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Published on: March 13, 2018
Co-circulation of two Mumps virus genotypes in Assam, India
Kimmi Sarmah1, Kishore Sarma2, Prasanta Kumar Borah3
1Department of Virology, Gauhati Medical College and Hospital, Guwahati, Assam, 781032, India.
Abstract:
Mumps is a vaccine-preventable disease, and research on the vaccine's efficacy has recently indicated declining efficacy that has failed to protect against primary infections or reinfections, leading to a global resurgence in nations that use mumps vaccine in their national immunization programmes (NIPs). Lack of reports on its infection, documentation and published studies prevents it from being recognized as a public health issue in India. The waning of immunity is ascribed to the changes between the circulating and vaccine strains. The goal of the current study was to describe the circulating MuV strains in the Dibrugarh district of Assam, India, from 2016 to 2019. Blood samples were examined for IgM antibodies, and throat swab samples were put through Taqman assay for molecular detection. The small hydrophobic (SH) gene was targeted for genotyping through sequencing, and its genetic variations and phylogenetic analysis were carried out. Mumps RNA was found in 42 cases, and Mumps IgM in 14, of which 60% (25/42) of the cases were male and 40% (17/42) were female mostly affecting children between the ages of 6 and 12. Sequence and phylogeny analyses of SH gene revealed Genotypes C (83%) and G (17%) were simultaneously circulating during the study period. The study offers crucial genetic baseline information for the creation of Mumps prevention and control measures. Therefore, based on the research, it is clear that developing an effective vaccination strategy should take into account all currently prevalent genotypes in order to provide better protection against the disease's comeback.
Insights
Mumps outbreaks are increasing globally due to declining vaccine efficacy. This study identified circulating mumps virus genotypes C and G in India, highlighting the need for updated vaccination strategies to combat the resurgence.
Area of Science:
- Virology
- Epidemiology
- Immunology
Background:
- Mumps is a vaccine-preventable illness experiencing a global resurgence linked to declining vaccine efficacy against primary infections and reinfections.
- Limited data on mumps infection and documentation in India hinders its recognition as a public health concern.
- Waning immunity is suspected to be caused by genetic drift between circulating and vaccine mumps virus strains.
Purpose of the Study:
- To characterize the genetic makeup of circulating mumps virus (MuV) strains in Dibrugarh, Assam, India, between 2016 and 2019.
- To provide essential genetic baseline data for developing effective mumps prevention and control strategies in India.
Main Methods:
- Detection of mumps virus RNA in throat swabs using Taqman assay.
- Serological testing for mumps IgM antibodies in blood samples.
- Genotyping and phylogenetic analysis of the small hydrophobic (SH) gene of mumps virus isolates through sequencing.
Main Results:
- Mumps virus RNA was detected in 42 cases, and mumps IgM antibodies in 14 cases.
- The majority of infected individuals were male children aged 6-12 years.
- Sequence and phylogenetic analyses revealed the simultaneous circulation of Genotype C (83%) and Genotype G (17%) mumps virus strains.
Conclusions:
- Genotypes C and G are co-circulating in India, contributing to the mumps resurgence.
- The findings underscore the need for updated vaccination strategies that consider prevalent mumps virus genotypes for enhanced protection.
- This study provides critical genetic information to inform public health interventions against mumps in India.

