Mumps vaccines are vaccines which prevent mumps.[1] When given to a majority of the population they decrease complications at the population level.[1] Effectiveness when 90% of a population is vaccinated is estimated at 85%.[2] Two doses are required for long term prevention.[1] The initial dose is recommended between 12 and 18 months of age.[1] The second dose is then typically given between two years and six years of age.[1] Usage after exposure in those not already immune may be useful.[3]
Side effects are generally mild.[1][3] It may cause mild pain and swelling at the site of injection and mild fever.[1] More significant side effects are rare.[1] Evidence is insufficient to link the vaccine to complications such as neurological effects.[3] The vaccine should not be given to people who are pregnant or have very poor immune system function.[1] Poor outcomes among children of mothers who received the vaccine during pregnancy, however, have not been documented.[1][3] Even though the vaccine is developed in chicken cells, it is generally safe to give to those with egg allergies.[3]
Most of the developed world and many countries in the developing world include it in their immunization programs often in combination with measles and rubella vaccine known as MMR.[1] A formulation with the previous three and the varicella (chickenpox) vaccine known as MMRV is also available.[3] As of 2005, 110 countries provided the vaccine as part of their immunization programs.[1] In areas where widespread vaccination is carried out it has resulted in a more than 90% decline in rates of disease.[1] Almost half a billion doses of one variety of the vaccine has been given.[1]
In the mid-twentieth century, mumps infections among children were not viewed as a serious public health issue, but adult men may develop debilitating testicular inflammation, which posed particular difficulty among close-quartered soldiers during wartime. As a result, during World War II (1939-1945), the United States government targeted mumps for scientific research.[4] The first experimental mumps vaccine was licensed in 1948; developed from inactivated virus, it only had short-term effectiveness.[3]
Improved vaccines became commercially available in the 1960s.[1] In 1963, Maurice Hilleman of Merck & Co. took samples of the mumps virus from his daughter, who had contracted the disease; she became the namesake for the resulting Jeryl Lynn strain.[4][5] Building on then-recent advances that had led to vaccines for polio and measles, the mumps virus strains were developed in embryonic hens' eggs and chick embryo cell cultures.[4] The resulting strains of virus were less well-suited for human cells, and are thus said to be attenuated. They are sometimes referred to as neuroattenuated in the sense that these strains are less virulent to human neurons than the wild strains.[6][7]
Hilleman's work led to the first effective mumps vaccine, called Mumpsvax. Licensed in 1967, its four-year development set a record for fastest development of a new vaccine,[4] a record later surpassed by the COVID-19 vaccine, which was developed in less than a year.[8]
Vaccination against mumps did not become routine until Mumpsvax was included in Merck's combined MMR vaccine, which targeted measles and rubella along with mumps.[4][2][9] MMR was licensed in 1971, and 40 percent of American children had received the combined vaccine by 1974. In 1977, the U.S. Centers for Disease Control and Prevention (CDC) recommended mumps immunization (as part of MMR) for all children over 12 months of age, and in 1998, CDC began recommending a two-dose immunization of MMR.[4]
Types
While the initial vaccine in the 1940s was based on inactivated virus, subsequent preparations since the 1960s consist of live virus that has been weakened.[1] Mumps vaccine is on the World Health Organization's List of Essential Medicines.[10][11] There are a number of different types in use as of 2007.[1]
Mumpsvax is Merck's brand of Jeryl Lynn strain vaccines.[12][13] It is a component of Merck's three-virus MMR vaccine, and is the mumps vaccine standard in the United States.[14] Mumpsvax is given by a subcutaneous injection of live virus reconstituted from freeze-dried (lyophilized) vaccine.[13] Production of Mumpsvax as a stand-alone product ceased in 2009.[15][16]
The cells used in culture, virus stocks used, and animal fluids are all screened for extraneous material as part of the vaccine production. They are grown in Medium 199 (a solution containing buffered salt, vitamins, amino acids, fetal bovine serum) with SPGA (sucrose, phosphate, glutamate, human serum albumin) and neomycin. The human albumin processing uses the Cohn cold ethanol fractionation method.[13]
Other types
RIT 4385 is a newer strain derived from the Jeryl Lynn strain[2] by Maurice Hilleman, Jeryl Lynn's father.
Leningrad-3 strain was developed by Smrodintsev and Klyachko in guinea pig kidney cell culture and has been used since 1950 in former Soviet countries.[17] This vaccine is routinely used in Russia.
L-Zagreb strain used in Croatia and India was derived from the Leningrad-3 strain by further passaging.[17]
Urabe strain was introduced in Japan, and later licensed in Belgium, France and Italy. It has been associated with a higher incidence of meningitis (1/143 000 versus 1/227 000 for J-L),[18] and abandoned in several countries. It was formulated as MMR in the UK.
