ongoing outbreak of mumps – Bavaria – Germany
ProMED-mail Archive Number 20101217.4464
Published Date 17-DEC-2010
Subject PRO/EDR> Mumps, young adults – Germany: (BY)
Date: Thu 16 Dec 2010
Source: Eurosurveillance, Volume 15, Issue 50 [abbreviated & edited]
URL http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19748
Rapid communications
Ongoing outbreak of mumps affecting adolescents and young adults in Bavaria, Germany, August to October 2010
ドイツ[南部] Bavaria バイエルン自由州
2010年7月1日-同年10月31日、ムンプス[流行性耳下腺炎, おたふくかぜ]の検査診断患者 115人。感染者の大半は [中東部 オーバープファルツ行政管区] Regensburg レーゲンスブルク[郡独立]市 (人口 約 135 000人)または周囲地域で発症した。
合併症として、髄膜炎 1人、orchitis 精巣炎 21人が報告され、高頻度と考えられる。重症のムンプス感染症を抑制するため、バイエルン州の北部で若年成人のワクチン接種キャンペーンを提言する。
Genetic characterisation of mumps virus detected in the clinical material of 7 cases revealed presence of genotype G [遺伝子型 G].
The German Standing Committee on Vaccination (Standige Impfkommission, STIKO) recommends that children be vaccinated with 2 doses of MMR measles-mumps-rubella (MMR) or measles-mumps-rubella-varicella (MMRV) vaccine within their 1st 2 years of life (between 11 and 14 months and between 15 and 23 months) [1]. Mumps is not a notifiable disease in Germany, therefore information about mumps cases or outbreaks is scant.
The median age was [患者年齢の中央値] 24.5 years (mean 26.8 years, range 14-62 years). However, information on the vaccination status was available from only 7 mumps patients. One of them was unvaccinated, one patient had received one dose of MMR, and 5 patients had been vaccinated twice [7人中 5人はワクチン 2回接種済].
ムンプス発生は続いており、ミッテルフランケン行政管区 Nuremberg ニュルンベルク[郡独立]市 (人口 約50万人)および 人口 120万人の周辺地域にまもなく到達するであろう。
In September and October 2010, an increasing number of cases was noted in the region located northwest of Regensburg. Due to very recent observations, this trend also continued in November 2010, and it seems probable that the outbreak will soon reach the city of Nuremberg (about 500 000 inhabitants) and surroundings with 1.2 million inhabitants.
