Rubella, also known as “German Measles”, is generally a mild disease but can have serious consequences for pregnant women and their children. If infected with rubella in the first trimester women have a very high risk of giving birth to a child with Congenital Rubella Syndrome (CRS). CRS often results in multiple birth defects including as heart problems, deafness and blindness. More than 100,000 children are born with CRS each year. The lifelong complications and disabilities can have an immeasurable emotional, social and financial cost for families. Like measles, rubella can be prevented with a safe, effective and inexpensive vaccine. This can be delivered as a rubella vaccine alone, or combined with measles vaccine (MR) or with measles and mumps vaccines (MMR).