The effectiveness of the mumps component of the MMR vaccine: a case control study
Abstract
In 1998/1999, an outbreak of mumps occurred among children of a religious community in North East London. A case control study was conducted to assess the effectiveness of the mumps component of the MMR vaccine. One hundred and sixty-one cases of mumps were identified and 192 controls were selected. Fifty-one percent of cases and 77% of controls had a history at least one MMR vaccination. The observed effectiveness of any MMR vaccination adjusted for age, sex and general practice was 69% (95% CI: 41-84%). This is consistent with the results of other observational studies of mumps containing vaccines, but lower than the immunogenicity of mumps vaccines reported by clinical trials. This discrepancy is because observational studies tend to underestimate vaccine effectiveness, and because immunogenicity is not necessarily an accurate biological marker of vaccine effectiveness. Two doses of vaccine were more effective (88% (95% CI: 62-96%)) than a single dose (64% (95% CI: 40-78%)). The current two-dose vaccination programme remains the best method for controlling mumps infection in the community.
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VE was 69% (41 to 84) for at least 1 dose, adjusted for age, sex, and practice.
“VE = 69% (41 to 84) for at least 1 dose, adjusted for age, sex, practice”
From Vaccines for measles, mumps and rubella in children (2012) · cites this paper as Harling 2005
VE for at least 1 dose was 65% (25 to 84), VE for 1 dose was 64% (40 to 78), and VE for 2 doses was 88% (62 to 96), all adjusted for age, sex, and practice.
“VE for at least 1 dose = 65% (25 to 84) -VE for 1 dose = 64% (40 to 78) -VE for 2 doses = 88% (62 to 96) All adjusted for age, sex, practice”
From Vaccines for measles, mumps and rubella in children (2012) · cites this paper as Harling 2005
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- Authors
- Harling, R., White, J. M., Ramsay, M. E., Macsween, K. F., & Bosch, C. V. D.
- Affiliations
- St George's Hospital (GB)
- Corresponding author
- Harling, Richard
- Venue
- Vaccine
- Publisher
- Elsevier BV
- Published
- 2005-07
- Volume
- 23
- Issue
- 31
- Pages
- 4070-4074
- ISSN
- 0264-410X (ISSN-L)
- OpenAlex
- W1969221734
- Cited by
- 132
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 9 · 2019: 1 · 2018: 7 · 2017: 9 · 2016: 1 · 2015: 7 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 8.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Vaccine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- mumps, MMR vaccine, vaccine effectiveness, mumps outbreak, religious communities, immunogenicity, two-dose vaccination, vaccine dose number, North East London
- MeSH terms
- Adolescent, Child, Child, Preschool, Humans, Infant, London, Mumps, Case-Control Studies, Measles-Mumps-Rubella Vaccine
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