title: Introducing combined measles, mumps and rubella vaccine in Chandigarh, India: issues and concerns.
abstract: Cyclical outbreaks of mumps have been noticed across Chandigarh city during winter months. Chandigarh does not provide measles, mumps and rubella (MMR) vaccination in the State immunization schedule. Epidemiological shift in age at diagnosis of mumps was noticed with higher incidence in older children and adults. Increased occurrence of complications can be predicted with this age shift. Silent burden of rubella with serious outcomes in newborns further strengthen the case for MMR vaccine inclusion in routine immunization program of Chandigarh.
authors.affiliation: School of Public Health, PGIMER, Chandigarh, India. Correspondence to: Dr Nidhi Bhatnagar, School of Public Health, PGIMER Sector 12, Chandigarh, 600 012, India. nidsbhatnagar@yahoo.com.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Bhatnagar
authors.forename: Ravneet
authors.initials: R
authors.lastname: Kaur
authors.forename: Madhu
authors.initials: M
authors.lastname: Gupta
authors.forename: Deepak
authors.initials: D
authors.lastname: Sharma
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007115:Immunization Schedule; D007194:India / Q000453:epidemiology; D007223:Infant; D008297:Male; D008457:Measles / Q000453:epidemiology / Q000517:prevention & control; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage*; D009107:Mumps / Q000453:epidemiology / Q000517:prevention & control; D012409:Rubella / Q000453:epidemiology / Q000517:prevention & control; D017778:Vaccines, Combined / Q000008:administration & dosage*
chemical_list: D022542:Measles-Mumps-Rubella Vaccine; D017778:Vaccines, Combined