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Epidemiological study of mumps deafness in Japan
Yoshiyuki Kawashima1, Kazushige Ihara, Mieko Nakamura
1Department of Otolaryngology, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. kawashima.oto@tmd.ac.jp
Abstract:
In Japan, mumps vaccination is optional and the mumps were increased accompanied with prevalent waves according to the Infections Agents Surveillance Report (IASR). The aim of this study was to clarify that there was relevance for increase of mumps epidemic and mumps deafness. The Acute Profound Deafness Research Committee of the Japanese Ministry of Health and Welfare (reorganized to the Ministry of Health, Labour and Welfare in 2001) conducted a nationwide epidemiological survey to determine the number of patients treated for mumps deafness in 1987, 1993 and 2001. Based on its findings, the annual numbers of mumps deafness cases was estimated to be 300 in 1987, 400 in 1993 and 650 in 2001, which correlated with the overall incidence of mumps in those years. Because the majority of cases exhibited severe or profound sensorineural hearing loss that usually did not recover, rapid improvement of mumps vaccine coverage is strongly recommended.
Insights
Mumps outbreaks in Japan correlate with increased cases of mumps deafness. This hearing loss is often severe and permanent, highlighting the urgent need for higher mumps vaccination rates.
Area of Science:
- Epidemiology
- Public Health
- Otolaryngology
Background:
- Mumps vaccination in Japan is optional, leading to periodic outbreaks.
- Surveillance data indicates increasing mumps incidence in recent decades.
- Mumps is a known cause of acquired sensorineural hearing loss.
Purpose of the Study:
- To investigate the association between mumps epidemics and mumps-related deafness in Japan.
- To quantify the incidence of mumps deafness over time.
- To inform public health policy regarding mumps vaccination.
Main Methods:
- A nationwide epidemiological survey was conducted.
- Data on mumps deafness cases were collected for 1987, 1993, and 2001.
- Annual case numbers were estimated based on survey findings.
Main Results:
- Estimated annual mumps deafness cases increased from 300 in 1987 to 650 in 2001.
- These increases correlated with the overall incidence of mumps during the surveyed years.
- Most cases presented with severe to profound sensorineural hearing loss.
Conclusions:
- A significant correlation exists between mumps outbreaks and the incidence of mumps deafness.
- Mumps-induced hearing loss is often irreversible.
- Improving mumps vaccine coverage is crucial to reduce deafness incidence.
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