Some people infected with the mumps virus have either no signs or symptoms or very mild ones. We are an executive agency of the department of health, and are a distinct. Mumps is an acute viral illness caused by a paramyxovirus. Fact sheets, mmwr articles, pink book chapter on mumps, surveillance manual chapter on mumps. Any person with clinical features compatible with mumps should be tested. Due to high immunization rates, the number of cases of mumps has declined significantly in the united states.
The epidemiology, clinical manifestations, diagnosis, treatment, and prevention of mumps are discussed here. Measles, mumps, and rubella vaccination in a child with. The new jersey department of health njdoh has been made aware that the centers for disease control and prevention cdc is currently investigating an outbreak of clinically compatible mumps in persons affiliated with the national hockey league nhl affecting the. Parotitis may be preceded by several days of nonspecific symptoms such as fever, headache, malaise, myalgias and anorexia. A case of mumps is defined as a person who has two or more days of parotid andor other salivary gland swelling, or orchitis, or oophoritis unexplained by another more likely diagnosis. Department of health australian vaccine preventable. Who should be tested for suspected mumps infection. Persons with mumps should stay home from child care, school, or work for a total of 5 days starting on the day of parotitis onset until the sixth day after symptoms appear. Respiratory symptoms can occur, particularly in children under 5 years old.
Mumps usually involves pain, tenderness, and swelling in one or both parotid salivary glands cheek and jaw area. As swelling worsens, the angle of the jawbone below the ear is no longer visible. In addition, mumps is diagnosed through laboratory testing of the blood, saliva, or urine to help determine if mumps is the cause of such illnesses. A mother presents with her 12 month old son requesting testing for an egg allergy before the measles, mumps, and rubella mmr vaccination. Immunisation against infectious diseases the green book 20 and subsequent. The parotid glands, located between the ear and the jaw, are often swollen. Immunisation against infectious disease the green book latest. Pulmonary tb typically causes a persistent productive. The swollen tissue pushes the angle of the ear up and out. Symptoms symptoms of mumps usually appear 16 to 18 days after a person is exposed to the virus.
The green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Immunisation against infectious disease the green book. Primary school and childcare exclusion for cases apply. Symptoms include fever, body aches, headaches, and swelling of the salivary glands. Explore the mothers concerns surrounding mmr vaccination, focusing on egg allergy in. Up to 20% of infections have no symptoms and up to half have mild or only respiratory symptoms. This is what causes the puffy cheeks and a tender, swollen jaw. Before the introduction of the measles, mumps and rubella mmr vaccine in 1988, mumps occurred commonly in schoolage children, and more than 85% of.
For information on how nice is supporting the nhs and social care, view our new. You can catch mumps through the air from an infected persons cough or sneeze. Anyone can get mumps, but the greatest risk of infection occurs among unvaccinated schoolage children. Symptoms of mumps mumps symptoms typically include fever, headache, muscle aches, tiredness, and loss of appetite. Swelling usually peaks in 1 to 3 days and then subsides during the next week. Its most distinctive symptom is swelling of the cheeks, neck or jaw, though not everyone experiences this. Symptoms of mumps include swelling on one or both sides of the face, tenderness of the salivary glands the cheek and jaw area, slight fever, headache, general aches, and muscle pain. Nonspecific symptoms of fever, headache, malaise, muscle ache, and loss of appetite. Department of health communicable disease service mumps. Approximately one third of infections do not cause clinically apparent salivary gland swelling and may be asymptomatic subclinical or manifest primarily as respiratory tract infection.
Other symptoms include fever, headache, muscle aches, tiredness, and loss of appetite. Mumps is characterized by swollen, painful salivary glands in the face, causing the cheeks to puff out. Oklahoma state department of health acute disease service public health fact sheet. If you do show symptoms, they may not appear for 2 to 3 weeks after youre infected. When signs and symptoms do develop, they usually appear about two to three weeks after exposure to the virus. Doctors call this parotitis, and it can happen on one or both sides of the face. When mumps is mumps new york state department of health. Typically, it begins with a few days of fever, headache, myalgia, fatigue, and anorexia, followed by parotitis. This paper presents mumps notification, hospitalisation and death data obtained from the australian national notifiable diseases surveillance system, the national hospital morbidity database and national mortality database from 2008 to 2012 inclusive. Meningism headache, photophobia, neck stiffness occurs in up to. The resources presented here offer health care professionals current information about mumps infectious parotitis in new york city, including clinical management, infection control, and reporting.
