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Published on: October 20, 2019
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.
Abstract:
Serological and virological studies were carried out of a mumps outbreak which occurred in one region, Yoeju County, Southeast of Seoul in Korea from September to December, 1999. Sera from 736 children at 8-13 years of age of patients with mumps and healthy children were tested for mumps-specific antibodies by enzyme immunoassay. The overall IgM positive rate was 7.6% (56/736), compared with 69.8% (514/736) for IgG. Of the 49 children with both IgG and IgM, 32 were also confirmed by both clinical and serological diagnosis. IgM antibodies were detected even in the samples collected up to 3 months after the onset of symptoms. Although 436 children had been vaccinated before the outbreak, 27 (6.2%) were found to be IgM positive, particularly 6 (4.4%) of 136 were positive serologically despite a second-dose vaccinees. Sequence analysis of the small hydrophobic (SH) gene of 4 mumps viruses isolated from 42 saliva specimens revealed that these were related to the genotype H, but distinguishable from European strains. This is the first study on the outbreak due to mumps virus genotype H and provides information to assess the understanding of recent outbreaks of mumps in 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.
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