Njau J, et al. – Researchers analyzed surveys involving 428 case-patients and caretakers, government records, and health staff interviews to determine the economic impact of concurrent measles and rubella outbreaks in Romania during 2011–2012. During the study period, 12,427 cases of measles and 24,627 cases of rubella were reported; congenital rubella syndrome (CRS) was reported in 27 infants. The societal costs of the outbreaks totaled US $9.9 million. For measles, rubella, and CRS, the respective cost per case was US $439, US $132, and US $44,051, respectively. To pay for illness treatment, up to 36% of households needed to borrow money. These findings suggested a high economic burden contracted by the households compared with their incomes. The health sector bore most costs. As substantial costs were noted with CRS costs, it is relevant to include it in rubella outbreak cost studies.