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Published on: November 22, 2011
Mumps outbreak on a university campus--California, 2011
Abstract:
Mumps is a vaccine-preventable viral disease characterized by swelling of the salivary glands; serious complications (e.g., meningitis, encephalitis, orchitis, or oophoritis) can occur. On September 29, 2011, the California Department of Public Health (CDPH) confirmed by polymerase chain reaction (PCR) three cases of mumps among students recently evaluated at their university's student health services with symptoms suggestive of mumps. An investigation by CDPH, student health services, and the local health department identified 29 mumps cases. The presumed source patient was an unvaccinated student with a history of recent travel to Western Europe, where mumps is circulating. The student had mumps symptoms >28 days before the onset of symptoms among the patients confirmed on September 29. Recognizing that at least two generations of transmission had occurred before public health authorities were alerted, measles, mumps, and rubella (MMR) vaccine was provided as a control measure. This outbreak demonstrates the potential value of requiring MMR vaccination (including documentation of immunization or other evidence of immunity) before college enrollment, heightened clinical awareness, and timely reporting of suspected mumps patients to public health authorities.
Insights
An unvaccinated student likely introduced mumps to a university campus, leading to 29 cases. Prompt vaccination and reporting are crucial for controlling mumps outbreaks.
Area of Science:
- Epidemiology
- Public Health
- Vaccinology
Background:
- Mumps is a viral illness preventable by the measles, mumps, and rubella (MMR) vaccine, but can lead to severe complications.
- Outbreaks can occur in settings with unvaccinated or under-vaccinated populations.
Observation:
- A mumps outbreak occurred at a California university in 2011, involving 29 confirmed cases.
- The outbreak was traced to an unvaccinated student who had traveled to Western Europe, where mumps was circulating.
Findings:
- The investigation revealed at least two transmission cycles before public health officials were notified.
- Measles, mumps, and rubella (MMR) vaccination was implemented as a control measure.
Implications:
- This outbreak highlights the importance of university vaccination policies, including documented proof of immunization.
- Enhanced clinical awareness and prompt reporting of suspected mumps cases are vital for effective public health response.
- Vaccine-preventable diseases like mumps pose a continued risk in higher education settings.
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