The control of mumps in Israel

P E Slater1, E Anis, A Leventhal

  • 1Department of Epidemiology, Ministry of Health, Jerusalem, Israel.

Abstract

Insights

The introduction of the Measles-Mumps-Rubella (MMR) vaccine in Israel significantly reduced mumps incidence, achieving substantial disease control. Mumps is no longer considered a major public health concern in the region.

Area of Science:

  • Epidemiology
  • Vaccinology
  • Public Health

Background:

  • Measles-Mumps-Rubella (MMR) vaccine replaced monovalent measles vaccine in Israel in December 1988.
  • The primary goal was to eliminate congenital rubella syndrome.
  • This study examines mumps incidence changes post-MMR introduction.

Purpose of the Study:

  • To assess the impact of MMR vaccine introduction on mumps incidence in Israel.
  • To evaluate mumps control following a decade of routine vaccination.

Main Methods:

  • Utilized passive national surveillance data for mumps incidence.
  • Analyzed data from vaccine introduction (December 1988) through 1998.
  • Mumps has been a notifiable disease in Israel since 1977.

Main Results:

  • Reported mumps incidence decreased to less than 2% of pre-vaccine levels.
  • Significant reduction in mumps cases observed over the decade.

Conclusions:

  • Routine mumps vaccination in 1-year-olds has successfully controlled the disease in Israel.
  • While small outbreaks may persist due to factors like under-vaccination, primary vaccine failure, and waning immunity, mumps is no longer a significant public health problem.

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