The value of GMC increased from 14.51 IU/ml in <1-year older group to 98.57 IU/ml in 1-year-old group, then decreased to 37.34 IU/ml in 10C14?years old group, and increased again in 15C19?years old group (54.14 IU/ml), and the subsequent age groups remained between 67.27 IU/ml-74.3 IU/ml, except for the 40?-year-old group (44.62 IU/ml) (Table 2, Number 5). still experienced a higher proportion of rubella instances, which might lead to increased risk of subsequent CRS. The positive rate and GMC of rubella IgG were significantly affected by age and immunization history of RCV. Therefore, we ought to stress the importance of pushing ahead the marketing campaign for supplementary vaccination of rubella in adults. KEYWORDS: Rubella, epidemiology, Rubella vaccine, China Intro Rubella is definitely a common acute respiratory infectious disease caused by the rubella disease, as well as a slight self-limiting illness. Although rubella is regarded as a benign illness with acute symptoms, such as low temp, rash, and inflamed lymph nodes, arthralgia and arthritis are frequent in adults, particularly women.1 Rubella disease (RV) has a significant potential for teratogenicity.2 If RV illness occurs during the 1st 4 weeks of pregnancy, it can be transmitted across the placenta, causing fetal illness and resulting in spontaneous miscarriage, stillbirth, and a spectrum of birth abnormalities known Dynamin inhibitory peptide as congenital rubella syndrome (CRS). To day, rubella is still common in many areas, and CRS with long-term health effects is still becoming reported. 3 The number of rubella instances fell sharply from 670 894 to 26,006 between 2000 and 2018, but due to the large epidemics in China and Japan, the number of instances increased to more than 30,000 in 2019, and approximately 100 000 CRS instances were estimated to occur yearly in 92 low- and middle-income countries right now.2 In 2015, the Pan American Health Corporation declared that rubella and CRS had been eliminated from your WHO Americas region, 4 which demonstrated that rubella vaccination might successfully prevent RV illness and further reduced rubella and CRS. As of July 2020, 84 of the 195 (43%) WHO member claims had been verified achieving rubella removal; 173 member claims experienced initiated rubella vaccination, and the global protection rates of both MCV2 and rubella vaccines experienced reached 71%.3 By the end of 2020, WHO updated the prospective to accomplish and sustain regional measles and rubella elimination goals by 2030 in all six WHO areas.3 Rubella infection is Dynamin inhibitory peptide an important public health issue in China, which influences a population of more than 1.4 billion people, due to the teratogenic effects of the rubella disease within the developing fetus. RCV was launched nationwide into the Expanded Immunization System (EPI) in 2008, having a schedule of 1 1 dose of measles and rubella combined attenuated live vaccine (MR) at 8?weeks and 1 dose of measles, mumps, and rubella combined attenuated Dynamin inhibitory peptide live vaccine (MMR) at 18?weeks, in response to WHOs goal of rubella removal. According to the Chinese Centers for Disease Control and Prevention (CDC), after the 2008 national intro of rubella vaccination into China’s EPI system, the incidence of rubella offers Dynamin inhibitory peptide gradually fallen from 91.0 per million in 2008 to 1 1.16 per million in 2017.5 China has made considerable strides in rubella management and is approaching to the goal of rubella elimination. In 1994, the rubella attenuated live vaccine was first used in Hangzhou.6 Starting in Cited2 2008, RCV was introduced into the Dynamin inhibitory peptide EPI in Hangzhou. In 2011, Hangzhou implemented a routine vaccination marketing campaign for rubella which contained a vaccine for teenagers in the third grade of junior high school. Rubella epidemiology in developing countries can derive from rubella antibody seroprevalence.1 Since 2009, Hangzhou has been conducting annual serological checks for healthy people. In this study, we targeted to statement the epidemiology of rubella illness by age group and determine the difficulties in rubella removal in Hangzhou during the period of 2009C2020. Materials and methods Establishing Hangzhou is the capital.