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Published on: February 22, 2019
Current Status of Mumps Virus Infection: Epidemiology, Pathogenesis, and Vaccine
Shih-Bin Su1, Hsiao-Liang Chang2, And Kow-Tong Chen3,4
1Department of Occupational Medicine, Chi-Mei Medical Center, Tainan, 710, Taiwan.
Abstract:
Mumps is an important childhood infectious disease caused by mumps virus (MuV). We reviewed the epidemiology, pathogenesis, and vaccine development of mumps. Previous studies were identified using the key words "mumps" and "epidemiology", "pathogenesis" or "vaccine" in MEDLINE, PubMed, Embase, Web of Science, and Google Scholar. We excluded the articles that were not published in the English language, manuscripts without abstracts, and opinion articles from the review. The number of cases caused by MuV decreased steeply after the introduction of the mumps vaccine worldwide. In recent years, a global resurgence of mumps cases in developed countries and cases of aseptic meningitis caused by some mumps vaccine strains have renewed the importance of MuV infection worldwide. The performance of mumps vaccination has become an important issue for controlling mumps infections. Vaccine development and routine vaccination are still effective measures to globally reduce the incidence of mumps infections. During outbreaks, a third of MMR vaccine is recommended for groups of persons determined by public authorities.
Insights
Mumps virus (MuV) infections decreased with vaccination, but recent resurgences highlight the need for effective mumps vaccines and public health strategies. Booster MMR vaccine doses are recommended during outbreaks.
Area of Science:
- Virology
- Epidemiology
- Immunology
Background:
- Mumps is a significant childhood infectious disease caused by the mumps virus (MuV).
- Global incidence of mumps sharply declined following the widespread introduction of the mumps vaccine.
Purpose of the Study:
- To review the epidemiology, pathogenesis, and vaccine development of mumps.
- To assess the current challenges and strategies for controlling mumps infections.
Main Methods:
- A comprehensive literature search was conducted using keywords such as "mumps", "epidemiology", "pathogenesis", and "vaccine".
- Databases searched included MEDLINE, PubMed, Embase, Web of Science, and Google Scholar.
- Articles were excluded if not in English, lacking abstracts, or were opinion pieces.
Main Results:
- The mumps vaccine significantly reduced MuV cases globally.
- Recent years have seen a resurgence of mumps in developed nations, with some vaccine strains linked to aseptic meningitis.
- Vaccine performance is critical for controlling mumps infections.
Conclusions:
- Vaccine development and routine immunization remain crucial for reducing global mumps incidence.
- Enhanced vaccination strategies, including booster doses during outbreaks, are essential for managing mumps resurgence.
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