Mumps in Spain

Saturday, March 31st, 2012

The experience of Spain with vaccine-preventable disease is a paradigm for the success of immunization. Rates of measles, mumps and rubella in Spain declined dramatically following the introduction of routine MMR in 1981 [1,2] – see graph [3]:

Mumps rates for the entire region have remained low since 2000 – see graph:

Seroprevalence surveys:
91.1% in Catalonia (1996)
92.1% of persons ages 17 to 36 in Barcelona (1992 to 1993)

Notable outbreaks:
1987 – An outbreak (104 cases) was reported among school children in Castellon.
1992 (publication year) – An outbreak (52 cases) was reported in Zaragoza.
1993 to 1994 – Outbreaks (216 cases total in 19 outbreaks) were reported in Toledo.
1995 to 1996 – An outbreak was reported in Leon.
1997 – An outbreak (283 cases) was reported in an urban area in Andalucia.
1999 to 2000 – An outbreak (33 cases) was reported at a school in Huesca.
2000 – An outbreak (35 cases) was reported among three-to-four year old children in San Sebastian.
2005 – An outbreak (145 cases) was reported in Almeria.
2006 – An outbreak (63 cases) was reported at a school in Bizkaia.
2006 to 2007 – An outbreak (1,397 cases) was associated with a festival in the Navarre region.
2008 – An outbreak (116 cases) was reported in Jerez de la Frontera.

References:
1. Berger SA. Infectious Diseases of Spain, 2012. 557 pp, 194 graphs, 2850 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-spain/
2. Berger SA. Mumps: Global Status, 2012. 167 pp, 191 graphs, 433 references. Gideon e-books, http://www.http://www.gideononline.com/ebooks/disease/mumps-global-status/
3. Gideon graph tool at http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps
Note featured on ProMED

Mumps in the Czech Republic

Tuesday, August 23rd, 2011

Notwithstanding an ongoing outbreak in northern Bohemia, the Czech Republic has managed to reduce mumps to levels comparable to those of the United States. In the following graph, I have contrasted rates per 100,000 population for these two countries:

Graph generation system outlined in [1])

Note that a precipitous decline in mumps in the Czech Republic followed the introuction of widespread MMR vaccination in 1987. [2,3]

1. Gideon Graphs module tutorial Gideon Graphs
2. Berger SA. Infectious Diseases of the Czech Republic, 2011. 424 pp, 139 graphs, 1192 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-czech-republic/
3. Berger SA. Mumps: Global Status, 2011. 157 pp, 187 graphs, 390 references. Gideon e-books, http://www.gideononline.com/ebooks/disease/mumps-global-status/

Reproduced by ProMED

Mumps in Macedonia

Saturday, January 31st, 2009

A recent outbreak of mumps in Macedonia highlights the fact that this country has reported highest rates in this region for much of the past three decades. In the following graph I have included the United States for comparison.

mumps-macedonia

Update: Picked up by ProMED

Erratic rates of Mumps in Moldova

Sunday, February 3rd, 2008

Steve quoted in ProMED:

Recent outbreaks of mumps in Moldova illustrate the fact mumps rates in this region have been erratic for the past 3 decades, but appear to be declining slowly. See graph.