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Published on: February 22, 2019
Evaluation of live attenuated S79 mumps vaccine effectiveness in mumps outbreaks: a matched case-control study
Chuan-xi Fu1, Jun Nie, Jian-hua Liang
1Guangzhou Center of Disease Control and Prevention, Guangzhou, Guangdong 510080, China.
Background:
Mumps virus infection is a potentially serious viral infection of childhood and early adulthood. In China, live attenuated S(79) mumps vaccine has been licensed for pediatric use since 1990. The objective of this study was to determine the effectiveness of live attenuated S(79) mumps vaccine against clinical mumps in outbreaks.
Methods:
Cases were selected from mumps outbreaks in schools in Guangzhou between 2004 and 2005. Each case was matched by gender, age and classroom. Vaccination information was obtained from Children's EPI Administrative Computerized System. Vaccine effectiveness (VE) was calculated for 1 or 2 doses of S(79) vaccine with 95% confidence intervals (CI).
Results:
One hundred and ninety-four cases and 194 controls were enrolled into the study. VE of the S(79) mumps vaccine for 1 dose versus 0 confer protection 80.4% (95% CI, 60.0%-90.4%) and VEs against mumps in outbreaks for 1 dose of mumps vaccine are similar among those children aged 4-9 years and aged over 10 years old.
Conclusion:
The live attenuated S(79) mumps vaccine can be effective in preventing clinical mumps outbreaks.
Insights
The live attenuated S(79) mumps vaccine demonstrated significant effectiveness in preventing clinical mumps outbreaks. One dose provided 80.4% protection, highlighting its value in pediatric populations.
Area of Science:
- Virology
- Immunology
- Public Health
Background:
- Mumps virus is a significant cause of illness in children and young adults.
- The S(79) strain of live attenuated mumps vaccine has been available in China since 1990.
- Assessing vaccine effectiveness during outbreaks is crucial for public health strategies.
Purpose of the Study:
- To evaluate the effectiveness of the live attenuated S(79) mumps vaccine.
- To determine vaccine effectiveness against clinical mumps during school outbreaks.
Main Methods:
- Case-control study design during mumps outbreaks in Guangzhou (2004-2005).
- Cases and controls were matched by gender, age, and classroom.
- Vaccination status was verified through the Children's EPI Administrative Computerized System.
- Vaccine effectiveness (VE) calculated for 1 or 2 doses with 95% confidence intervals (CI).
Main Results:
- 194 cases and 194 controls were analyzed.
- One dose of S(79) mumps vaccine showed 80.4% effectiveness (95% CI, 60.0%-90.4%) against mumps compared to no vaccination.
- Effectiveness was comparable in children aged 4-9 years and those over 10 years old.
Conclusions:
- The live attenuated S(79) mumps vaccine is effective in preventing clinical mumps.
- The vaccine plays a vital role in controlling mumps outbreaks in pediatric populations.
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