Syed Arshad Hussain, Shamila Hamid, Imran Khan.
Pattern of minioutbreaks of mumps at South Kashmir, Pulwama, India 2007-2011.
Pak Paed J Jan ;38(1):42-6.

Background: Limited outbreaks of mumps do occur in schools and crèches and other public places throughout the globe especially in developing countries like India, despite the introduction of MMR vaccine in 1967-1968. Same is the case with South Kashmir where almost every year miniepidemics of Mumps do occur which however remain unnoticed , unreported and unnotified. Design: It was a hospital based observational study, carried out from the year 2007 to 2011. Objective: To find the epidemiologic pattern and clinical presentation of mumps in patients attending a tropical medical unit of Multispecialty hospital (DHP) at South Kashmir, Pulwama, India. Material & Methods: All Children fulfilling the criteria for diagnosis of Mumps were recruited in this study from 2007-2011. Their characteristics and the pattern of clinical features were noted besides information regarding history, place, season, month and year of occurrence of disease was collected from the parents of affected children. All these parameters were noted down by a senior internist and infectionlogist of the department, using well-structured proforma. The data so collected was subjected to bio-statistical analysis using Fisher exact test and SPSS version 12. Results: A total of 55 patients were included in the study. All the children had history of contact with, raw/semiripened walnuts. Males were 36 and female were 19 in number. None had received any form of mumps/MMR vaccination. All the patients presented in hot summer and in the month of august showing a seasonal trend annually .Bilateral parotitis, a hallmark of mumps was present in all patients. Rural patients usually presented with mild fever. Earache was mainly present in younger age – groups These findings were statistically significant (P<0.05). Out of 55 children, orchitis was seen only in one child. Conclusion: Miniepidemics of mumps occur more frequently in south Kashmir and effect our school children and hamper work output. It can be best prevented by inclusion of mumps/MMR vaccine in national immunization schedule.

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