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MILITARY MEDICINE - ORIGINAL ARTICLE
Year : 2018  |  Volume : 20  |  Issue : 2  |  Page : 138-140

Clinico-epidemiological study of an adult mumps outbreak in a naval training establishment


1 Department of Medicine, INHS Asvini, Mumbai, Maharashtra, India
2 PMO, INS Kadamba, Karwar, Karnataka, India
3 Department of Surgery, INHS Asvini, Mumbai, Maharashtra, India
4 PMO, INS Gharial, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Surg Cdr Arun Gupta
INS Kadamba, Karwar - 581 308, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmms.jmms_20_18

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Introduction: Outbreaks of mumps are known in places of high population density because of close contact. Studies on mumps outbreak in adults have rarely been documented in India, although globally an epidemiological shift is noticed in the disease from children to young adults because of vaccination against the disease in childhood. Materials and Methods: This outbreak investigation was conducted at a sailor training center of the Indian Navy. All cases of fever with parotitis, orchitis, or features suggestive of mumps were included in the study. The clinical, epidemiological, and demographic data of all the positive cases were analyzed using a standardized questionnaire and review of medical records. Results: A total of 58 cases reported over 3 months. Forty-two cases were from a single division and 13 cases from the same dormitory as the index case. Parotitis (89.7%) was the most common presentations, and orchitis (13.8%) was the most common complication. The attack rate (AR) within the division was 15.46%, with overall AR of 2.32%. The incidence was 23.2 per 1000 per year. Case fatality rate of the disease was nil. Recommendations: Surveillance, early diagnosis, and prompt isolation remain the key to prevent the transmission of illness during an outbreak. Other preventive measures include health education of recruits and their instructors.


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