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Mumps epidemic in Portugal despite high vaccine coverage - preliminary report

Insights

Portugal introduced the measles, mumps, and rubella (MMR) vaccine in 1987. Despite this, a mumps epidemic started in 1995, indicating potential challenges with vaccine effectiveness or implementation.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Portugal's National Immunisation Programme (NIP) incorporated the measles, mumps, and rubella (MMR) trivalent vaccine in 1987.
  • Vaccinations are administered at health centers, free of charge, aiming for widespread coverage.

Purpose of the Study:

  • To investigate the emergence of a mumps epidemic in Portugal following the introduction of the MMR vaccine.
  • To analyze the epidemiological characteristics of the mumps outbreak that began in 1995.

Main Methods:

  • Retrospective analysis of mumps incidence data in Portugal.
  • Geographical mapping of the initial mumps outbreak in northern Portugal.

Main Results:

  • An epidemic of mumps was observed starting in 1995.
  • The outbreak initially concentrated in the northern region of Portugal.

Conclusions:

  • The introduction of the MMR vaccine did not immediately prevent a mumps epidemic in Portugal.
  • Further investigation is needed to understand the factors contributing to the mumps outbreak despite vaccination efforts.

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