Friday March 2, 2018
Mumps update for primary care:
As per the media release copied below, we have seen an increase in mumps notifications across Lakes and Bay of Plenty in the last month. This is on the background of the ongoing mumps outbreak largely affecting the Auckland region.
We will be circulating a flowchart for management of suspected and confirmed mumps cases for your reference early next week.
In the meantime, we want to please encourage you to:
- Consider mumps in cases who fit the clinical picture;
- If you suspect a patient may have mumps, please:
- Notify public health as soon as possible by faxing an Infectious Disease Notification Form to 0800 66 89 34, or calling 0800 221 555.
- Send a viral buccal swab for mumps PCR if within 7 days of the onset of parotitis – please indicate immunisation status and date of parotitis onset on the laboratory form. Swabs should be taken from between the cheek and gum, near the rear molars on the affected side.
- Ask the patient to remain away from ECE/school/university/work and avoid contact with susceptible people until at least five days following onset of parotitis (mumps is usually infectious from 2 days before until 5 days after onset of parotitis). Susceptible people includes those:born from 1981, who have never had mumps before, and have not received two doses of MMR.
- Identify if the patient has any household contacts who are susceptible to mumps (as above) and:
- offer them MMR vaccine (unless they are pregnant or immunocompromised);
- advise on the incubation period (12 – 25 days) and common symptoms of mumps;
- advise to seek early medical attention (calling ahead first), and avoid contact with others if any symptoms develop.
- Reinforce for the patient and susceptible household contacts the importance of good hand hygiene, cough and sneeze etiquette and not sharing food, drinks, or utensils with others.
If you have any questions at all, please do not hesitate to call Toi Te Ora Public Health on 0800 221 555.
For more information about mumps, visit:
- The Toi Te Ora Public Health website: https://www.ttophs.govt.nz/mumps_hp
- The Ministry of Health website: https://www.health.govt.nz/our-work/diseases-and-conditions/mumps
Medical Officer of Health
Toi Te Ora Public Health
Public health follow up of mumps cases
Toi Te Ora Public Health, the public health service for the Bay of Plenty and Lakes districts, has been notified of several mumps cases at the Fire and Emergency New Zealand National Training Centre in Rotorua.
“Public Health has followed up close contacts of these cases and immunisation has been recommended for those who need it,” says Dr Natasha Murray, Medical Officer of Health.
There is an ongoing mumps outbreak, mostly in the Auckland region and affecting some other parts of New Zealand. In the last month, there have been 13 mumps cases notified in the Bay of Plenty and Lakes districts.
“Immunisation with the measles, mumps and rubella (MMR) vaccine is the best protection against mumps – and it also protects against measles and rubella,” says Dr Murray. MMR is recommended and free for anyone born from 1 January 1969 and is routinely given to children at 15 months and 4 years of age.
“We strongly recommend that everyone in the Bay of Plenty and Lakes communities checks whether they have received two doses of MMR vaccine. If you’re not up to date, please visit your family doctor to get immunised. MMR is free for anyone who needs it,” says Dr Murray.
Teenagers and young adults aged 12 to 29 are at greatest risk of catching mumps because, due to changes in our national immunisation schedule, they may not have been fully immunised as children. If you’re not sure whether you or your family are up to date with immunisations, please contact your family doctor to check.
Mumps is very infectious and spreads from person to person by coughing and sneezing, or through contact with infected saliva, such as sharing food and drink. If you have caught mumps, symptoms usually appear 2 to 3 weeks after contact with someone who is infectious. Symptoms can include fever, headache and swelling over the cheek or jaw area on one or both sides of the face. It is usually a mild illness that lasts about one week, but can have serious complications. If you think you have symptoms of mumps, please stay at home and phone your family doctor, or call Healthline on 0800 611 116 for advice.
For more information about mumps visit www.toiteora.govt.nz/mumps