Compés-Dea C, Guimbao-Bescós J, Gaspar-Escayola JI, Lázaro-Belanche MÁ, Aznar-Brieba A. [An outbreak of mumps in a high school: Estimation of vaccine effectiveness. Zaragoza 2011].
Enferm Infecc Microbiol Clin 2014;
33:385-90. [PMID:
25475656 DOI:
10.1016/j.eimc.2014.09.011]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2014] [Revised: 08/29/2014] [Accepted: 09/11/2014] [Indexed: 11/29/2022]
Abstract
INTRODUCTION
Mumps outbreaks continue to occur, even after the consolidation of vaccination programs. An outbreak of mumps occurred in a high school in Zaragoza during December 2011.
OBJECTIVE
To describe the outbreak and estimate vaccine effectiveness.
METHODS
CASE DEFINITION
unilateral or bilateral swelling of the parotid or other salivary glands for three or more days without any other apparent cause.
REFERENCE POPULATION
People attending the 'Parque Goya' High School or with transmission chain origin in the High School.
OUTBREAK PERIOD
From two days before the onset of symptoms of the first case to five days after the last case. Samples were collected for virus confirmation (IgM, urine culture and oropharyngeal exudate), and isolates were processed for genotyping. A retrospective cohort study was performed in two high school classrooms to estimate vaccine efficacy. Public health authorities conducted active surveillance, isolation of cases, and vaccination of susceptible contacts.
RESULTS
There were 27 cases. Twenty-one (77.8%) were vaccinated with two doses of Measles-Mumps-Rubella vaccine. Twelve (44%) were confirmed microbiologically. G1 genotype was determined in six cases. According to the cohort study, vaccine efficacy for one dose was 34% (95%CI: -44 to 70), and was 67% (95%CI: 28 to 83) for two doses.
CONCLUSIONS
Vaccine effectiveness was lower than expected. Early detection and isolation of cases have been instrumental in preventing new cases in schools.
Collapse