Before the measles-mumps-rubella (MMR) vaccination was widely offered, the epidemiologic data about mumps (morbidity, immunization level, vaccine coverage) were analyzed in Piedmont region (Italy).
The disease had a 3-to 5-year epidemic recurrence with morbidity rate between 40 and 150/100,000 ; the surveillance conducted by sentinel'pediatricians showed that the notifications underestimated the real data by about 5-to 7-fold.
The 12-year-old subjects showed an immunization level (reached by the disease or the vaccination) of about 50% and their parents tended to refuse the MMR vaccination.
Only 54% of the 3-to 5-year-old children received the MMR vaccine in the second year of life and the frequency of the vaccination failure was about 10%. The strategy of vaccination should take into account this epidemiologic pattern, to program an offer adequate to reach mumps control/elimination ; the strategy of our region should include the active offer in the second year of life to reach higher coverage, a second offer at 4-6 and/or 12 years of life, when other vaccinations are given and the choice of a highly efficacious vaccine.
The improvement of the notification system could also allow a more sensitive surveillance of epidemiologic patterns.
Mots-clés Pascal : Oreillons, Virose, Infection, Vaccination, Immunisation, Morbidité, Incidence, Epidémiologie, Surveillance sanitaire, Evolution, Stratégie, Enfant, Homme, Programme sanitaire, Prévention, Politique sanitaire
Mots-clés Pascal anglais : Mumps, Viral disease, Infection, Vaccination, Immunization, Morbidity, Incidence, Epidemiology, Sanitary surveillance, Evolution, Strategy, Child, Human, Sanitary program, Prevention, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0515792
Code Inist : 002B05A02. Création : 18/05/2000.