Regional outbreak of mumps due to genotype H in Korea in 1999

Joo-Yeon Lee1, Byoung-Kuk Na, Jee-Hee Kim

  • 1Laboratory of Respiratory Viruses, Department of Virology, National Institute of Health, Seoul, Korea.

Insights

A 1999 mumps outbreak in Korea revealed genotype H strains, impacting vaccinated children. Serological tests confirmed mumps virus presence, even months after symptom onset, highlighting the need for ongoing surveillance.

Area of Science:

  • Virology
  • Epidemiology
  • Immunology

Background:

  • Mumps outbreaks pose a public health concern, particularly in school-aged children.
  • Understanding the genetic diversity and serological response to mumps virus is crucial for effective control strategies.

Purpose of the Study:

  • To investigate a mumps outbreak in Yoeju County, Korea, during 1999.
  • To characterize the mumps virus strains involved and assess the immune response in affected children.

Main Methods:

  • Serological testing (IgM and IgG) using enzyme immunoassay on 736 children's sera.
  • Virological analysis, including sequence analysis of the small hydrophobic (SH) gene from isolated mumps viruses.
  • Clinical and serological diagnosis confirmation.

Main Results:

  • Overall IgM and IgG positive rates were 7.6% and 69.8%, respectively.
  • Mumps virus strains were identified as genotype H, distinct from European strains.
  • Breakthrough infections occurred in vaccinated children, including those who received two doses.

Conclusions:

  • The study identified genotype H mumps virus as the cause of the 1999 outbreak in Korea.
  • The findings underscore the potential for mumps virus to cause outbreaks even in vaccinated populations.
  • This research provides valuable insights into recent mumps outbreaks in Korea and the circulating viral genotypes.

Related Concept Videos

Genital Herpes01:23

Genital Herpes

Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...
Viral Mutations00:36

Viral Mutations

A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material for adaptive...
Viral Recombination00:57

Viral Recombination

Cells are sometimes infected by more than one virus at once. When two viruses disassemble to expose their genomes for replication in the same cell, similar regions of their genomes can pair together and exchange sequences in a process called recombination. Alternatively, viruses with segmented genomes can swap segments in a process called reassortment.
Chickenpox01:20

Chickenpox

Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
Single Nucleotide Polymorphisms-SNPs01:05

Single Nucleotide Polymorphisms-SNPs

A single nucleotide polymorphism or SNP is a single nucleotide variation at a specific genomic position in a large population. It is the most prevalent type of sequence variation found in the human genome. Point mutations that occur in more than 1% of the population qualify as SNPs. These are present once every 1000 nucleotides on an average in the human genome. Replacement of a purine with another purine (A/G) or a pyrimidine with another pyrimidine (C/T) is known as a transition. In contrast,...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...