Mumps Outbreak Sweeps Kerala: Concerns, Causes, and Recommendations

Mumps Outbreak Sweeps Kerala: Concerns, Causes, and Recommendations

The state of Kerala is currently experiencing an outbreak of mumps, a contagious viral infection. This outbreak has significantly impacted the pediatric population, with over 10,000 children affected within a span of less than 70 days.

Increase in Cases

  • Data from the health department indicates a notable increase in the number of children seeking treatment for mumps.
  • The average daily number of children seeking treatment has surged from 50 in January to 300 in March, highlighting the rapid spread of the disease.

Regional Impact

  • The Indian Academy of Paediatrics reports that one in 20 children visiting outpatient clinics in Kerala is diagnosed with mumps.
  • Certain districts, particularly Malappuram and its neighboring areas, have observed a higher incidence of mumps cases.

Disease Presentation

  • Children affected by mumps typically present with mild fever, headache, puffy cheeks, and swollen jaws.

Viral Variant and Recovery

  • Paediatricians note that the virus responsible for the outbreak appears to be a mild variant.
  • Complications are reported to be 50% lower, and most patients recover within nine days of symptom onset.

Factors Contributing to the Outbreak

  • Health experts attribute the outbreak to a lack of immunity within the population.
  • The mumps vaccine is not included in the standard vaccination schedule of the health department.

Vaccination Recommendations

  • Private hospitals recommend two doses of the MMR (measles, mumps, rubella) vaccine.
  • The government vaccination program primarily covers other vaccines, leading to increased vaccination uptake in government facilities.

Long-Term Implications and Concerns

  • Despite the mild severity of the current outbreak, experts express concern about potential long-term implications.
  • Mumps can lead to sterility among males and encephalitis, prompting calls for further study into its prevalence.

Vaccine Effectiveness and Cost Considerations

  • Dr. Sheeja Sugunan highlights that the mumps vaccine is approximately 70% effective.
  • Cost considerations and the relatively lower efficacy rate contribute to the decision to exclude the mumps vaccine from the national vaccination schedule.

Multiple Choice Questions (MCQs):

  1. What viral infection is currently experiencing an outbreak in Kerala?
    • A) Influenza
    • B) Mumps
    • C) Measles
    • D) Rubella
    • Answer: B) Mumps
  2. What is the average daily increase in children seeking treatment for mumps from January to March?
    • A) 100
    • B) 150
    • C) 200
    • D) 250
    • Answer: C) 200
  3. Which region in Kerala is noted for having the highest number of mumps cases?
    • A) Thiruvananthapuram
    • B) Kochi
    • C) Malappuram and neighboring districts
    • D) Kozhikode
    • Answer: C) Malappuram and neighboring districts
  4. What are the marked symptoms of mumps in affected children?
    • A) Rash and joint pain
    • B) Cough and sore throat
    • C) Puffy cheeks and swollen jaws
    • D) Diarrhea and vomiting
    • Answer: C) Puffy cheeks and swollen jaws
  5. Why is the mumps vaccine not included in the national vaccination schedule according to Dr. Sheeja Sugunan?
    • A) It has a low efficacy rate of 50%.
    • B) The vaccine is too costly.
    • C) It is not necessary due to low prevalence.
    • D) The vaccine is only 70% effective, and there are cost considerations.
    • Answer: D) The vaccine is only 70% effective, and there are cost considerations.