The Sixth People's Hospital of Zhengzhou, China.
Jpn J Infect Dis. 2021 May 24;74(3):187-192. doi: 10.7883/yoken.JJID.2020.649. Epub 2020 Oct 30.
Routine vaccination has proven to be highly effective in reducing the incidence of mumps. However, sporadic cases and/or mumps outbreaks have been reported in children and adolescents younger than 15 years of age, particularly among those aged 5-9 years. To explore the characteristics of such outbreaks in the Henan Province, clinical data of patients infected with mumps virus (MuV) were collected, and the isolated strains were phylogenetically analyzed. Of the total 426 samples analyzed, MuV RNA targeting the small hydrophobic (SH) gene was detected in 153 samples. MuV-positive cases in age groups <5 years, 5-9 years, 10-15 years, 16-19 years, and ≥20 years accounted for 1%, 17%, 12%, 2%, and 4% of the total number of cases, respectively. Phylogenetic analysis based on the SH gene sequences indicated that all of the isolated strains were of genotype F, and isolates in the same subcluster and with identical SH gene sequences tended to be derived from the same community or municipalities when analyzed alongside epidemiological data. In conclusion, the incidence of mumps in the Henan Province was high. The data provided in this study might promote further research in the clarification of the specific causes of mumps outbreaks, which can facilitate the implementation of effective prevention and control measures.
常规疫苗接种已被证明在降低腮腺炎发病率方面非常有效。然而,在 15 岁以下的儿童和青少年中,仍有散发病例和/或腮腺炎暴发的报告,尤其是 5-9 岁年龄组。为了探讨河南省此类暴发的特征,收集了感染腮腺炎病毒(MuV)患者的临床数据,并对分离株进行了系统发育分析。在分析的 426 个样本中,有 153 个样本检测到针对小疏水(SH)基因的 MuV RNA。年龄<5 岁、5-9 岁、10-15 岁、16-19 岁和≥20 岁的 MuV 阳性病例分别占总病例数的 1%、17%、12%、2%和 4%。基于 SH 基因序列的系统发育分析表明,所有分离株均为基因型 F,当结合流行病学数据进行分析时,同一亚群中的分离株和具有相同 SH 基因序列的分离株往往来自同一社区或市。总之,河南省腮腺炎发病率较高。本研究提供的数据可能有助于进一步阐明腮腺炎暴发的具体原因,从而有助于实施有效的预防和控制措施。