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Volume 359:654-655 August 7, 2008 Number 6
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Mumps in the United States

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by Dayan, G. H.
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To the Editor: The article by Dayan et al. (April 10 issue)1 on the resurgence of mumps in 2006 raises a number of issues. First, the resurgence may be partly explained by the switch in 1992 in the United States from the Urabe vaccine strain to the Jeryl Lynn strain. The former is more immunogenic and efficacious than the latter but causes more aseptic meningitis.2 Second, the high proportion of cases in the postpubertal population highlights the need to expand the case definition of mumps, for which parotitis is currently mandatory.1 In up to 30% of symptomatic cases of mumps, . . . [Full Text of this Article]



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