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

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.

Update: Picked up by ProMED

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.