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Further Evidence of the Changing Epidemiology of a Childhood Vaccine-Preventable Disease

Karen M. Kaplan, MD; David C. Marder, MD, MPH; Stephen L. Cochi, MD; Stephen R. Preblud, MD

JAMA. 1988;260(10):1434-1438.

Abstract
The first documented mumps outbreak in the workplace took place between August and December of 1987, when 119 cases of mumps occurred among employees at three Chicago futures exchanges and their household contacts. Twenty-one patients developed 23 complications, and nine persons were hospitalized. Total direct and indirect economic costs associated with the outbreak were $120 738; the cost per case was $1473. Only three patients had written documentation of mumps immunization. The outbreak is consistent with the recent changing epidemiology of mumps and the increase in reported cases in the adolescent and young adult populations. Mumps vaccine was licensed in 1967. but its distribution was limited until 1977 when the Immunization Practices Advisory Committee of the US Public Health Service recommended it for universal use. As a result, a cohort of adolescents and young adults underimmunized against mumps and underexposed to disease is now entering the work force. Vaccination of susceptible employees could prevent the substantial health impact of mumps.

(JAMA 1988;260:1434-1438)

Author Affiliations
From the Division of Immunization, Center for Prevention Services, Centers for Disease Control, Atlanta (Drs Kaplan, Cochi, and Preblud); and Chicago Department of Health (Dr Marder). Dr Kaplan is now with the Division of Field Services, Epidemiology Program Office, Centers for Disease Control, and is assigned to the Pennsylvania State Department of Health, Harrisburg.

Footnotes
Reprint requests to Technical Information Services, Center for Prevention Services, Centers for Disease Control, Atlanta, GA 30333.

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