Rubini strain used mainly in Switzerland was attenuated by a higher number of passes through chicken embryos, and later proved to have low potency.[19] It was introduced in 1985.[17]
Illegal importation of ineffective version into the UK
Monovalent mumps vaccine (Mumpsvax) remained available in the US when MMR was introduced in the UK, replacing the MR (measles and rubella) mixed vaccine. No UK-licensed monovalent preparation was ever available.[20] Monovalent mumps vaccines were available before MMR, but only used on a limited scale.[21][22] This became the subject of considerable argument at the end of the 20th century, since some parents preferred to obtain individually the components of the MMR mixture. One mumps vaccine preparation imported into the United Kingdom and unlicensed, proved to be essentially ineffective.[23] Immunisation against mumps in the UK became routine in 1988, commencing with MMR. The Aventis-Pasteur "MMR-2" brand is usual in the UK in 2006[citation needed].
Storage and stability
The cold chain is a major consideration in vaccination, particularly in less-developed countries. Mumps vaccines are normally refrigerated, but have a long half-life of 65 days at 23 degrees Celsius.[17]
^ abcdefgAtkinson, William (May 2012). Mumps Epidemiology and Prevention of Vaccine-Preventable Diseases (12 ed.). Public Health Foundation. pp. Chapter 14. ISBN9780983263135. from the original on 6 July 2016.
^ abcdefRoos, Dave. "How a New Vaccine Was Developed in Record Time in the 1960s". HISTORY. Retrieved 17 November 2020.
^Young ML; Dickstein B; Weibel RE; Stokes J Jr; Buynak EB; Hilleman MR. (1 November 1967). "Experiences with Jeryl Lynn strain live attenuated mumps virus vaccine in a pediatric outpatient clinic". Pediatrics. American Academy of Pediatrics. 40 (5): 798–803. doi:10.1542/peds.40.5.798. PMID 6075651. S2CID 35878536.
^Rubin, S. A.; Amexis, G; Pletnikov, M; Li, Z; Vanderzanden, J; Mauldin, J; Sauder, C; Malik, T; et al. (2003). "Changes in Mumps Virus Gene Sequence Associated with Variability in Neurovirulent Phenotype". Journal of Virology. 77 (21): 11616–24. doi:10.1128/JVI.77.21.11616-11624.2003. PMC229304. PMID 14557647.
^Cohen, Sandy (10 December 2020). "The fastest vaccine in history". UCLA Health. Retrieved 20 December 2021.{{cite web}}: CS1 maint: url-status (link)
^Kowalzik, F; Faber, J; Knuf, M (August 2018). "MMR and MMRV vaccines". Vaccine. 36 (36): 5402–7. doi:10.1016/j.vaccine.2017.07.051. PMID 28757060.
^World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
^World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
^Hilleman MR, Buynak EB, Weibel RE, Stokes J (February 1968). "Live, attenuated mumps-virus vaccine". The New England Journal of Medicine. 278 (5): 227–32. doi:10.1056/NEJM196802012780501. PMID 4169706.
^ abcMerck Co. (1999). (PDF). Merck Co. Archived from the original (PDF) on 13 August 2006.
^Merck Co. (1999). "M-M-R II (Measles, Mumps, and Rubella Virus Vaccine Live)" (PDF). Merck Co.
^. www.cdc.gov. Archived from the original on 17 March 2009.
^Smith, Rebecca (24 November 2009). "Single mumps vaccine production stops". The Telegraph. London: Telegraph Media Group Limited. Retrieved 14 February 2016.
^. Pediatric Oncall. 7 January 2006. Archived from the original on 30 April 2007.
^. Archived from the original on 7 September 2005.
^Smith, Rebecca (24 November 2009). "Single mumps vaccine production stops". Telegraph. Retrieved 18 March 2020.
^Donaldson, R. J. (6 December 2012). Essential Community Medicine: (including relevant social services). Springer Science & Business Media. ISBN978-94-011-6249-4.
^Forsey, T. (1994). "Mumps vaccines—current status". Journal of Medical Microbiology. 41 (1): 1–2. doi:10.1099/00222615-41-1-1. ISSN 0022-2615. PMID 8006938.
