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In conclusion, the high rate of exposure to rubella <br>and similar distribution by reproductive and sociodemo-<br>graphic characteristics (except residence site) suggests <br>the continued circulation and endemicity of the infection <br>in the study area. The observed rate of recent infection <br>among randomly selected pregnant women, particularly <br>in those in their first trimester is of concern and may hint <br>at the significance of CRS in our context. The suscepti-<br>bility rate to rubella in this study calls for interventions <br>that reduce the incidence of the infection in women of <br>childbearing age and the risk of giving birth to babies with <br>CRS. In this regard, introducing RCV in routine child-<br>โปรแกรมการฉีดวัคซีนเครื่องดูดควันและฉีดวัคซีน suscep- <br>ผู้หญิง tible ของวัยเจริญพันธุ์ควรได้รับการพิจารณา
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