NDLI: Effekte der Masern-Mumps-Röteln (MMR)-Impfung auf die Epidemiologie von Mumps in Deutschland.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Koch, J. Takla, A.
Spatial Coverage	Germany
Description	Author Affiliation: Koch J ( Abteilung für Infektionsepidemiologie, Fachgebiet 33 Impfprävention, Robert Koch-Institut, DGZ-Ring 1, 13086, Berlin, Deutschland. kochj@rki.de)
Abstract	Mumps is an acute viral infectious disease characterized by fever and swelling and tenderness of one or more salivary glands, usually the parotid gland. Since 1976, the German Standing Committee on Vaccination (STIKO) has recommended a mumps vaccination as part of the routine immunization schedule in former West Germany. In East Germany, the vaccination was only introduced in 1991 after reunification. In the preceding decades, no comprehensive surveillance system existed in Germany. However, for East Germany and the successional federal states of former East Germany, data on mumps incidence are available from different Eastern surveillance systems for the time period 1968-2012. According to these data, the incidence of mumps has dropped from > 200 cases/100,000 annually in the pre-vaccine era to currently <1/100,000. Recently, an age shift has been noted predominantly in the Western federal states. Based on data from school entry examinations and seroprevalence studies, the age shift is likely due to insufficient vaccination coverage and secondary vaccine failure ('waning immunity'). In view of the changes in mumps epidemiology and the increase of outbreaks among adolescents and young adults, the implementation of a nationwide mandatory notification was initiated and came into effect in March 2013. Mandatory notification enables the early detection of outbreaks and obtainment of comprehensive data for evaluation of the immunization program in place. Regarding the long-term prevention of mumps in Germany, it is hoped that--as part of the measles and rubella elimination effort--coverage rates for the second MMR dose among children will increase nationwide above 95% and existing vaccination gaps among adults will be closed.
File Format	HTM / HTML
ISSN	14369990
Issue Number	9
Volume Number	56
e-ISSN	14371588
Journal	Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Language	German
Publisher	Springer
Publisher Date	2013-09-01
Publisher Place	Germany
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Public Health Disease Eradication Methods Endemic Diseases Prevention & Control Statistics & Numerical Data Mass Vaccination Measles-mumps-rubella Vaccine Therapeutic Use Mumps Epidemiology Germany Humans Diagnosis Prevalence Risk Factors Treatment Outcome English Abstract Journal Article
Alternative Title	Effects of the MMR vaccination on the epidemiology of mumps in Germany
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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