Date Sent: 11/24/2015 03:59 PM EST
Sender: Michigan Health Alert Network
Subject: Mumps outbreaks at colleges in nearby states
Several states have reported college- or university-centered mumps outbreaks in the late summer and fall of 2015. These include campuses in Illinois, Iowa, Missouri, and Wisconsin. At this time Michigan has not confirmed mumps activity. Because of the increased amount of travel over the coming holiday season, local health departments and health care providers are advised to be watchful for possible mumps cases. Swelling and tenderness of one or more salivary glands is the common manifestation of mumps illness but may not be present in all cases. Non-specific prodrome symptoms may include low-grade fever, myalgia, malaise, headache, and anorexia. Pancreatitis, testicular inflammation in males, and ovarian inflammation in females are potential complications of mumps infection. Suspect mumps cases should be evaluated by lab studies consisting of mumps PCR (buccal mucosa swab) and mumps IgM antibody (serum). Other recognized causes of parotid or other salivary gland swelling include influenza A, parainfluenza types 1 and 3, Epstein-Barr virus, Coxsackie A virus, and echovirus.
Mumps is a reportable disease in Michigan. Suspect, probable, and confirmed cases should be reported to the local health department serving the case's residence. Mumps is a vaccine-preventable disease; all children are recommended to be routinely vaccinated with 2 doses of mumps vaccine. Mumps vaccine is also recommended for adults born after 1957 if they lack immunity to mumps or are uncertain of mumps immunity.