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Published on: September 10, 2010
Mumps and rubella eliminated from Finland.
H Peltola1, I Davidkin, M Paunio
1Hospital for Children and Adolescents, PO Box 281, FIN-00029 HUS, Helsinki, Finland. heikki.peltola@hus.fi
JAMA
|November 22, 2000
Summary
Finland
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Finland implemented a national 2-dose measles-mumps-rubella (MMR) vaccination program in 1982.
- Mandatory serological confirmation of suspected mumps and rubella cases was established in 1987.
- No vaccine-related deaths or sequelae have been reported.
Purpose of the Study:
- To evaluate the impact of a 2-dose MMR vaccination program on mumps and rubella elimination in Finland.
- To assess the long-term effectiveness of the vaccination strategy in preventing indigenous disease and outbreaks.
Main Methods:
- Analysis of national vaccination coverage data from 1982 to 1999.
- Surveillance of mumps and rubella cases, including imported and indigenous infections.
- Monitoring for vaccine-related adverse events.
Main Results:
- Indigenous mumps and rubella were eliminated by 1996.
- High community immunity prevented secondary spread from imported cases (1997-1999).
- Annual prevention of thousands of mumps complications and congenital rubella syndrome cases.
Conclusions:
- A 2-dose MMR vaccination policy effectively eliminated indigenous mumps and rubella in Finland.
- Sustained high vaccination coverage is crucial for preventing future outbreaks.
- Finland serves as a model for successful vaccine-preventable disease eradication.
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