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Sustained Transmission of Mumps in a Highly Vaccinated Population: Assessment of Primary Vaccine Failure and Waning Vaccine-Induced Immunity
Abstract
From January to July 1991, an outbreak of mumps occurred in Maury County, Tennessee. At the primarily affected high school, where 98% of students and all but 1 student with mumps had been vaccinated before the outbreak, 68 mumps cases occurred among 1116 students (attack rate, 6.1%). Students vaccinated before 1988 (the first year mumps vaccination was required for school attendance in Tennessee) may have been at greater risk of mumps than those vaccinated later (65[6.1%] of 1001 vs. 2[2.2%] of 89; risk ratio, 2.9; 95% confidence interval, 0.7-11.6). Of 13 persons with confirmed mumps who underwent serologic testing, 3 lacked IgM antibody in well-timed acute- and convalescent-phase serum specimens. Vaccine failure accounted for a sustained mumps outbreak in a highly vaccinated population. Most mumps cases were attributable to primary vaccine failure. It is possible that waning vaccine-induced immunity also played a role.
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Citations
Cited by
Vaccines for measles, mumps and rubella in children
Demicheli, V., Rivetti, A., Debalini, M. G., & Di Pietrantonj, C. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004407.pub3 · Cited by 372
Davidkin, I., Jokinen, S., Broman, M., Leinikki, P., & Peltola, H. (2008) · The Journal of Infectious Diseases · doi:10.1086/528993 · Cited by 329
Mumps and mumps vaccine: A global review
(1999) · The Indian Journal of Pediatrics · doi:10.1007/bf02727158 · Cited by 307
Vaccine effectiveness estimates, 2004-2005 mumps outbreak, England
Cohen, C., White, J. M., Savage, E. J., Glynn, J. R., Choi, Y., Andrews, N., Brown, D., & Ramsay, M. E. (2007) · Emerging infectious diseases · doi:10.3201/eid1301.060649 · Cited by 241
Metadata
- Authors
- Briss, P. A., Fehrs, L. J., Parker, R. A., Wright, P. F., Sannella, E. C., Hutcheson, R. H., & Schaffner, W.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1994-01-01
- Volume
- 169
- Issue
- 1
- Pages
- 77-82
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W1989516954
- Cited by
- 163
- References
- 0
- FWCI
- 6.23
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Sustained Transmission of Mumps in a Highly Vaccinated Population: Assessment of Primary Vaccine Failure and Waning Vaccine-Induced Immunity. https://app.cochat.ai/papers/10.1093/infdis/169.1.77
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- Briss, P. A., Fehrs, L. J., Parker, R. A., Wright, P. F., Sannella, E. C., Hutcheson, R. H., & Schaffner, W. (1994). Sustained Transmission of Mumps in a Highly Vaccinated Population: Assessment of Primary Vaccine Failure and Waning Vaccine-Induced Immunity. Journal of Infectious Diseases. https://doi.org/10.1093/infdis/169.1.77
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