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Published on: February 22, 2019
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
Abstract:
In Belgium, children are immunized against measles-mumps-rubella (MMR) in a two-dose schedule at the age of 15 months and 11 years. Despite these recommendations, epidemics of mumps still occur. During an outbreak of mumps in Bruges (Belgium), 105 cases were registered in seven schools (age group 3-12 years). Lower than optimal vaccination coverage, inadequate vaccination schedule and a combination of primary and/or secondary vaccine failure are considered as possible reasons for the outbreak as described in the article. The role of secondary vaccine failure is highlighted.
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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