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Published Date: 2012-04-02 02:16:29
Subject: PRO> Mumps - Spain (02): Background
Archive Number: 20120402.1087523

MUMPS - SPAIN (02): BACKGROUND
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Date: Sun 1 Apr 2012
From: "Dr.Steve Berger" <mberger@post.tau.ac.il>

Comment on: "Mumps - Spain: (CA) Girona 20120331.1086759"
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Spain's experience with vaccine-preventable disease is a paradigm for the success of immunization. Reports of measles, mumps and rubella in this country declined dramatically following the introduction of routine MMR in 1981 [1,2] -- see graph [3]: http://www.gideononline.com/wp/wp-content/uploads/MMR-Spain.png.

Mumps rates for the entire region have remained low since 2000, see graph: http://www.gideononline.com/wp/wp-content/uploads/Mumps-Iberia.png.

Seroprevalence surveys:

91.1 percent in Catalonia (1996)
92.1 percent of persons ages 17 to 36 in Barcelona (1992 to 1993)

Notable outbreaks:

1987 -- An outbreak (104 cases) was reported among school children in Castellon.
1992 (publication year) -- An outbreak (52 cases) was reported in Zaragoza.
1993 to 1994 -- Outbreaks (216 cases total in 19 outbreaks) were reported in Toledo.
1995 to 1996 -- An outbreak was reported in Leon.
1997 -- An outbreak (283 cases) was reported in an urban area in Andalucia.
1999 to 2000 -- An outbreak (33 cases) was reported at a school in Huesca.
2000 -- An outbreak (35 cases) was reported among 3-to-4 year old children in San Sebastian.
2005 -- An outbreak (145 cases) was reported in Almeria.
2006 -- An outbreak (63 cases) was reported at a school in Bizkaia.
2006 to 2007 -- An outbreak (1397 cases) was associated with a festival in the Navarre region.
2008 -- An outbreak (116 cases) was reported in Jerez de la Frontera.

References:

1. Berger SA. Infectious Diseases of Spain, 2012. 557 pp, 194 graphs, 2850 references. Gideon e-books,
http://www.gideononline.com/ebooks/country/infectious-diseases-of-spain/.

2. Berger SA. Mumps: Global Status, 2012. 167 pp, 191 graphs, 433 references. Gideon e-books,
http://www.http://www.gideononline.com/ebooks/disease/mumps-global-status/.

3. Gideon graph tool at, http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps.

--
Communicated by:
Steve Berger
Geographic Medicine
Tel Aviv Medical Center
Israel

[ProMED-mail thanks Professor Steve Berger for provision of these background data that record the past success of the Spanish authorities in containment of mumps virus infection by MMR vaccination. - Mod.CP
]

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