Harasek G
Wien Klin Wochenschr. 1978 Jan 6;90(1):7-10.
Mumps meningitis (MM) is the most frequent inflammatory disease of the central nervous system in children. It occurs twice as often in boys as in girls. Usually it is mild; encephalitic signs are found only in 2-3% of the cases. Even here persistent neurological signs are rare, but psychological alterations are found in about 20% of the cases. 40% of all MM cases occur in children of school age necessitating absence from school for four weeks at last. The frequency of MM makes it a financial problem too. In Viennese hospitals 4.2 million Austrian Schillings were spent yearly for hospitalization of children with MM, on average, during the years 1971-1975. The vaccination of all Viennese children born in a single year (18,000) against mumps would require an outlay of only 2.8 million Austrian Schillings. Wide-spread routine vaccination against mumps is indicated, therefore, not only for medical, but for social and economic reasons as well.
腮腺炎脑膜炎(MM)是儿童中枢神经系统最常见的炎症性疾病。其在男孩中的发病率是女孩的两倍。通常病情较轻;仅2%-3%的病例会出现脑炎体征。即便如此,持续性神经体征也很罕见,但约20%的病例会出现心理改变。所有MM病例中有40%发生在学龄儿童中,这使得他们至少需要四周不上学。MM的发病频率也造成了经济问题。在1971年至1975年期间,维也纳医院每年平均花费420万奥地利先令用于MM患儿的住院治疗。对维也纳某一年出生的所有儿童(18,000名)进行腮腺炎疫苗接种仅需花费280万奥地利先令。因此,广泛开展常规腮腺炎疫苗接种不仅出于医学原因,也出于社会和经济原因。