ALL INDIA INSTITUTE OF LOCAL SELF

GOVERNMENT

DELHI

“MUIMPS an Overview”

For Para medicalsBy

Dr. P.P.SINGH

Faculty AIILSGD

Ex Medical Superintendent Cum Consultant pathologist HRH Delhi

Ex. Director India Population Project 8 Delhi..

DR.P.P.SINGH

MUMPSINTRODUCTION.

An acute infectious disease caused by a virus having affinity for glandular and nervous tissue.

Clinically presents as non-suppurativeenlargement & tenderness of one or both parotid salivary glands. Other organs are involved .

Disease is self limiting , subside normally by proper management and nursing care.

Disease occur through out the world

CAUSATIVE FACTORS:

1. AGENT FACTORS

a) Agent : Myxovirus Parotitis is a RNA virus of

myxovirus family.

b) Source of Infection :- Both clinical & sub clinical

cases , 30-40% are from sub clinical cases. , virus

can be isolated from saliva or from the surface of

Stenson’s duct in the oral cavity, virus can be

found in blood ,urine ,milk and CSF.

c) Period of communicability : 4-6 days before onset

of symptoms and 7 or more days after the

disease.

d) Secondary Attack rate – 86%

Host Factors:-a) Age & Sex : Age group 5-15 yrs, however age is no bar if

there is no previous immunity.

b) Immunity : One attack , clinical or sub clinical induces life

long immunity. Most infants below 6 months get immune

because of maternal antibodies.

Environmental Factors.

It is a endemic disease. cases occur throughout the

year. Peak in winter & spring, epidemics are associated with

over crowding.

Mode of transmission : The disease is spread mainly by

droplet and direct contact.

Incubation period : varies from 2-3 weeks usually 18

days.

CLINICAL FEATURES

1, It is characterised by Pain & Swelling in one or

both parotid glands , it may also involve

submandibular or sub lingual gland.

2, Mumps may also affect the testis ,pancreas ,

CNS , Ovaries , Prostate etc.

3, In severe case there may be fever , headache

and other constitutional symptoms for 3-5 days.

The swelling subsides in 1-2 weeks.

COMPLICATIONS:

1. Orchitis (infection of testis )

2. Ovaritis ( infection of Ovaries)

3. Pancreatitis ( infection of pancreas )

4. Meningo encephalitis ( infection of covering of brain and

brain ).

5. Myocarditis ( Inflammation of heart tissue )

6. Nerve deafness .

7. Poly arthritis ( inflammation of multiple joints).

8. Hyderocephalus ( water in head – large head)

PREVENTION :

VACCINATION –

1. A highly effective live attenuated vaccine

is now available .- A single dose ( 0.5ml) I M produce

antibodies in 95% of persons.

The vaccine is also available as combined

vaccine eg. MMR ( Measles , Mumps , Rubella ).

2. Immunoglobulin ;- a Specific

Immunoglobulin's (IgM) is protective effect.

CONTRAINDICATIONa) To pregnant women.

b) Patients on immunosuppressive therapy.

c) Those who are severely ill.

CONTROL :-

1, cases should be isolated till clinical

manifestation subsides.

2. steps should be taken to disinfect the

articles used by patient.

3. Contacts should be kept under

surveillance

ROLE OF Para – Medical workers

1, Identification of cases.

2, Notification of disease.

3. Health education

4. creating awareness in the community for

immunization.

THANKS