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IAP Position Paper on Burden of Mumps in India and Vaccination Strategies

Vipin M Vashishtha1, Sangeeta Yadav, Aashima Dabas

  • 1Indian Academy of Pediatrics, Advisory Committee on Vaccines and Immunization Practices (ACVIP); and Departments of Pediatrics, *Maulana Azad Medical College and #University College of Medical Sciences, New Delhi; India. Correspondence to: Dr Vipin M Vashishtha, Convener, IAP Advisory Committee on Vaccines and Immunization Practices, Mangla Hospital and Research Center, Shakti Chowk, Bijnor, Uttar Pradesh 246 701, India. vipinipsita@gmail.com.

Indian Pediatrics
|June 30, 2015
PubMed
Abstract

Insights

Mumps is a significant public health concern in India, with outbreaks reported nationwide and high susceptibility in children and adolescents. Including mumps vaccination in the National Immunization Program is crucial for disease control.

Area of Science:

  • Epidemiology
  • Immunization
  • Public Health

Background:

  • Mumps is prevalent in India but underestimated due to poor documentation and limited research.
  • The Indian government is considering the measles-rubella (MR) vaccine, potentially overlooking the mumps component.

Purpose of the Study:

  • To review the community burden of mumps in India.
  • To discuss vaccination strategies for policymakers to integrate mumps vaccine into the National Immunization Program.

Main Methods:

  • A comprehensive review of mumps burden and vaccination strategies in India was conducted.
  • Data from the Indian Academy of Pediatrics (IAP) Infectious Disease Surveillance (ID Surv) portal and the Government of India's Integrated Disease Surveillance Program (IDSP) were analyzed.
  • 14 studies and 2 media reports on mumps outbreaks were retrieved and analyzed.

Main Results:

  • Mumps outbreaks occurred across India, with mumps meningoencephalitis accounting for 2.3%–14.6% of encephalitis cases.
  • IDSP investigated 72 outbreaks involving 1564 cases in 14 states.
  • Genotypes G (G2) and C were the predominant circulating mumps virus strains.
  • Susceptibility rates in children and adolescents ranged from 32% to 80%.

Conclusions:

  • Mumps represents a substantial disease burden in India.
  • There is a clear need to include mumps vaccination in the National Immunization Program to mitigate its impact.

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