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Mumps reported in Ontario
By fc/cdc
May 5, 2007 - 9:33:01 AM

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Mumps has apparently spread to Ontario from the Maritimes where an outbreak has affected more than 200 people, CTV.ca reported today.

In Ontario, three mumps cases are confirmed and five are suspected, prompting health officials to warn the number of cases is likely to increase.

In Nova Scotia, which is the epicenter of the outbreak, the disease affected a few health workers in the province who have been caring for mumps patients.  The case number increased from 157 to 203 this week according to ctv.ca.

Mumps has been reported in other areas of the province as well.  34 cases were reported on Friday in New Brunswick and one in Prince Edward Island.

Public health officials warned that the outbreak could spread to central Canada.  A vaccination campaign may be launched to stop the disease from spreading to populated areas such as colleges.

 


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The following is the common questions and answers about mumps cited from the US government for those who might be interested in the detail about the disease.

What is mumps?

It is an infection caused by the mumps virus.

Who can get mumps?

Anyone who is not immune from either previous mumps infection or from vaccination can get mumps. Before the routine vaccination program was introduced in the United States, mumps was a common illness in infants, children and young adults. Because most people have now been vaccinated, mumps is now a rare disease in the United States. Of those people who do get mumps, up to half have very mild, or no symptoms, and therefore do not know they were infected with mumps.

What are the symptoms of mumps?

The most common symptoms are fever, headache, muscle aches, tiredness and loss of appetite followed by onset of parotitis (swollen and tender salivary glands under the ears-on one or both sides).

Are there complications of mumps?

The most common complication is the inflammation of the testicles (orchitis) in males who have reached puberty, but rarely does this lead to fertility problems.

Other rare complications include:

Inflammation of the brain and/or tissue covering the brain and spinal cord (encephalitis/meningitis)
Inflammation of the ovaries (oophoritis) and/or breasts (mastitis) in females who have reached puberty
Spontaneous abortion particularly in early pregnancy (miscarriage)
Deafness, usually permanent
How soon do symptoms appear?

Symptoms typically appear 16-18 days after infection, but this period can range from 12-25 after infection.

How is mumps spread?

Mumps is spread by mucus or droplets from the nose or throat of an infected person, usually when a person coughs or sneezes. Surfaces of items (e.g. toys) can also spread the virus if someone who is sick touches them without washing their hands, and someone else then touches the same surface and then rubs their eyes, mouth, nose etc. (this is called fomite transmission).

How long is an infected person able to spread the disease?

Mumps virus has been found in respiratory secretions 3 days before the start of symptoms until 9 days after onset. Although mumps virus has been detected on rare occasions for up to 9 days after symptom onset, the patient is most infectious within the first 5 days.

What is the treatment for mumps?

There is no specific treatment. Supportive care should be given as needed. If someone becomes very ill, they should seek medical attention. If someone seeks medical attention, they should call their doctor in advance so that they don't have to sit in the waiting room for a long time and possibly infect other patients.

How do I protect myself (my kids/my family)?

Mumps vaccine (usually MMR), is the best way to prevent mumps. Other things people can do to prevent mumps and other infections is to wash hands well and often with soap, and to teach children to wash their hands too. Eating utensils should not be shared, and surfaces that are frequently touched (toys, doorknobs, tables, counters, etc) should also be regularly cleaned with soap and water, or with cleaning wipes.






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