An outbreak of mumps among young adults in Vancouver, British Columbia, associated with 'rave' parties.
In early 1997 an unexpectedly high number of cases of mumps was reported in Vancouver, British Columbia.


METHODS
A case control study was conducted to address four objectives: 1) Describe the outbreak and the population at risk, 2) examine the impact of mumps on this population, 3) identify personal risk factors for infection, and 4) test the hypothesis that social gatherings, 'rave' parties in particular, were a risk factor in this outbreak.


RESULTS
Mumps infection was associated with: attending a rave party [OR = 17; 95% CI: 2.7-710], residing in Vancouver [OR = 3.7; 95% CI: 1.4-10], and contact with a person with mumps [OR = 13; 95% CI: 2-552], during the 'exposure' period. Vaccine effectiveness, ascertained by self-reported immunization status, was 80% [95% CI: 29%-96%].


CONCLUSIONS
Attendance at rave parties was associated with mumps infection during this outbreak. Many persons aged 17-40 may remain susceptible to mumps; in BC these persons are eligible for one dose of MMR and should be encouraged to be vaccinated.
Community Medicine Residency Program, University of British Columbia, Vancouver. jbuxton@unixg.ubc.ca
J
J
Buxton
C
C
Craig
P
P
Daly
M
M
Bigham
A
A
Bell
M
M
Fyfe
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001955:British Columbia / Q000453:epidemiology; D016022:Case-Control Studies; D003615:Dancing / Q000706:statistics & numerical data*; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009107:Mumps / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control / Q000635:transmission; D011159:Population Surveillance; D012111:Residence Characteristics; D012307:Risk Factors; D012621:Seasons; D014611:Vaccination