Student Support Services

Mumps and MMR
 

Welcome to the University's Mumps and MMR pages.  Please use the links below to find out information on mumps and how you can protect yourself.

What is Mumps? What is MMR?
How does it spread? 
What are the symptoms? 
How effective is MMR in preventing mumps?
How quickly does it work? 
How can it be treated? Are there any reasons for not giving MMR?
What is the incubation period?   Are there any adverse reactions?
How can it be prevented? Further information?
Why is there an increase in cases at present?  
Further information?   




What is Mumps?

Mumps is an infectious disease caused by the mumps virus. It is a mild disease in most people causing very little upset and may even go completely unnoticed. In others, however, it can have some quite severe complications. These include swelling of the testes (orchitis), swelling of the ovaries (oophoritis), pancreatitis, meningitis, encephalitis and deafness.

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How does it spread? 

Humans are the only known host of the mumps virus. Mumps is usually spread from person to person by coughs and sneezes. Occasionally, it may be spread by direct contact with the saliva of someone with mumps. People with the illness can pass it to others several days before the symptoms start and until just after the swelling has settled.

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What are the symptoms? 

Symptoms begin with a headache and fever for a day or two, followed by swelling of the parotid glands, in front of the ears on one or both sides. In some cases, the salivary glands do not swell, but the patient develops symptoms elsewhere (eg. orchitis, meningitis).

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How can it be treated? 

There is no specific treatment for mumps. Treatment is based on alleviating symptoms.

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What is the incubation period? 

The incubation period is about 18 days but may vary usually between 14 to 25 days.

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How can it be prevented? 

The only effective way to prevent mumps is two immunisations with the MMR vaccine.

Mumps has been one component of the MMR vaccine since 1988. It is given to children as part of the routine vaccination schedule. It is offered to all children at 12 - 15 months with a second dose offered with the pre school booster at 3 - 5 years.

To reduce spread, cases are advised to stay at home for nine days after the swollen glands appear.

If you are in any doubt about whether you have had 2 MMR immunisations, you would be best advised to have this done (again) - it's a very easy and low/no pain procedure and there is no limit to number of MMR injections people can have, as long as 3 weeks have elapsed since the last one.   Your GP will do these for free and you will have protection within a very short period of time.

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What should I do if I contract Mumps?

People with mumps are infectious from 2 days before the onset of symptoms until about 9 days afterwards, and even people without symptoms may be infectious.  Consequently, if you have mumps it is advisable to stay away from University and avoid coming into contact with fellow students for about 9 days after the symptoms (eg the swollen glands) first appear.  Before coming back to University, please check with your GP to ensure it is safe to do so, and to ask their advice on managing any risks associated with this infectious disease.  This is important to help reduce the risk of spreading mumps within the University community.

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Why is there an increase in cases at present? 

The MMR vaccine was first introduced in the UK in 1988. It was offered to children aged 12 - 15 months. The second dose, given at 3 - 5 years, was not introduced until 1996.

Prior to 1988, and in the catch up vaccination in 1994, mumps vaccine was not included in the schedule.  This means that there is a large group of people in their late teens and early twenties who may not have been vaccinated or who will only have received one vaccination dose.  These people are at increased risk of acquiring the disease and, consequently, there is an increase in cases nationally in this age group.

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Further information? 

For more information on mumps, you can visit the Health Protection Agency website http://www.hpa.org.uk/infections/topics_az/mumps/menu.htm

If you are concerned about mumps, you may phone NHS Direct on 0845 46 47, or visit the NHS Direct website on http://www.nhsdirect.nhs.uk/

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What is MMR?

MMR is the combined vaccine against measles, mumps and rubella.  MMR was introduced in 1988. Two doses are given, normally one is given at 12-15 months and then a second dose at 3-5 years of age, although you can have the MMR at any age.  People born before 1987 will not have been routinely offered the MMR and consequently may have no immunity to mumps, unless they have had the natural infection.

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How effective is MMR in preventing mumps? 

90-95% of people will become immune to mumps after one dose of the vaccine.

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How quickly does it work?

Having the MMR does not protect you straight away. It can take a few weeks for a person to develop immunity to mumps.

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Are there any reasons for not giving MMR?

People are not given the MMR vaccine if they:
· have a feverish illness - you are advised to have the vaccine when you are better.
· have already had a severe reaction to MMR
· are pregnant - women should avoid pregnancy for 1 month after MMR
· react severely to neomycin or kanamycin
· have untreated malignant disease or altered immunity

MMR vaccine can be given irrespective of a history of measles, mumps or rubella infection. There are no ill effects from vaccinating individuals who are already immune. There is no contra-indication to the vaccine for people with egg allergies. HIV positive individuals may be given MMR in the absence of contra-indications.

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Are there any adverse reactions?

Following a dose of MMR, malaise, fever and/or a rash can occur, most commonly about a week after immunisation, and lasting about two or three days. Occasionally, adults who get the mumps vaccine may develop swelling of the salivary glands in the cheeks and neck. You cannot get mumps, measles or rubella from the vaccine.  Adverse reactions are considerably less common after a second dose.  That is why persons who have had measles and rubella vaccination before, are less likely to suffer side effects from the MMR vaccine.  Very rarely, a severe allergic reaction can occur straight after any immunisation (about 1 in 100,000 immunisations for MMR). People giving immunisations are trained to deal with allergic reactions.  Over 500 million doses of MMR have been used worldwide. There is no evidence that MMR is linked to autism or bowel disease.

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Further information?

For more information on MMR, visit http://www.immunisation.nhs.uk/Vaccines/MMR. .
 

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