![]() ![]() Before the introduction of the vaccine, up to 4 babies in every 1000 live births were born with CRS. The highest risk of CRS is in countries where women of childbearing age do not have immunity to the disease (either through vaccination or from having had rubella). Congenital rubella syndromeĬhildren with CRS can suffer hearing impairments, eye and heart defects and other lifelong disabilities, including autism, diabetes mellitus and thyroid dysfunction – many of which require costly therapy, surgeries and other expensive care. Infants with CRS may excrete the virus for a year or more. This can cause the death of the fetus, or it may cause CRS. When a woman is infected with the rubella virus early in pregnancy, she has a 90% chance of passing the virus on to her fetus. The most infectious period is usually 1–5 days after the appearance of the rash. Symptoms usually appear 2 to 3 weeks after exposure. Once a person is infected, the virus spreads throughout the body in about 5-7 days. Infected adults, more commonly women, may develop arthritis and painful joints that usually last from 3–10 days. Swollen lymph glands behind the ears and in the neck are the most characteristic clinical feature. The rash, which occurs in 50–80% of cases, usually starts on the face and neck before progressing down the body, and lasts 1–3 days. In children, the disease is usually mild, with symptoms including a rash, low fever (<39☌), nausea and mild conjunctivitis. The rubella virus is transmitted by airborne droplets when infected people sneeze or cough. While rubella virus infection usually causes a mild fever and rash in children and adults, infection during pregnancy, especially during the first trimester, can result in miscarriage, fetal death, stillbirth, or infants with congenital malformations, known as congenital rubella syndrome (CRS). Hunt down monsters for essential components to craft weapons and items to increase the chances of survival - but watch out for brutal bosses that can decide to crash your party at the worst possible moment.Rubella is an acute, contagious viral infection.Use the lull in combat to fix up the base - or venture out, explore, fix bridges, and scavenge the derelict Kingdom. ![]() If the fort holds (big “if”), send Yulia into the fray beyond its protective shell and clash with the monster hordes. Keep hordes of dimensional horrors at bay with a selection of traps to deploy including spike strips, tripwire bombs, and elemental traps.Build up those defenses! Choose from dozens of turrets, including the bomb-javelin launcher, crossbow turret, and bomb slingshot to set up lethal defensive zones.Yulia has access to a broad range of weapons to be enchanted, from simple swords and axes to sophisticated bows providing elemental attacks, dealing additional damage and opening new ways of containing the endless waves of enemies.The last stand of the Royal Guard isn't over - until it's over. Go at it alone - or enlist fellow survivors, using classic local split screen or online multiplayer. Gear up, prepare defenses, lay down traps, cook a possible last meal, and try to stay alive. Take control of Yulia, the last surviving member of the Royal Guard, and confront the endless monster hordes spawned by the out-of-control Dimensional Orb. Monster Outbreak is a pixel top-down survival game. Riches, knowledge, and incredible stories flowed into the Kingdom thanks to the Orb… but then came the monsters. Being human, the king was easily tempted, and for a time the promise held true. The Dimensional Orb was a promise of wealth and knowledge beyond humanity's wildest dreams, hidden away from all until it was discovered and brought to the king.
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