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Mumps complications and effects of mumps vaccination, England and Wales, 2002-2006
Chee Fu Yung1, Nick Andrews, Antoaneta Bukasa
1Health Protection Agency Centre for Infections, London, UK. cheefu.yung@gmail.com
Abstract:
We analyzed data from hospital admissions and enhanced mumps surveillance to assess mumps complications during the largest mumps outbreak in England and Wales, 2004-2005, and their association with mumps vaccination. When compared with nonoutbreak periods, the outbreak was associated with a clear increase in hospitalized patients with orchitis, meningitis, and pancreatitis. Routine mumps surveillance and hospital data showed that 6.1% of estimated mumps patients were hospitalized, 4.4% had orchitis, 0.35% meningitis, and 0.33% pancreatitis. Enhanced surveillance data showed 2.9% of mumps patients were hospitalized, 6.1% had orchitis, 0.3% had meningitis, and 0.25% had pancreatitis. Risk was reduced for hospitalization (odds ratio [OR] 0.54, 95% confidence interval [CI] 0.43-0.68), mumps orchitis (OR 0.72, 95% CI 0.56-0.93) and mumps meningitis (OR 0.28, 95% CI 0.14-0.56) when patient had received 1 dose of measles, mumps, and rubella vaccine. The protective effect of vaccination on disease severity is critical in assessing the total effects of current and future mumps control strategies.
Insights
Mumps vaccination significantly reduced the risk of severe mumps complications like orchitis and meningitis during a large outbreak. One dose of the measles, mumps, and rubella vaccine offered protection against hospitalization and disease severity.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- The 2004-2005 mumps outbreak in England and Wales represented a significant public health challenge.
- Understanding mumps complications and the impact of vaccination is crucial for effective control strategies.
Purpose of the Study:
- To assess mumps complications during a major outbreak in England and Wales.
- To evaluate the association between mumps vaccination and disease severity.
Main Methods:
- Analysis of hospital admission data and enhanced mumps surveillance.
- Comparison of complication rates during the outbreak versus non-outbreak periods.
- Statistical analysis of vaccination's effect on hospitalization and specific complications.
Main Results:
- The outbreak saw increased hospitalizations for orchitis, meningitis, and pancreatitis.
- Vaccination with one dose of measles, mumps, and rubella vaccine reduced the risk of hospitalization (OR 0.54), mumps orchitis (OR 0.72), and mumps meningitis (OR 0.28).
- Enhanced surveillance indicated lower hospitalization and complication rates compared to routine data.
Conclusions:
- Mumps vaccination provides a protective effect against severe disease and its complications.
- Vaccination is critical for assessing the overall impact of mumps control strategies.
- Public health interventions should consider the role of vaccination in mitigating outbreak severity.
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