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A secondary school outbreak of mumps following the childhood immunization programme in England and Wales

Published online by Cambridge University Press:  01 February 2000

H. WEHNER
Affiliation:
Gloucestershire Health Authority, Victoria Warehouse, The Docks, Gloucester, UK
R. MORRIS
Affiliation:
Gloucestershire Health Authority, Victoria Warehouse, The Docks, Gloucester, UK
M. LOGAN
Affiliation:
Gloucester Public Health Laboratory, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK
D. HUNT
Affiliation:
Gloucestershire Health Authority, Victoria Warehouse, The Docks, Gloucester, UK
L. JIN
Affiliation:
Enteric and Respiratory Virus Laboratory, PHLS Central Public Health Laboratory, Colindale Avenue, London NW9, UK
J. STUART
Affiliation:
PHLS Communicable Disease Surveillance Centre (South and West), Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK
K. CARTWRIGHT
Affiliation:
PHLS South West, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK
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Abstract

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Since the introduction of routine measles, mumps and rubella immunization for children in England and Wales in 1988, the incidence of mumps has declined steadily. We describe an outbreak of mumps in 1996 attacking 34 of a cohort of 98 schoolchildren born in 1982 and 1983. This is the largest outbreak in the UK since the introduction of the vaccine into the childhood immunization schedule. Salivary IgM assay was used as a simple, minimally invasive test to confirm the diagnosis. The occurrence of the outbreak demonstrates that British children who were just too old to receive mumps immunization in 1988 continue to be at risk of this disease as a result of diminished natural exposure. Further cases and outbreaks in this cohort are to be expected. Cohorts born before 1982 appear to be at less risk, presumably because of naturally acquired infection before the introduction of immunization.

Type
Research Article
Copyright
© 2000 Cambridge University Press