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Sero-epidemiology of mumps in western Europe

Published online by Cambridge University Press:  23 September 2003

A. NARDONE ,
R. G. PEBODY ,
S. VAN DEN HOF ,
D. LEVY-BRUHL ,
A. M. PLESNER ,
M. C. ROTA ,
A. TISCHER ,
N. ANDREWS ,
G. BERBERS  and
P. CROVARI
...Show all authors
A. NARDONE
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ, UK
R. G. PEBODY
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ, UK
S. VAN DEN HOF
Affiliation:
National Institute of Public Health and the Environment, Bilthoven, The Netherlands
D. LEVY-BRUHL
Affiliation:
Institut de Veille Sanitaire, Paris, France
A. M. PLESNER
Affiliation:
Statens Serum Institut, Copenhagen, Denmark
M. C. ROTA
Affiliation:
Istituto Superiore di Sanitá, Rome, Italy
A. TISCHER
Affiliation:
Robert Koch Institute, Berlin, Germany
N. ANDREWS
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ, UK
G. BERBERS
Affiliation:
National Institute of Public Health and the Environment, Bilthoven, The Netherlands
P. CROVARI
Affiliation:
Department of Health Sciences, Section of Hygiene and Preventive Medicine, Faculty of Medicine, University of Genoa, Italy
W. J. EDMUNDS
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ, UK
G. GABUTTI
Affiliation:
Laboratory of Hygiene, Department of Biological and Environmental Sciences and Technologies, Faculty of Science, University of Lecce, Italy
P. SALIOU
Affiliation:
Aventis-Pasteur, Paris, France
E. MILLER
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ, UK
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Abstract

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Six countries (Denmark, England and Wales, France, Germany, Italy and the Netherlands) conducted large serological surveys for mumps, in the mid-1990s, as part of the European Sero-Epidemiology Network (ESEN). The assay results were standardized and related to the schedules and coverage of the immunization programmes and the reported incidence of mumps. Low incidence of disease and few susceptibles amongst adolescents and young adults was observed in countries with high mumps vaccine coverage (e.g. the Netherlands). High disease incidence and large proportions of mumps virus antibody negative samples in adolescent and young adult age groups was noted in countries with poor vaccine coverage (e.g. Italy). The build-up of susceptibles in older children and adolescents in England and Wales, France, the former West Germany and Italy indicate the possibility of further mumps outbreaks in secondary school environments. To control mumps in western Europe, current MMR immunization programmes will need to be strengthened in a number of countries. Sero-surveillance of mumps is an important component of disease control and its usefulness will be enhanced by the development of an international mumps standard.

Type
Research Article
Information
Epidemiology & Infection , Volume 131 , Issue 1 , August 2003 , pp. 691 - 701
Copyright
© 2003 Cambridge University Press