title: Epidemiology and the economic assessment of a mumps outbreak in a highly vaccinated population, Orange County, New York, 2009-2010.
abstract: Studies assessing the economic burden of a mumps outbreak in a highly vaccinated population are limited. The Orange County Health Department (OCHD), New York State Department of Health (NYS DOH), and the Centers for Disease Control and Prevention conducted a mumps investigation in an affected village with a highly vaccinated population. To understand the epidemiology, standardized mumps case definition and active surveillance were used to identify mumps cases. In addition, an economic assessment of a combined outbreak investigation and third dose measles-mumps-rubella (MMR) vaccine intervention conducted by OCHD and NYS DOH was performed; estimated by retrospectively evaluating public health response-related activities including use of a third dose of MMR vaccine. From September 24, 2009, through June 15, 2010, 790 mumps cases were reported-64% were male and highest attack rate was among 11-17 year age group (99.1 cases per 1000 individuals). Of the 658 cases with known vaccination history, 83.6% had documentation of 2 doses of mumps containing vaccine. No deaths were reported. The 2 major exposure settings were schools (71.8%) and households (22.5%). Approximately 7736 h of public health personnel time were expended with the total approximate cost of US $463,000, including US $34,392 for MMR vaccine-the estimated cost per household was US $827. Mumps continues to be endemic in many parts of the world, resulting in importations into the United States. Large mumps outbreaks similar to this in highly vaccinated populations may require considerable investigation and control activities.
authors.affiliation: National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention; Atlanta, GA USA.
authors.forename: Preeta Krishnan
authors.initials: PK
authors.lastname: Kutty
authors.affiliation: Orange County Health Department; Goshen, NY USA.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Lawler
authors.affiliation: Bureau of Immunization; New York State Department of Health; Albany, NY USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Rausch-Phung
authors.affiliation: National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention; Atlanta, GA USA.
authors.forename: Ismael R
authors.initials: IR
authors.lastname: Ortega-Sanchez
authors.affiliation: Orange County Health Department; Goshen, NY USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Goodell
authors.affiliation: Bureau of Immunization; New York State Department of Health; Albany, NY USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Schulte
authors.affiliation: Bureau of Immunization; New York State Department of Health; Albany, NY USA.
authors.forename: Lynn
authors.initials: L
authors.lastname: Pollock
authors.affiliation: Orange County Health Department; Goshen, NY USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Valure
authors.affiliation: Orange County Health Department; Goshen, NY USA.
authors.forename: Jean
authors.initials: J
authors.lastname: Hudson
authors.affiliation: National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention; Atlanta, GA USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Gallagher
authors.affiliation: Bureau of Immunization; New York State Department of Health; Albany, NY USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Blog
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000191:economics* / Q000517:prevention & control; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D008297:Male; D009107:Mumps / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology*; D009108:Mumps Vaccine / Q000008:administration & dosage / Q000191:economics*; D009518:New York / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods; D012189:Retrospective Studies; D014611:Vaccination / Q000191:economics*; D055815:Young Adult
chemical_list: D009108:Mumps Vaccine
keywords: economic; highly vaccinated; mumps; outbreak; vaccine