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Outbreaks of mumps genotype G viruses in the Netherlands between October 2019 and March 2020: clusters associated
Anita A Shah1,2, Rogier Bodewes3, Linda Reijnen3
1Center for Infectious Disease Control, National Institute for Public Health and Environment (RIVM), Bilthoven, The Netherlands. anita.shah@rivm.nl.
Background:
From October 2019-March 2020, several clusters of mumps cases were identified in the Netherlands. Our objective was to describe cluster-associated mumps virus transmission using epidemiological and molecular information in order to help future mumps outbreak investigation and control efforts.
Methods:
An epidemiological cluster includes ≥ 2 mumps cases with at least an epidemiological-link to a laboratory-confirmed mumps case. A molecular group includes ≥ 2 mumps cases with identical mumps virus sequences. Cases with symptom onset date between 1 October 2019 and 31 March 2020 reported through the National Notifiable Diseases Surveillance System were included. We described epidemiological and clinical characteristics of mumps cases. Sequence data was obtained from selected regions of mumps virus genomes (2270 nucleotides). Associations between epidemiological and molecular information were investigated.
Results:
In total, 102 mumps cases were notified (90% laboratory-confirmed, 10% epidemiologically-linked). 71 out of 102 cases were identified as part of an epidemiological cluster and/or molecular group. Twenty-one (30%) of 71 cases were identified solely from epidemiological information, 25 (35%) solely from molecular surveillance, and 25 (35%) using both. Fourteen epidemiological clusters were identified containing a total of 46 (range: 2-12, median: 3) cases. Complete sequence data was obtained from 50 mumps genotype G viruses. Twelve molecular groups were identified containing 43 (range: 2-13) cases, dispersed geographically and timewise. Combined information grouped seven epidemiological clusters into two distinct molecular groups. The first lasting for 14 weeks, the other for 6. Additionally, one molecular group was detected, linked by geography and time but without an epidemiological-link.
Conclusions:
Combined epidemiological and molecular information indicated ongoing mumps virus transmission from multiple introductions for extended time periods. Sequence analysis provided valuable insights into epidemiological clustering. If combined information is available in a timely manner, this would improve outbreak detection, generate further insight into mumps transmission, and guide necessary control measures.
Insights
Investigating mumps virus transmission in the Netherlands revealed ongoing spread from multiple introductions. Combining epidemiological and molecular data enhances outbreak detection and control strategies for mumps.
Area of Science:
- Epidemiology
- Virology
- Public Health
Background:
- Several mumps (Mumps Rubulavirus) clusters occurred in the Netherlands between October 2019 and March 2020.
- Understanding transmission patterns is crucial for effective outbreak response.
Purpose of the Study:
- To describe mumps virus transmission during identified clusters using combined epidemiological and molecular data.
- To inform future mumps outbreak investigation and control efforts.
Main Methods:
- Defined epidemiological clusters (≥2 linked cases) and molecular groups (≥2 identical sequences).
- Analyzed notified mumps cases (Oct 2019–Mar 2020) from the National Notifiable Diseases Surveillance System.
- Obtained and analyzed mumps virus sequence data (2270 nucleotides) to investigate transmission links.
Main Results:
- 102 mumps cases were reported; 71 were part of epidemiological clusters or molecular groups.
- Epidemiological data identified 14 clusters (46 cases); molecular surveillance identified 12 groups (43 cases).
- Combined data linked seven epidemiological clusters into two distinct molecular groups, indicating prolonged transmission.
Conclusions:
- Combined epidemiological and molecular data reveal sustained mumps virus transmission from multiple introductions.
- Timely integration of sequence analysis and epidemiological data improves mumps outbreak detection and control.
- Molecular insights into epidemiological clustering are vital for guiding public health interventions.
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