Lyric discussion by mr-numb 

Cover art for Rubella lyrics by Smoking Popes

To expand on spamuel's point, Rubella is the scientific term for chicken pox. Josh Caterer is using the metaphor to describe his romance, a very well used one may i add. Chicken pox is something which is 'safe' to have when you're young but dangerous to have when you're an adult, and you can only get it once in your life. As such that makes this love all the more strong. Great song.

@mr Rubella is German measles not chicken pox.