| Rubella is usually a mild viral disease. However, rubella is a concern for pregnant women, especially early in the pregnancy as it can cause serious harm to the developing baby. The symptoms of rubella are fever, a general body rash and aching joints (mostly in adults).The first sign may be swollen glands usually behind the ears followed by a rash consisting of pink isolated spots. Rubella is spread by coughing and sneezing. It can be difficult to distinguish from other viral illnesses. A blood test is the only reliable way to diagnose rubella. If a person has been exposed to rubella, it usually takes 16–18 days before they get sick. A person with Rubella is infectious from seven days before the rash appears until at least four days after. | 