Summary of Mumps
Posted: Fri Feb 11, 2005 4:38 pm
From my class......
or Thursday, 06 January
Lesson 4A, Part 3 - Summary of Mumps
* WAS a common disease of childhood - is worldwide
* Notifiable - must notify health department of the case
* Endemic but often increase in winter and spring
* Usual age - before & after vaccine - 5 - 19
* Transmitted by - genus paramyxovirus virus, family paramyxoviridae(same
family as measles virus) - that usually spreads through saliva and can
infect many parts of the body, especially the parotid salivary glands. The
parotid salivary glands, which produce saliva for the mouth (which is used
in digestion), are found toward the back of each cheek, in the area between
the ear and jaw. In cases of mumps, these glands typically swell and become
painful. (other things besides mumps can cause swelling of salivary glands)
* Highly Contagious Disease - transmitted by fluids from nose & mouth -
sneezing, coughing & laughing can spread or direct contact with tissues,
drinking glasses, etc. - contagious from 2 days before symptoms to 6 days
after end (approximately)
* Incubation Period (time from exposure until becomes ill) - 12 to 25
days, but the average is 16 to 18 days. Usually recover from mumps in about
10 to 12 days. It takes about 1 week for the swelling to disappear in each
parotid gland, but both glands don't usually swell at the same time
* Diagnosed - by the symptom picture - HOWEVER nowadays people do not know
how to diagnose this and may be missed or misdiagnosed (and maybe always
it was) so blood test recommended............
the blood. The WBC may be low with lymphocytes predominating. ESR and CRP
may be normal or slightly elevated. Amylase levels may be elevated.
significant increase in Ab titres in 2 serum samples taken 10 - 14 days
apart. In some cases, the detection of IgM may be used to diagnosis acute
infection. Although only 1 serotype of mumps exist, cross-reactions
between mumps virus and paramyxovirus makes serological results difficult
to interpret on occasions. Several techniques are available
* Symptoms - (usual)
suspects a mumps infection. Doctors believe that about one in three people
may have a mumps infection without symptoms.
making the child look like a hamster with food in its cheeks. The glands
usually become increasingly swollen and painful over a period of 1 to 3
days. The pain gets worse when the child swallows, talks, chews, or drinks
acidic juices (like orange juice). Both the left and right parotid glands
may be affected, with one side swelling a few days before the other, or
only one side may swell. In rare cases, mumps will attack other groups of
salivary glands instead of the parotids. If this happens, swelling may be
noticed under the tongue, under the jaw, or all the way down to the front
of the chest.
* Complications - ALL EXTREMELY rare (and usually in more in adults)
headache, or changes of consciousness.
or involvement of the ovaries in girls.
the testicles - orchitis, an inflammation of the testicles. Usually one
testicle becomes swollen and painful about 7 to 10 days after the parotids
swell. This is accompanied by a high fever, shaking chills, headache,
nausea, vomiting, and abdominal pain that can sometimes be mistaken for
appendicitis if the right testicle is affected. After 3 to 7 days,
testicular pain and swelling subside, usually at about the same time that
the fever passes. In some cases, both testicles are involved. Even with
involvement of both testicles, sterility is only a RARE complication of
orchitis. (they often try to make it sound like its automatic sterility of
mumps in boy after puberty. This is just not true. Up to 20% of
adolescent boys and men develop testicular inflammation; fertility is
impaired in 13%, but sterility is rare.
is not common.
the lining of the brain and spinal cord) are both rare complications of
mumps. Symptoms appear in the first week after the parotid glands begin to
swell and may include: high fever, stiff neck, headache, nausea and
vomiting, drowsiness, convulsions, and other signs of brain involvement.
