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Published on: April 21, 2015
Epidemiology of mumps in the Netherlands
Abstract:
In a Dutch population group neutralizing antibodies against mumps virus were determined by a plaque reduction technique, which proved reproducible, sensitive and specific. The results with sera of about 800 suburban children show that mumps is acquired at an early age with peak acquisition rates between the ages of four and six years. Over 90% have acquired mumps before the age of 14 years. More than 95% of about 1000 adults (18--65 years) have neutralizing antibodies. The relatively constant median titre suggests that antibodies persist during life. During a family study 77 clinical and 18 subclinical cases were observed. In families with index cases the attack rate was 26/37 = 0.71. Eleven children (excluding six babies) escaped infection. The mean attack rate during the epidemic was 0.30. The mean titre of mumps neutralizing antibody is maximal during the first year after the disease but declines during childhood. Mothers exposed to mumps in the family occasionally showed a significant rise in titre. Some seronegative mothers remained seronegative after exposure.
Insights
Mumps virus infection is common in childhood, with most children acquiring it by age 14. Neutralizing antibodies indicate lifelong immunity, though antibody levels decline over time after infection.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- Mumps is a contagious viral illness. Understanding population immunity is crucial for public health.
- Previous studies have indicated varying levels of mumps immunity across different demographics.
Purpose of the Study:
- To determine the prevalence of neutralizing antibodies against mumps virus in a Dutch population.
- To investigate the age-specific acquisition rates of mumps.
- To assess antibody persistence and transmission within families.
Main Methods:
- Plaque reduction technique used to quantify neutralizing antibodies in serum samples.
- Analysis of sera from approximately 800 children and 1000 adults.
- Family-based study to observe mumps transmission dynamics.
Main Results:
- Mumps acquisition peaks between ages four and six, with over 90% of children infected by age 14.
- Over 95% of adults aged 18-65 possess neutralizing antibodies, suggesting lifelong persistence.
- Family studies revealed high attack rates (0.71) in households with index cases, though some individuals, including infants, remained uninfected.
Conclusions:
- Mumps is a widespread childhood infection in the studied Dutch population.
- High antibody prevalence in adults indicates robust and likely lifelong immunity post-infection.
- While antibodies decline after childhood, they appear to persist, with potential for booster responses in exposed adults.
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