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Introducing combined measles, mumps and rubella vaccine in Chandigarh, India: issues and concerns

Nidhi Bhatnagar1, Ravneet Kaur, Madhu Gupta

  • 1School of Public Health, PGIMER, Chandigarh, India. Correspondence to: Dr Nidhi Bhatnagar, School of Public Health, PGIMER Sector 12, Chandigarh, 600 012, India. nidsbhatnagar@yahoo.com.

Indian Pediatrics
|July 3, 2014
PubMed

Insights

Mumps outbreaks are increasing in Chandigarh, affecting older individuals. Including the measles, mumps, and rubella (MMR) vaccine in routine immunization is crucial to prevent complications and protect newborns.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Cyclical mumps outbreaks are occurring in Chandigarh, particularly during winter months.
  • The current state immunization schedule in Chandigarh does not include the measles, mumps, and rubella (MMR) vaccine.
  • A notable epidemiological shift shows mumps incidence increasing in older children and adults.

Purpose of the Study:

  • To highlight the epidemiological shift in mumps diagnosis age in Chandigarh.
  • To underscore the potential for increased mumps-related complications due to the age shift.
  • To advocate for the inclusion of the MMR vaccine in Chandigarh's routine immunization program.

Main Methods:

  • Observational analysis of mumps outbreak patterns in Chandigarh.
  • Epidemiological assessment of age distribution in diagnosed mumps cases.
  • Review of the existing state immunization schedule and its implications.

Main Results:

  • Mumps outbreaks exhibit a cyclical pattern during winter in Chandigarh.
  • Diagnosis of mumps is shifting towards older children and adults.
  • The absence of MMR vaccination in the routine schedule contributes to this trend.

Conclusions:

  • The age shift in mumps diagnosis suggests a higher risk of complications.
  • The silent burden of rubella and its severe consequences for newborns necessitate action.
  • Inclusion of the MMR vaccine in Chandigarh's routine immunization is strongly recommended.

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