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Modelling the Transmission Dynamics and Control of Mumps in Mainland China
Yong Li1,2, Xianning Liu3, Lianwen Wang4
1Key Laboratory of Eco-Environments in Three Gorges Reservoir Region (Ministry of Education), School of Mathematics and Statistics, Southwest University, Chongqing 400715, China. yongli@yangtzeu.edu.cn.
Abstract:
Mumps is a common childhood viral disease and children have been vaccinated throughout the world since 1967. The incidence of mumps has increased with more than 300,000 young people infected with mumps annually in mainland China since 2005. Therefore, we designed and analyzed long-term mumps surveillance data in an SVEILR (susceptible-vaccinated-exposed-severely infectious-mildly infectious-recovered) dynamic transmission model with optimized parameter values to describe the dynamics of mumps infections in China. There were 18.02% of mumps infected young adults seeking medical advice. The vaccine coverage has been insufficient in China. Young adults with frequent contact and mild infection were identified as a major driver of mumps epidemics. The reproduction number of mumps was determined 4.28 in China. Sensitivity analysis of the basic reproduction number and the endemic equilibrium was conducted to evaluate the effectiveness of mumps control measures. We propose to increase the vaccine coverage and make two doses of MMR (Measles, mumps and rubella) vaccines freely available in China.
Insights
Mumps outbreaks are increasing in China, driven by young adults. Increasing Measles, Mumps, and Rubella (MMR) vaccine coverage is crucial for control.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Mumps, a common childhood viral illness, has seen a resurgence in China since 2005.
- Over 300,000 young individuals are infected annually, with 18.02% seeking medical attention.
- Insufficient vaccine coverage contributes to the rising incidence of mumps.
Purpose of the Study:
- To analyze long-term mumps surveillance data in China.
- To model the dynamics of mumps transmission using a susceptible-vaccinated-exposed-severely infectious-mildly infectious-recovered (SVEILR) model.
- To identify key drivers of mumps epidemics and evaluate control strategies.
Main Methods:
- Utilized long-term mumps surveillance data from China.
- Employed an SVEILR dynamic transmission model with optimized parameters.
- Conducted sensitivity analysis on the basic reproduction number and endemic equilibrium.
Main Results:
- The reproduction number for mumps in China was determined to be 4.28.
- Young adults with frequent social contact and mild infections were identified as major drivers of mumps epidemics.
- Analysis indicated that current vaccine coverage in China is insufficient.
Conclusions:
- Increased vaccine coverage is essential for controlling mumps outbreaks in China.
- Making two doses of the Measles, Mumps, and Rubella (MMR) vaccine freely available is recommended.
- Targeting young adults and improving vaccination strategies are key to reducing mumps incidence.
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