^Pavivac ineffective. CMO's letter HSSMD33-02:: 27 September 2007 at the Wayback Machine Nov. 2002
mumps, vaccine, vaccines, which, prevent, mumps, when, given, majority, population, they, decrease, complications, population, level, effectiveness, when, population, vaccinated, estimated, doses, required, long, term, prevention, initial, dose, recommended, b. Mumps vaccines are vaccines which prevent mumps 1 When given to a majority of the population they decrease complications at the population level 1 Effectiveness when 90 of a population is vaccinated is estimated at 85 2 Two doses are required for long term prevention 1 The initial dose is recommended between 12 and 18 months of age 1 The second dose is then typically given between two years and six years of age 1 Usage after exposure in those not already immune may be useful 3 Mumps vaccineMMR vaccine contains protection against mumpsVaccine descriptionTargetMumpsVaccine typeAttenuatedClinical dataMedlinePlusa601176ATC codeJ07BE01 WHO IdentifiersChemSpidernoneUNII47QB6MX9KU N Y what is this verify Side effects are generally mild 1 3 It may cause mild pain and swelling at the site of injection and mild fever 1 More significant side effects are rare 1 Evidence is insufficient to link the vaccine to complications such as neurological effects 3 The vaccine should not be given to people who are pregnant or have very poor immune system function 1 Poor outcomes among children of mothers who received the vaccine during pregnancy however have not been documented 1 3 Even though the vaccine is developed in chicken cells it is generally safe to give to those with egg allergies 3 Most of the developed world and many countries in the developing world include it in their immunization programs often in combination with measles and rubella vaccine known as MMR 1 A formulation with the previous three and the varicella chickenpox vaccine known as MMRV is also available 3 As of 2005 110 countries provided the vaccine as part of their immunization programs 1 In areas where widespread vaccination is carried out it has resulted in a more than 90 decline in rates of disease 1 Almost half a billion doses of one variety of the vaccine has been given 1 Contents 1 History 2 Types 2 1 Other types 3 Illegal importation of ineffective version into the UK 4 Storage and stability 5 References 6 Further reading 7 External linksHistory EditIn the mid twentieth century mumps infections among children were not viewed as a serious public health issue but adult men may develop debilitating testicular inflammation which posed particular difficulty among close quartered soldiers during wartime As a result during World War II 1939 1945 the United States government targeted mumps for scientific research 4 The first experimental mumps vaccine was licensed in 1948 developed from inactivated virus it only had short term effectiveness 3 Improved vaccines became commercially available in the 1960s 1 In 1963 Maurice Hilleman of Merck amp Co took samples of the mumps virus from his daughter who had contracted the disease she became the namesake for the resulting Jeryl Lynn strain 4 5 Building on then recent advances that had led to vaccines for polio and measles the mumps virus strains were developed in embryonic hens eggs and chick embryo cell cultures 4 The resulting strains of virus were less well suited for human cells and are thus said to be attenuated They are sometimes referred to as neuroattenuated in the sense that these strains are less virulent to human neurons than the wild strains 6 7 Hilleman s work led to the first effective mumps vaccine called Mumpsvax Licensed in 1967 its four year development set a record for fastest development of a new vaccine 4 a record later surpassed by the COVID 19 vaccine which was developed in less than a year 8 Vaccination against mumps did not become routine until Mumpsvax was included in Merck s combined MMR vaccine which targeted measles and rubella along with mumps 4 2 9 MMR was licensed in 1971 and 40 percent of American children had received the combined vaccine by 1974 In 1977 the U S Centers for Disease Control and Prevention CDC recommended mumps immunization as part of MMR for all children over 12 months of age and in 1998 CDC began recommending a two dose immunization of MMR 4 Types EditWhile the initial vaccine in the 1940s was based on inactivated virus subsequent preparations since the 1960s consist of live virus that has been weakened 1 Mumps vaccine is on the World Health Organization s List of Essential Medicines 10 11 There are a number of different types in use as of 2007 1 Mumpsvax is Merck s brand of Jeryl Lynn strain vaccines 12 13 It is a component of Merck s three virus MMR vaccine and is the mumps vaccine standard in the United States 14 Mumpsvax is given by a subcutaneous injection of live virus reconstituted from freeze dried lyophilized vaccine 13 Production of Mumpsvax as a stand alone product ceased in 2009 15 16 The cells used in culture virus stocks used and animal fluids are all screened