These glands, which make saliva for the mouth, are toward the back of each cheek, in the area between the ear and jaw. A classic symptom of mumps is parotitis swelling of the salivary glands in front of the ears resulting in a tender, swollen jaw. Complications include inflammation of testes orchitis or ovaries oophoritis, aseptic meningitis rarely causing deafness, pancreatitis. Mumps is most commonly diagnosed by your symptoms and the type of glands that are enlarged in your body. Most side effects are mild and do not last long, such as. Physical examination each student must present a record of pe before first attending school in hawaii must be performed within 12 months before first school attendance must be performed and signed by a u. The prodromal symptoms are nonspecific, and include myalgia, anorexia, malaise, headache, and lowgrade fever.
Mumps resources washington state department of health. Epididymoorchitis affects up to 38% of infected men. By looking inside your mouth, they may be able to see that your tonsils have been pushed out of their usual position. Mumps can usually be diagnosed from the symptoms, in particular the swelling of glands in the sides of your face parotid glands. What are the symptoms of measles, mumps and rubella. Safety and immunogenicity of human serum albuminfree mmr. Mumps is a moderatetohighly contagious acute viral infection caused by a. The green book, immunisation against infectious disease. Center for disease control and prevention cdc mumps epidemic united kingdom. Understanding of allergy can vary notably between patients and healthcare professionals. Measles is an urgent notifiable condition that must be notified immediately to the department by medical practitioners and pathology services. Persons should seek medical attention immediately if they develop symptoms. Mumps is a viral infection, which in its classical form causes acute parotitis inflammation of the parotid salivary glands and less frequently, orchitis, meningitis and pneumonia. Identification of mumps clinical features mumps is an acute febrile disease characterised by swelling and tenderness of one or more of the salivary glands, usually the parotid and occasionally the sublingual or submaxillary glands.
Mumps is a viral infection, which in its classical form causes acute parotitis inflammation of the. Typical symptoms of mumps include swollen salivary glands and a fever. An outbreak is defined as two or more linked cases with similar symptoms over and above that which would normally be expected. Mumps fact sheet new york state department of health. If you think you or someone else has the mumps, call your doctor for an appointment. There are currently no medications to treat the mumps virus. Complications include sensorineuronal deafness, oligospermia, subfertility rarely and occasionally death from encephalitis. Parotitis is generalized swelling of the parotid gland anterior to the ear and inferior to the mastoid process with jaw angle obliteration. Pulmonary tb typically causes a persistent productive cough, which may be accompanied by blood. Mumps causes inflammation of glandular tissue, most commonly salivary glands parotitis. It can infect many parts of the body, especially the parotid salivary glands.
You can also get it by direct contact with an infected surface. The parotid gland, located just below and in front of the ear, is most often affected. The mumps are a vaccine preventable virus which is spread from persontoperson by respiratory droplets or direct contact with contaminated items. More than 50% of people with mumps have cerebrospinal fluid pleocytosis, but fewer than 10% have symptoms of viral meningitis. Treatment for mumps is focused on relieving symptoms until your bodys immune system fights off the infection. Mumps is a contagious viral illness that is largely preventable via vaccination 1. About a third of people who contract the mumps virus do not develop symptoms. The vaccine contains live attenuated measles, mumps and rubella which are cultured. This pgd is for the administration of measles, mumps and rubella mmr vaccine by registered healthcare. However, since the introduction of the mmr vaccine, all cases are confirmed by a sample swab taken from the mouth to obtain some saliva. If you have mumps, your gp can see and feel the swelling. It is usually characterised by bilateral parotid swelling, although it may present with unilateral swelling. Adults experience worse symptoms if they do become ill with mumps. Mumps virus frequently affects the nervous system and may be symptomatic or asymptomatic.
New jersey department of health vaccine preventable. Some people with mumps have very mild or no symptoms. Before departure from the united states, travelers aged. Mumps immunisation against infectious disease paediatric care. The incubation period of mumps is 12 to 25 days, but parotitis typically develops 16 to 18 days after exposure to mumps virus. Pinkbook mumps epidemiology of vaccine preventable. The spotty book notes on infectious diseases in schools. The virus usually makes you feel sick and causes a salivary gland between your jaw and ear to swell. Mumps is suspected by a having an exposure to the disease, the presence of swollen salivary glands, and other symptoms. Parotitis swollen parotid glands this is present in 95% of symptomatic cases.
General symptoms may include fever, loss of appetite, weight loss, night sweats and lassitude. Protection against measles, mumps and rubella starts to develop around 2 weeks after having the mmr vaccine. Individuals with mumps virus may not experience symptoms at all, and for those who do show symptoms, they usually occur about two weeks after being initially infected. Measles is vaccinepreventable, as a part of the mmr measles mumps rubella vaccine.
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