abortion (rare)
Propaganda & Truth
From the MacMillan Guide to Family Health 1982
Mumps considered safe pre-vaccine:
"A fairly common risk of mumps is the swelling of testes in a boy or the
ovaries in a girl. This is much more common in an adult. Invariably the
swelling goes down after a few days leaving no ill effects. It is
excessively rare for the swelling to cause sterility. A rare complication
is acute pancreatitis which passes within a few days. "Mumps is generally a
mild disease. The usual outcome is complete recovery within about 10 days"
----From the MacMillan Guide to Family Health 1982
In contrast 1995 -- From the British Medical Association Complete Family
Health Encyclopaedia 1995:
"Mumps is an acute viral illness mainly of childhood.... Serious
complications are uncommon. However, in teenage and adult males, mumps can
be a highly uncomfortable illness in which one of both testes become
inflamed and swollen.... Most infections are acquired at school or from
infected family members. In the U.S., where many states required proof of
mumps vaccination for school entry, the incidence has dropped markedly over
the last 20 years. In the U.K. by contrast, before routine immunisation was
introduced in 1988, mumps affected a large proportion of the population at
sometime in their lives, usually between the ages of 5 and 10. An
occasional complication of mumps is meningitis----- A less common
complication of mumps is pancreatitis which causes abdominal pain and
vomiting. In males after puberty, orchitis (inflammation of the testes)
develops in about a quarter of the cases. Subsequently the affected testis
may shrink to smaller than normal size. In rare cases, mumps orchitis
affects both testes leading to infertility." (The book also contains strong
warnings about the consequences of older people coming into contact with
those infected with mumps.)
* Mumps Vaccine in licensed in US in 1967; recommended for routine use in
1977 in US -
* Shift of disease to adults & infants born of those adults (both groups
tend to have more complications)
http://www.whale.to/vaccines/mendelsohn.html#MUMPS
MUMPS
Mumps is a relatively innocuous viral disease, usually experienced in
childhood, which causes swelling of one or both salivary glands (parotids),
located just below and in front of the ears. Typical symptoms are a
temperature of 100-l04 degrees, appetite loss, headache, and back pain. The
gland swelling usually begins to diminish after two or three days and is
gone by the sixth or seventh day. However, one gland may become affected
first, and the second as much as 10-l2 days later. The infection of either
side confers life-time immunity.
Mumps does not require medical treatment. If your child contracts the
disease, encourage him to stay in bed for two or three days, feed him a
soft diet and a lot of fluids, and use ice packs to reduce the swelling. If
his headache is severe, administer modest quantities of whiskey or
acetaminophen. Give ten drops of whiskey to a small baby and up to one-half
teaspoon to a larger one. The dose can be repeated in one hour and again in
another hour, if needed.
Most children are immunized against mumps along with measles and rubella in
the MMR shot that is administered at about fifteen months of age.
Paediatricians defend this immunization with the argument that, although
mumps is not a serious disease in children, if they do not gain immunity as
children they may contract mumps as adults. In that event there is a
possibility that adult males may contract orchitis, a condition in which
the disease affects the testicles. In rare instances this can produce
sterility.
If total sterility as a consequence of orchitis were a significant threat,
and if the mumps immunizations assured adult males that they would not
contract it, I would be among those doctors who urge immunization. I'm not,
because their argument makes no sense. Orchitis rarely causes sterility,
and when it does, because only one testicle is usually affected, the sperm
production capacity of the unaffected testicle could repopulate the world!
And that's not all. No one knows whether the mumps vaccination confers an
immunity that lasts into the adult years. Consequently, there is an open
question whether, when your child is immunized against mumps at fifteen
months arid escapes this disease in childhood, he may suffer more serious
consequences when he contracts it as an adult.
You won't find paediatricians advertising them, but the side effects of the
mumps vaccine can be severe. In some children it causes allergic reactions
such as rash, itching, and bruising. It may also expose them to the effects
of central nervous system involvement, including febrile seizures,
unilateral nerve deafness, and encephalitis. These risks are minimal, true,
but why should your child endure them at all to avoid an innocuous diseaze
in childhood at the risk of contracting a more serious one as an adult?
******
http://www.idph.state.ia.us/adper/ cade_content/epi_manual/mumps.pdf
Swelling of salivary glands can also be by cytomegaloviruses, parainfluenza
viruses 1 & 3, influenza A, Coxsackie A, echovirus, lymphocytic
choriomeningitis virus, AIDS, and non-infections causes such as drugs,
tumors, immunologic diseases, and obstruction of the salivary duct.
