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Transcript
2007 UTAH’S HEALTH: AN ANNUAL REVIEW Mumps, Polio, and Rubella Compiled by Eric Hu 2006 Cases of Mumps: 2, 2006; Cases of Polio: 0, 2006; Cases of Rubella: 0 1 Since the practically 1960’s, vaccinations eliminated cases have of Poliomyelitis (Polio), epidemic parotitis (Mumps) and epidemic roseola (Rubella) in most developed countries. Mumps, a viral disease, is spread through saliva. Vaccines have greatly reduced the spread of mumps, although the disease is Table 1: Cases and incidence per 100,000 population of Mumps within Utah, 1995-2006, and the U.S., 1995-2006 1, 2, 3 Mumps 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Cases 11 2 7 5 4 7 8 7 5 2 7 2 Utah Incidence 0.55 0.1 0.33 0.23 0.18 0.31 0.35 0.3 0.21 0.08 0.3 0.1 Cases 906 751 663 666 387 338 266 270 231 258 314 6404 US Incidence 0.34 0.28 0.24 0.24 0.14 0.12 0.09 0.09 0.08 0.1 0.09 2.1 still prevalent in third world countries. Children between the ages of 2 and 12 are most susceptible. Upon infection, the Table 2: Cases and incidence per 100,000 population of Poliomyelitis within Utah, 1996-2006, and the U.S., 1996-2006 1, 2, 3 disease will incubate for up to a month. Symptoms include gland swelling, testicular swelling, fever, headache, sore throat, and in extreme cases, infertility. No cure exists, with treatment centering on the control of pain. Prevention involves the use of a vaccine. There were two cases of mumps in Utah in 2006. Polio 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Cases 1 0 0 0 0 0 0 0 0 0 0 0 Utah Incidence 0.05 0 0 0 0 0 0 0 0 0 0 0 Cases 5 0 1 0 0 0 0 0 0 0 1 0 US Incidence 0.002 0 0.0004 0 0 0 0 0 0 0 0.0003 0 Nationally, though, cases of mumps grew 20 times in 2006 due to an outbreak that was most prevalent among individuals that Table 3: Cases and incidence per 100,000 population of Rubella within Utah, 1995-2006, and the U.S., 1995-2006 1, 2, 3 had received a single dose of the MeaslesMumps-Rubella (MMR) vaccine (rather than the current two-dose protocol). 4 Polio, a viral disease, is spread fecal-orally. Most cases are asymptomatic. In 1% of cases, the central nervous system is affect- 156 Infectious Disease Rubella 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Cases 1 0 0 0 0 3 0 0 0 2 0 0 Utah Incidence 0.05 0 0 0 0 0.13 0 0 0 0.08 0 0 Cases 128 238 181 364 267 176 23 18 7 10 11 0 US Incidence 0.05 0.09 0.07 0.13 0.1 0.06 0.01 0.01 0 0.003 0.005 0 © 2007 The University of Utah. All Rights Reserved UTAH’S HEALTH: AN ANNUAL REVIEW ed, causing damage, such as weakness and paralysis. A vaccine was produced and utilized in the early 1960s that greatly reduced the spread of polio. With recent advancements, we may soon see the total eradication of Polio. It is spread most commonly through water or food that is contaminated with infected fecal matter. It may incubate for as long as a month. With no cure existing, treatment centers on antibiotics for possible infections, analgesics, and methods to speed up recovery. There were no cases of Polio in Utah in 2006. Rubella, a viral disease, is transmitted by aerosol drops. There is an incubation period of two to three weeks before the onset. The disease then only lasts one to five days and is often mild, making it difficult to diagnose. The symptoms include swollen nodes, rashes, fever and sometimes weakness. In children, there are also symptoms of joint pain and headache. There were no cases of Rubella in Utah in 2006. Information on this page was gathered from: 1. Summary of Selected Notifiable Diseases by County, Utah. 2002-2006 Annual Reports. Utah Department of Health. Retrieved March 5, 2007 from http://health.utah.gov/epi/anrpt/. 2. Annual Summary of Notifiable Diseases. Centers for Disease Control. Retrieved March 5, 2007 http://www.cdc.gov/epo/dphsi/annsum/. 3. MMWR Summaries of Notifiable Diseases. Morbidity and Mortality Weekly Report Summaries, Centers for Disease Control. Retrieved March 5, 2007 http://www.cdc.gov/mmwr/summary.html. 4. Update: Multistate Outbreak of Mumps --- United States, January 1--May 2, 2006 . Morbidity & Mortality Weekly Report, Volume 55, Number 20. Retrieved March 5, 2007 http://www.cdc.gov/mmwr/preview/mmwrhtml/mm55d518a1.htm. © 2007 The University of Utah. All Rights Reserved Infectious Disease 157