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Mumps outbreak and MMR IgG surveillance as a predictor for immunity in military trainees

Lindsey E Nielsen1, Devin C Kelly2, Janelle Gyorffy3

  • 1Department of Pathology and Area Laboratory Services, Brooke Army Medical Center, San Antonio, TX, USA; Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.

Vaccine
|September 9, 2019
PubMed

Insights

Mumps IgG antibody levels do not reliably indicate immunity, even before infection. This study highlights the need for better laboratory tests to confirm immunity against mumps and other vaccine-preventable diseases.

Area of Science:

  • Infectious Diseases
  • Immunology
  • Vaccinology

Background:

  • Mumps outbreaks can occur in populations with presumed immunity.
  • Serological markers like IgG are often used to assess vaccine-induced immunity.
  • The reliability of serology for confirming immunity requires ongoing evaluation.

Purpose of the Study:

  • To investigate the diagnostic utility of mumps serology during an outbreak.
  • To evaluate pre-outbreak immunity levels against measles, mumps, and rubella in service members.
  • To determine if serological markers can predict immunity to vaccine-preventable diseases.

Main Methods:

  • Case evaluation using mumps IgG, IgM, viral culture, PCR, and sequencing.
  • Analysis of pre-outbreak serum samples from the Department of Defense (DoD) Serum Repository.
  • Determination of measles, mumps, and rubella IgG seronegativity rates.

Main Results:

  • Seven cases of mumps infection were confirmed, with some having pre-existing IgG levels.
  • Sequencing identified the mumps genotype G strain.
  • Significant percentages of service members were seronegative for mumps (12.3%), measles (20.2%), and rubella (9.7%).

Conclusions:

  • Mumps serology is not a reliable indicator of immunity.
  • Pre-existing IgG levels do not guarantee protection against infection.
  • Improved laboratory correlates are needed to accurately confirm immunity to mumps and other vaccine-preventable diseases.

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