Mumps epidemic dynamics in the United States before vaccination (1923-1932)

Laura W Pomeroy1, Senya Magsi2, Shannon McGill2

  • 1Division of Environmental Health Sciences, College of Public Health, Ohio State University, Columbus, OH 43210, USA; Translational Data Analytics Institute, Ohio State University, Columbus, OH 43210, USA.

Epidemics
|June 28, 2023
PubMed

Insights

Historical mumps data reveals that larger cities experienced continuous transmission, while smaller cities had sporadic outbreaks. This analysis provides crucial baseline information for understanding mumps reemergence and control strategies.

Area of Science:

  • Epidemiology
  • Infectious Disease Dynamics
  • Public Health Surveillance

Background:

  • Mumps is a vaccine-preventable disease that has seen increasing case counts over the past two decades.
  • Understanding historical mumps transmission patterns is essential for identifying factors contributing to its reemergence.
  • Long-term surveillance data is crucial for effective infectious disease management.

Purpose of the Study:

  • To quantitatively analyze historical mumps dynamics in the United States from 1923-1932.
  • To establish a baseline for understanding mumps reemergence.
  • To identify factors influencing mumps transmission patterns.

Main Methods:

  • Analysis of time-series data of mumps cases reported in 70 U.S. cities between 1923 and 1932.
  • Utilized a density-dependent SEIR model to estimate the effective reproductive number (R e).
  • Examined relationships between city size, population density, seasonality, and outbreak synchronicity.

Main Results:

  • A total of 239,230 mumps cases were reported during the study period.
  • Larger cities exhibited annual epidemics, while smaller cities had intermittent outbreaks.
  • The critical community size for continuous transmission was estimated between 365,583 and 3,376,438 individuals.
  • Mumps cases correlated positively with city size, indicating density-dependent transmission.
  • The mean effective reproductive number (R e) was calculated at 1.2, with variations indicating superspreading events.
  • Mumps cases peaked in March, with increased transmission from December to April, correlating with weekly births.

Conclusions:

  • Historical U.S. mumps data highlights the impact of population density on transmission.
  • The study quantifies key epidemiological parameters, including the effective reproductive number.
  • Findings underscore the value of long-term surveillance data for informing mumps control and future research on disease reemergence.

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
44.8K
Steps in Outbreak Investigation01:18

Steps in Outbreak Investigation

In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
155
Viral Recombination00:57

Viral Recombination

Cells are sometimes infected by more than one virus at once. When two viruses disassemble to expose their genomes for replication in the same cell, similar regions of their genomes can pair together and exchange sequences in a process called recombination. Alternatively, viruses with segmented genomes can swap segments in a process called reassortment.
23.6K
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
366
History of Microbiology01:28

History of Microbiology

Microbiology, a scientific field dedicated to the study of microorganisms, has undergone profound development since its inception in the 17th century. Its history is marked by key discoveries and technological advancements that have shaped our understanding of life at the microscopic level and transformed medicine, agriculture, and industry.Early Foundations of MicrobiologyThe early foundations of microbiology were built on groundbreaking observations and the development of pioneering...
278