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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2013; 03(01): 52-55
DOI: 10.1055/s-0040-1703633
Original Article

PATTERN OF MINI OUTBREAKS OF MUMPS AT SOUTH KASHMIR, PULWAMA, INDIA 2007-2011

Arshad Syed Andrabi H.
1   Consultant/Β Grade, Tropical Medical Unit, Multispeciality Hospital, Department of Community Medicine, D.H. Pulwama, J & K, India
,
Hamid Shamila
2   Sr. Resident, Department of Community Medicine, SKIMS, Health Department, J & K, India
,
Imran Khan
3   Assistant Professor of Statistics, SKUAST, Health Department, J & K, India
,
Zahoor Ahamad Hamdani
4   B-Grade Surgeon, Health Department, SKUAST, J & K, India
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Abstract

Background prior to design: Limited outbreaks of mumps do occur in schools and crèches and other public places throughout the globe especially in developing countries like India, despite the introduction of MMR vaccine in 1967-1968. Same is the case with South Kashmir where almost every year mini-epidemics of Mumps do occur which however remain unnoticed, unreported and unnotified.

Design: It was a Hospital based Observational study, carried out from the year 2007 to 2011.

Objective: To find the epidemiologic pattern and clinical presentation of mumps in patients attending a tropical medical unit of Multispecialty hospital(DHP) at South Kashmir, Pulwama, India.

Material & Methods: All Children fulfilling the criteria for diagnosis of Mumps were recruited in this study from 2007-2011.Their characteristics, the pattern of clinical features were noted besides information regarding history, place, season, month and year of occurrence of disease was collected from the parents of affected children. All these parameters were noted down by a senior internist and infectionlogist of the department,using well-structured proforma. The data so collected was subjected to biostatistical analysis using Fisher exact test and SPSS version 12.

Results: A total of 55 patients were included in the study. All the children had h/o contact with, raw/ semiripened walnuts. Males were 36 and female were 19 in number. None had received any form of mumps/MMR vaccination. All the patients presented in hot summer and in the month of august showing a seasonal trend annually. Bilateral parotitis, a hallmark of mumps was present in all patients. Rural patients usually presented with mild fever.Earache was mainly present in younger age - groups These findings were statistically significant (P< 0.05). Out of 55 children, orchitis was seen only in one child. CONCLUSION: Mini-epidemics of mumps occur more frequently in south Kashmir and effect our school children and hamper work output.It can be best prevented by inclusion of mumps/MMR vaccine in national immunization schedule.

Keywords

Mumps - school-going children - raw walnut contact - unimmunised - mini-epidemics - late summer - clinical presentation


Publikationsverlauf

Artikel online veröffentlicht:
27. Juni 2020

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  • References

  • 1 CDC - Mumps: Outbreaks, www.cdc.gov/mumps/outbreaks.html 6 Oct 2010 – In 2006, the United States experienced a multi-state outbreak involving 6584 reported cases of mumps.
  • 2 Rima BK and Christie AB (1995) "Mumps: epidemic parotitis". In: Weatherall D, Leddingham JGG and Warrell DA (eds) The Oxford Textbook of Medicine, pp. 372–375. Oxford: Oxford University Press.
  • 3 Anne Gershon. “Mumps” in:Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, Loscalzo.(17 the edition” of Harrisons Principals of internal medicine. Volume 1,2008 pp 1220-1221. Mac Graw Hill companies.
  • 4 Mumps and rubella elimination from Finland. JAMA 2000; 284:2643-2647.
  • 5 D Schmid1, H Holzmann2, C Alfery1, H Wallenko3, T H Popow-Kraupp2, F Allerberger. OUTBREAK IN YOUNG ADULTS FOLLOWING A FESTIVAL IN AUSTRIA, 2006 Eurosurveillance, Volume 13, Issue 7, 14 February 2008
  • 6 John TH. An outbreak of mumps in Thiruvananthapuram district Indian Pediatr 2004; 41:298-300.
  • 7 S. T. Ghatage,Girish M. Kakade. An Outbreak of Mumps Meningoencephalitis in Sangli District.INDIAN PEDIATRICS 2007; 44:235
  • 8 S. K. Raut1,P. S. Kulkarni1,*, M. A. Phadke2, S. S. Jadhav1, S. P. Dhorje1. Persistence of Antibodies Induced by Measles-Mumps-Rubella Vaccine in Children in India? Clin Vaccine Immunol October 2007 vol. 14 no. 10 1370-1371
  • 9 Ravindra K Gupta, Jennifer Best, Eithne MacMahon, Mumps and the UK epidemic 2005. BMJ 2005; 330 doi: 10.1136/bmj.330.7500.132 (Published 12 May 2005)
  • 10 H Bernard, N G Schwarz, A Melnic, V Bucov, N Caterinciuc, R G Pebody, M Mulders, C Aidyralieva, S Hahné MUMPS OUTBREAK ONGOING SINCE OCTOBER 2007 IN THE REPUBLIC OF MOLDOVA Eurosurveillance, Volume 13, Issue 13, 27 March 2008
  • 11 Heikki Peltola1, Prasad S. Kulkarni2, Subhash V. Kapre2, Mikko Paunio3, Suresh S. Jadhav2, and Rajeev M. Dhere.Mumps Outbreaks in Canada and the United States: Time for New Thinking on Mumps Vaccines.Clin Infect Dis. (2007) 45(4):459-466.
  • 12 Kanra G, Isik P, Kara A, Cengiz AB, Seçmeer G, Ceyhan M. Complementary findings in clinical and epidemiologic features of mumps and mumps meningoencephalitis in children without mumps vaccination. Pediatr Int. 2004 Dec;46(6):663-8.
  • 13 Gut JP, Lablache C, Behr S, Kirn A. Symptomatic mumps virus reinfections. J Med Virol 1995; 45:17-23. (PMID 7714488)
  • 14 Roberto Casella, Bernhard Leibundgut, Kurt Lehmann Thomas C. Gasser. MUMPS ORCHITIS: REPORT OF A MINI-EPIDEMIC, The Journal of Urology Volume 158, Issue 6, Pages 2158-2161, December 1997
  • 15 Sangita Yadav, Richa Thukral & Anita Chakarvarti* Comparative evaluation of measles, mumps & rubella vaccine at 9 & 15 months of age. Indian J Med Res 118, November 2003, pp 183-186
  • 16 Gustavo H. Dayan, M.D., M. Patricia Quinlisk, M.D., M.P.H., Amy A. Parker, M.S.N., M.P.H., Albert E. Barskey, M.P.H. N Engl J Med 2008; 358:1580-1589 April 10, 2008
  • 17 J Mossong, Ch Bonert2, P Weicherding3, M Opp1, P Reichert1, J Even1, F Schneider MUMPS OUTBREAK AMONG THE MILITARY IN LUXEMBOURG IN 2008: EPIDEMIOLOGY AND EVALUATION OF CONTROL MEASURES. Eurosurveillance, Volume 14, Issue 7, 19 February 2009