BMJ  2005;330:1119-1120 (14 May), doi:10.1136/bmj.330.7500.1119

Paper

Mumps outbreaks across England and Wales in 2004: observational study

¹ Immunisation Department, Communicable Disease Surveillance Centre, Health Protection Agency, Centre for Infections, London NW9 5EQ, ² Enteric Respiratory and Neurological Virus Laboratory, Health Protection Agency, Centre for Infections

The first 150 words of the full text of this article appear below.

Introduction

In October 1988, routine immunisation against mumps was introduced in the United Kingdom as a combined measles, mumps, and rubella (MMR) vaccine for children aged 12-15 months. Although the incidence of mumps declined quickly, mathematical modelling supported the introduction of a second dose of MMR in 1996.¹ In 1999, numbers of cases of mumps in teenagers in England and Wales began to rise. We report a further increase in the incidence of mumps in 2004.

Participants, methods, and results

Notifications of clinically diagnosed and laboratory confirmed mumps cases are collated for England and Wales by the Health Protection Agency Centre for Infections. Confirmed cases include those obtained by routine follow-up of all notified cases where IgM is detected in oral fluid.

In 2004, the number of mumps notifications in England and Wales increased to 16 436 from 4204 in 2003. A total of 8104 cases of mumps were confirmed in 2004, compared with a . . . [Full text of this article]

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Competing interests

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