Mode of transmisison: droplet/direct contact with urine

Incubation: 16-18d; ranging from 12-25d

Period of infectivity: 7d before onset of parotits until 9d after

Vaccines: live attenuated

• MMR

Schedule: 15mo, 4yrs

efficacy: 64-66% effective 1 dose, 83-88% 2 doses

Herd:

• paramyxocirus

• single strand RNA

• rapidly inactivated by head formalin ether, chloroform, light

clinical features

• classic

  • acute

    • fever

    • headache

    • swelling/tendneress of one or more parotid glands

    • 30% infections asymptomatic

  • complications:

    • aspetic meningitis - 15%

      • without sequelae

    • orchitis - uniltaerl - 20% post pubertal

      • sterility rare

    • unilateral nerve deafness 1:15 000

    • encephalitis

      • 1:400 - 1:6000

• Mumps in 1st triester increase rate of spont. abortion

• no evidecne that causes fetal abnormalities