Effectiveness of previous mumps vaccination during a summer camp outbreak
Abstract
OBJECTIVES: Mumps is a vaccine-preventable disease that may cause outbreaks. In July 2005, an outbreak of mumps occurred during a children's summer camp in upstate New York. An investigation was initiated to describe the cases and evaluate vaccine effectiveness. METHODS: A retrospective cohort study was conducted among 541 children from the United States and abroad who attended a 1- or 2-month overnight summer camp. Patients with mumps were interviewed; serologic analysis was conducted for 6 case patients. Vaccine effectiveness was calculated by retrospective review of immunization records for 507 attendees who were eligible for vaccination and had verified immunization history. RESULTS: Thirty-one camp attendees were identified as having mumps (attack rate: 5.7%); 5 (83%) of 6 patients tested had positivity for mumps immunoglobulin M. Of the 507 participants (including 29 patients) with available immunization history, 440 (including 16 [87%] patients) were 2-dose recipients of mumps vaccine (attack rate: 3.6%); 46 participants (including 4 [9%] patients) were 1-dose recipients (attack rate: 8.7%); and 21 (including 9 [4%] patients) were unvaccinated (attack rate: 42.9%). Vaccine effectiveness was 92% for 2 doses and 80% for 1 dose. CONCLUSIONS: Outbreaks of mumps in settings such as summer camps can occur despite high vaccination rates. Vaccine effectiveness for 2 mumps vaccinations was greater than vaccine effectiveness for 1 mumps vaccination. Therefore, recommendation of 2 mumps vaccinations for summer camp participants continues to be appropriate. Control of mumps disease relies on broad vaccination coupled with correct clinical diagnosis and strict control measures.
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Linear regression analysis demonstrated no significant trend for increasing mumps attack rates by years since last vaccination, neither after one nor after two mumps-containing vaccine doses.
“Linear regression analysis demonstrated no significant trend for increasing mumps attack rates by years, since last vaccination neither after one nor after two mumps-containing vaccine doses (Schaffzin 2007).”
From Vaccines for measles, mumps and rubella in children (2012) · cites this paper as Schaffzin 2007
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Vaccines for measles, mumps and rubella in children
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- Authors
- Schaffzin, J. K., Pollock, L., Schulte, C., Henry, K., Dayan, G., Blog, D., & Smith, P.
- Affiliations
- Centers for Disease Control and Prevention (US)
- New York State Department of Health (US)
- Sullivan County Health Department, Monticello, New York
- ORCID
- Schaffzin, Joshua K.
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2007-10-01
- Volume
- 120
- Issue
- 4
- Pages
- e862-e868
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2096348930
- Cited by
- 60
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 4 · 2013: 4 · 2012: 3
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Keywords
- mumps, children's camps, attack rate, epidemic control, vaccine recommendations
- MeSH terms
- Adolescent, Adult, Aged, Antibodies, Viral, Camping, Child, Disease Outbreaks, Dose-Response Relationship, Drug, Female, Humans, Immunoglobulin M, Male, Middle Aged, Mumps, Mumps Vaccine, Mumps virus, New York, Retrospective Studies, Vaccination, Cohort Studies, Treatment Outcome
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