Opstelten Wim, Hahné Susan J M, van Roijen J Herman, van Paridon Luuk, Wolters Bert, Swaan Corien M
Nederlands Huisartsen Genootschap, Utrecht, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(43):A5187.
After vaccination of Dutch children against mumps started in 1987 through the National Immunisation Programme the incidence of mumps decreased greatly. However, outbreaks of mumps have been occurring since the end of 2009, especially among students. We describe a vaccinated 20-year-old woman with uncomplicated mumps, a vaccinated 20-year-old student with mumps orchitis, and an unvaccinated 14-year-old boy who developed one-sided permanent deafness as a complication of mumps. Mumps outbreaks are likely caused by factors including incomplete protection following vaccination, waning of immunity, and intensive crowding. Mumps currently affects mainly people who were vaccinated more than 10 years ago. Outbreak response concentrates on surveillance, outbreak investigations, disease awareness, and provision of catch up vaccination to unvaccinated or incompletely vaccinated students. Adequate surveillance, important for building evidence for possible changes in mumps vaccination recommendations, depends on recognizing mumps and its complications.
自1987年荷兰通过国家免疫规划开始为儿童接种腮腺炎疫苗后，腮腺炎发病率大幅下降。然而，自2009年底以来一直有腮腺炎疫情发生，尤其是在学生中。我们描述了一名接种过疫苗的20岁患单纯性腮腺炎的女性、一名接种过疫苗的20岁患腮腺炎睾丸炎的学生以及一名未接种疫苗的14岁男孩，该男孩因腮腺炎并发症而出现单侧永久性耳聋。腮腺炎疫情可能是由多种因素引起的，包括接种疫苗后保护不完整、免疫力下降以及人群密集。目前腮腺炎主要影响那些10多年前接种过疫苗的人。疫情应对集中在监测、疫情调查、疾病认知以及为未接种或未完全接种疫苗的学生提供补种疫苗。充分的监测对于为腮腺炎疫苗接种建议的可能变化提供证据很重要，这取决于对腮腺炎及其并发症的识别。
