Picture taken by Anuj Bhattachan (red rash in the face)
There are increasing reports of rubella outbreaks in Nepal, detected through vaccine preventable diseases (VPDs) surveillance network in Nepal. This photo of a child was taken during an investigation of a "suspected measles like illness" outbreak in Mustang, a remote and extremely "hard to reach" Himalayan district in Western part of Nepal.
Follow up note:
Government of Nepal has introduced rubella vaccine through mass vaccination along with measles vaccine country wide. Now, the rubella vaccine is integrated to EPI schedule given at 9 months with measles vaccine.