**********
Some of the resources for above info.....
http://www.kidshealth.org/parent/infect ... mumps.html
http://www.whale.to/vaccines/measles12.html
http://www.show.scot.nhs.uk/scieh/Surve ... /mumps.htm
[Non-text portions of this message have been removed]
or Thursday, 06 January
Lesson 4A, Part 3 - Summary of Mumps
* WAS a common disease of childhood - is worldwide
* Notifiable - must notify health department of the case
* Endemic but often increase in winter and spring
* Usual age - before & after vaccine - 5 - 19
* Transmitted by - genus paramyxovirus virus, family paramyxoviridae(same
family as measles virus) - that usually spreads through saliva and can
infect many parts of the body, especially the parotid salivary glands. The
parotid salivary glands, which produce saliva for the mouth (which is used
in digestion), are found toward the back of each cheek, in the area between
the ear and jaw. In cases of mumps, these glands typically swell and become
painful. (other things besides mumps can cause swelling of salivary glands)
* Highly Contagious Disease - transmitted by fluids from nose & mouth -
sneezing, coughing & laughing can spread or direct contact with tissues,
drinking glasses, etc. - contagious from 2 days before symptoms to 6 days
after end (approximately)
* Incubation Period (time from exposure until becomes ill) - 12 to 25
days, but the average is 16 to 18 days. Usually recover from mumps in about
10 to 12 days. It takes about 1 week for the swelling to disappear in each
parotid gland, but both glands don't usually swell at the same time
* Diagnosed - by the symptom picture - HOWEVER nowadays people do not know
how to diagnose this and may be missed or misdiagnosed (and maybe always
it was) so blood test recommended............
the blood. The WBC may be low with lymphocytes predominating. ESR and CRP
may be normal or slightly elevated. Amylase levels may be elevated.
significant increase in Ab titres in 2 serum samples taken 10 - 14 days
apart. In some cases, the detection of IgM may be used to diagnosis acute
infection. Although only 1 serotype of mumps exist, cross-reactions
between mumps virus and paramyxovirus makes serological results difficult
to interpret on occasions. Several techniques are available
* Symptoms - (usual)
suspects a mumps infection. Doctors believe that about one in three people
may have a mumps infection without symptoms.
making the child look like a hamster with food in its cheeks. The glands
usually become increasingly swollen and painful over a period of 1 to 3
days. The pain gets worse when the child swallows, talks, chews, or drinks
acidic juices (like orange juice). Both the left and right parotid glands
may be affected, with one side swelling a few days before the other, or
only one side may swell. In rare cases, mumps will attack other groups of
salivary glands instead of the parotids. If this happens, swelling may be
noticed under the tongue, under the jaw, or all the way down to the front
of the chest.
* Complications - ALL EXTREMELY rare (and usually in more in adults)
headache, or changes of consciousness.
or involvement of the ovaries in girls.
the testicles - orchitis, an inflammation of the testicles. Usually one
testicle becomes swollen and painful about 7 to 10 days after the parotids
swell. This is accompanied by a high fever, shaking chills, headache,
nausea, vomiting, and abdominal pain that can sometimes be mistaken for
appendicitis if the right testicle is affected. After 3 to 7 days,
testicular pain and swelling subside, usually at about the same time that
the fever passes. In some cases, both testicles are involved. Even with
involvement of both testicles, sterility is only a RARE complication of
orchitis. (they often try to make it sound like its automatic sterility of
mumps in boy after puberty. This is just not true. Up to 20% of
adolescent boys and men develop testicular inflammation; fertility is
impaired in 13%, but sterility is rare.
is not common.
the lining of the brain and spinal cord) are both rare complications of
mumps. Symptoms appear in the first week after the parotid glands begin to
swell and may include: high fever, stiff neck, headache, nausea and
vomiting, drowsiness, convulsions, and other signs of brain involvement.
