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Seroepidemiology of the recent mumps virus outbreaks in Ireland
Jaythoon Hassan1, Jonathan Dean, Eibhlín Moss
1National Virus Reference Laboratory, School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Ireland. jaythoon.hassan@ucd.ie
Background:
Two recent mumps outbreaks have occurred in Ireland in 2004/2005 and 2008/2009.
Objectives:
To retrospectively investigate any potential shifts in the gender bias and age profile and to identify cohorts who are maintaining mumps virus in circulation.
Study Design:
2600 cases of acute mumps infection, as determined by the presence of mumps-specific IgM in sera and oral fluids, were confirmed at the National Virus Reference Laboratory.
Results:
Acute mumps infection occurred more frequently in males with a ratio of approximately 2:1 in the 1-9 and 10-19 years old age groups. A 3:2 ratio was observed in the 20-29 years old cohort and the 30+ age group did not show a gender bias. Serological evidence of prior immunological exposure to mumps virus, as determined by the presence of mumps-specific IgG, was high and similar in males and females of all age cohorts (93.1-100%). A significant increase in the number of acute mumps cases in the ≥30 years old age group was observed. This increase was most striking in the periods between the outbreaks (71.1% in 2007 and 56.2% in 2010).
Conclusions:
Acute mumps infection showed a male gender bias. The consistent and significant increase of mumps infection in the ≥30 years old age group which is also evident in the periods between outbreaks suggests that this may be the cohort maintaining the mumps virus in circulation.
Insights
Mumps infection shows a male bias, particularly in younger age groups. Adults aged 30 and over are increasingly affected, suggesting they may be key in maintaining mumps virus circulation.
Area of Science:
- Epidemiology
- Virology
- Public Health
Background:
- Ireland experienced two significant mumps outbreaks in 2004/2005 and 2008/2009.
- Understanding transmission dynamics is crucial for public health interventions.
Purpose of the Study:
- To analyze shifts in gender and age distribution of mumps cases.
- To identify specific age groups responsible for sustained mumps virus circulation.
Main Methods:
- Retrospective analysis of 2600 acute mumps infection cases.
- Confirmation of infection using mumps-specific IgM in sera and oral fluids.
- Assessment of prior immunity via mumps-specific IgG levels.
Main Results:
- Mumps infection demonstrated a male predominance (approx. 2:1) in individuals aged 1-19.
- A male bias (3:2) was noted in the 20-29 age group; no bias was observed in those 30+.
- A notable increase in acute mumps cases was observed in the 30+ age group, especially between outbreaks (71.1% in 2007, 56.2% in 2010).
- High seroprevalence of mumps virus IgG (93.1-100%) was consistent across all ages and genders.
Conclusions:
- A male gender bias in acute mumps infection was confirmed.
- The persistent rise in mumps cases among individuals 30 and older, particularly between outbreaks, indicates this demographic may be crucial for maintaining virus circulation.
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