy, falls to below 40 per cent in the