abortion (rare)
Propaganda & Truth
From the MacMillan Guide to Family Health 1982
Mumps considered safe pre-vaccine:
"A fairly common risk of mumps is the swelling of testes in a boy or the
ovaries in a girl. This is much more common in an adult. Invariably the
swelling goes down after a few days leaving no ill effects. It is
excessively rare for the swelling to cause sterility. A rare complication
is acute pancreatitis which passes within a few days. "Mumps is generally a
mild disease. The usual outcome is complete recovery within about 10 days"
----From the MacMillan Guide to Family Health 1982
In contrast 1995 -- From the British Medical Association Complete Family
Health Encyclopaedia 1995:
"Mumps is an acute viral illness mainly of childhood.... Serious
complications are uncommon. However, in teenage and adult males, mumps can
be a highly uncomfortable illness in which one of both testes become
inflamed and swollen.... Most infections are acquired at school or from
infected family members. In the U.S., where many states required proof of
mumps vaccination for school entry, the incidence has dropped markedly over
the last 20 years. In the U.K. by contrast, before routine immunisation was
introduced in 1988, mumps affected a large proportion of the population at
sometime in their lives, usually between the ages of 5 and 10. An
occasional complication of mumps is meningitis----- A less common
complication of mumps is pancreatitis which causes abdominal pain and
vomiting. In males after puberty, orchitis (inflammation of the testes)
develops in about a quarter of the cases. Subsequently the affected testis
may shrink to smaller than normal size. In rare cases, mumps orchitis
affects both testes leading to infertility." (The book also contains strong
warnings about the consequences of older people coming into contact with
those infected with mumps.)
* Mumps Vaccine in licensed in US in 1967; recommended for routine use in
1977 in US -
* Shift of disease to adults & infants born of those adults (both groups
tend to have more complications)
http://www.whale.to/vaccines/mendelsohn.html#MUMPS
MUMPS
Mumps is a relatively innocuous viral disease, usually experienced in
childhood, which causes swelling of one or both salivary glands (parotids),
located just below and in front of the ears. Typical symptoms are a
temperature of 100-l04 degrees, appetite loss, headache, and back pain. The
gland swelling usually begins to diminish after two or three days and is
gone by the sixth or seventh day. However, one gland may become affected
first, and the second as much as 10-l2 days later. The infection of either
side confers life-time immunity.
Mumps does not require medical treatment. If your child contracts the
disease, encourage him to stay in bed for two or three days, feed him a
soft diet and a lot of fluids, and use ice packs to reduce the swelling. If
his headache is severe, administer modest quantities of whiskey or
acetaminophen. Give ten drops of whiskey to a small baby and up to one-half
teaspoon to a larger one. The dose can be repeated in one hour and again in
another hour, if needed.
Most children are immunized against mumps along with measles and rubella in
the MMR shot that is administered at about fifteen months of age.
Paediatricians defend this immunization with the argument that, although
mumps is not a serious disease in children, if they do not gain immunity as
children they may contract mumps as adults. In that event there is a
possibility that adult males may contract orchitis, a condition in which
the disease affects the testicles. In rare instances this can produce
sterility.
If total sterility as a consequence of orchitis were a significant threat,
and if the mumps immunizations assured adult males that they would not
contract it, I would be among those doctors who urge immunization. I'm not,
because their argument makes no sense. Orchitis rarely causes sterility,
and when it does, because only one testicle is usually affected, the sperm
production capacity of the unaffected testicle could repopulate the world!
And that's not all. No one knows whether the mumps vaccination confers an
immunity that lasts into the adult years. Consequently, there is an open
question whether, when your child is immunized against mumps at fifteen
months arid escapes this disease in childhood, he may suffer more serious
consequences when he contracts it as an adult.
You won't find paediatricians advertising them, but the side effects of the
mumps vaccine can be severe. In some children it causes allergic reactions
such as rash, itching, and bruising. It may also expose them to the effects
of central nervous system involvement, including febrile seizures,
unilateral nerve deafness, and encephalitis. These risks are minimal, true,
but why should your child endure them at all to avoid an innocuous diseaze
in childhood at the risk of contracting a more serious one as an adult?
******
http://www.idph.state.ia.us/adper/ cade_content/epi_manual/mumps.pdf
Swelling of salivary glands can also be by cytomegaloviruses, parainfluenza
viruses 1 & 3, influenza A, Coxsackie A, echovirus, lymphocytic
choriomeningitis virus, AIDS, and non-infections causes such as drugs,
tumors, immunologic diseases, and obstruction of the salivary duct.
**********
Some of the resources for above info.....
http://www.kidshealth.org/parent/infect ... mumps.html
http://www.whale.to/vaccines/measles12.html
http://www.show.scot.nhs.uk/scieh/Surve ... /mumps.htm
[Non-text portions of this message have been removed]