Outbreak of mumps in a vaccinated child population: a question of vaccine failure?

Corinne Vandermeulen1, Mathieu Roelants, Marijke Vermoere

  • 1Department of Youth Health Care, Katholieke Universiteit Leuven, Kapucijnenvoer 35/1, 3000, Belgium. corinne.vandermeulen@med.kuleuven.ac.be

Vaccine
|July 13, 2004
PubMed

Insights

Mumps outbreaks in Belgium highlight issues with measles-mumps-rubella (MMR) vaccination. Even with recommended schedules, secondary vaccine failure may contribute to outbreaks in children.

Area of Science:

  • Epidemiology
  • Immunology
  • Public Health

Background:

  • Measles-mumps-rubella (MMR) vaccination is recommended in Belgium with a two-dose schedule.
  • Despite vaccination efforts, mumps outbreaks continue to occur, posing a public health challenge.
  • An investigation into a mumps outbreak in Bruges, Belgium, involving 105 cases across seven schools.

Purpose of the Study:

  • To investigate the reasons behind a mumps outbreak in a pediatric population in Bruges, Belgium.
  • To assess the potential contributing factors to the observed mumps cases.
  • To highlight the role of vaccine failure in the context of the outbreak.

Main Methods:

  • Retrospective analysis of mumps cases during an outbreak in Bruges.
  • Evaluation of vaccination coverage and schedules in affected schools.
  • Assessment of potential primary and secondary vaccine failure mechanisms.

Main Results:

  • 105 cases of mumps were registered in children aged 3-12 years across seven schools.
  • Factors contributing to the outbreak included suboptimal vaccination coverage and inadequate vaccination schedules.
  • Secondary vaccine failure was identified as a significant factor in the mumps outbreak.

Conclusions:

  • Suboptimal vaccination coverage and scheduling contribute to mumps outbreaks.
  • Secondary vaccine failure plays a crucial role in the resurgence of mumps despite vaccination programs.
  • Public health strategies may need to address vaccine effectiveness and scheduling to prevent future outbreaks.

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