for extraneous material as part of the vaccine production They are grown in Medium 199 a solution containing buffered salt vitamins amino acids fetal bovine serum with SPGA sucrose phosphate glutamate human serum albumin and neomycin The human albumin processing uses the Cohn cold ethanol fractionation method 13 Other types Edit RIT 4385 is a newer strain derived from the Jeryl Lynn strain 2 by Maurice Hilleman Jeryl Lynn s father Leningrad 3 strain was developed by Smrodintsev and Klyachko in guinea pig kidney cell culture and has been used since 1950 in former Soviet countries 17 This vaccine is routinely used in Russia L Zagreb strain used in Croatia and India was derived from the Leningrad 3 strain by further passaging 17 Urabe strain was introduced in Japan and later licensed in Belgium France and Italy It has been associated with a higher incidence of meningitis 1 143 000 versus 1 227 000 for J L 18 and abandoned in several countries It was formulated as MMR in the UK Rubini strain used mainly in Switzerland was attenuated by a higher number of passes through chicken embryos and later proved to have low potency 19 It was introduced in 1985 17 Illegal importation of ineffective version into the UK EditMonovalent mumps vaccine Mumpsvax remained available in the US when MMR was introduced in the UK replacing the MR measles and rubella mixed vaccine No UK licensed monovalent preparation was ever available 20 Monovalent mumps vaccines were available before MMR but only used on a limited scale 21 22 This became the subject of considerable argument at the end of the 20th century since some parents preferred to obtain individually the components of the MMR mixture One mumps vaccine preparation imported into the United Kingdom and unlicensed proved to be essentially ineffective 23 Immunisation against mumps in the UK became routine in 1988 commencing with MMR The Aventis Pasteur MMR 2 brand is usual in the UK in 2006 citation needed Storage and stability EditThe cold chain is a major consideration in vaccination particularly in less developed countries Mumps vaccines are normally refrigerated but have a long half life of 65 days at 23 degrees Celsius 17 References Edit a b c d e f g h i j k l m n o p q World Health Organization February 2007 Mumps virus vaccines WHO position paper Weekly Epidemiological Record 82 7 51 60 hdl 10665 240868 PMID 17304707 a b c Hviid A Rubin S Muhlemann K March 2008 Mumps Lancet 371 9616 932 44 doi 10 1016 S0140 6736 08 60419 5 PMID 18342688 S2CID 208793825 a b c d e f g Atkinson William May 2012 Mumps Epidemiology and Prevention of Vaccine Preventable Diseases 12 ed Public Health Foundation pp Chapter 14 ISBN 9780983263135 Archived from the original on 6 July 2016 a b c d e f Roos Dave How a New Vaccine Was Developed in Record Time in the 1960s HISTORY Retrieved 17 November 2020 Young ML Dickstein B Weibel RE Stokes J Jr Buynak EB Hilleman MR 1 November 1967 Experiences with Jeryl Lynn strain live attenuated mumps virus vaccine in a pediatric outpatient clinic Pediatrics American Academy of Pediatrics 40 5 798 803 doi 10 1542 peds 40 5 798 PMID 6075651 S2CID 35878536 Immunization Vaccines and Biologicals World Health Organization 2003 Archived from the original on 15 April 2006 Rubin S A Amexis G Pletnikov M Li Z Vanderzanden J Mauldin J Sauder C Malik T et al 2003 Changes in Mumps Virus Gene Sequence Associated with Variability in Neurovirulent Phenotype Journal of Virology 77 21 11616 24 doi 10 1128 JVI 77 21 11616 11624 2003 PMC 229304 PMID 14557647 Cohen Sandy 10 December 2020 The fastest vaccine in history UCLA Health Retrieved 20 December 2021 a href Template Cite web html title Template Cite web cite web a CS1 maint url status link Kowalzik F Faber J Knuf M August 2018 MMR and MMRV vaccines Vaccine 36 36 5402 7 doi 10 1016 j vaccine 2017 07 051 PMID 28757060 World Health Organization 2019 World Health Organization model list of essential medicines 21st list 2019 Geneva World Health Organization hdl 10665 325771 WHO MVP EMP IAU 2019 06 License CC BY NC SA 3 0 IGO World Health Organization 2021 World Health Organization model list of essential medicines 22nd list 2021 Geneva World Health Organization hdl 10665 345533 WHO MHP HPS EML 2021 02 Hilleman MR Buynak EB Weibel RE Stokes J February 1968 Live attenuated mumps virus vaccine The New England Journal of Medicine 278 5 227 32 doi 10 1056 NEJM196802012780501 PMID 4169706 a b c Merck Co 1999 MUMPSVAX Mumps Virus Vaccine Live Jeryl Lynn Strain PDF Merck Co Archived from the original PDF on 13 August 2006 Merck Co 1999 M M R II Measles Mumps and Rubella Virus Vaccine Live PDF Merck Co Vaccines Vac Gen Shortages MMR single dose vaccine shortage questions www cdc gov Archived from the original on 17 March 2009 Smith Rebecca 24 November 2009 Single mumps vaccine production stops The Telegraph London Telegraph Media Group Limited Retrieved 14 February 2016 a b c d Immunizations Vaccines and Biologicals The Mumps Vaccine World Health Organization Archived from the original on 23 April 2006 MMR Vaccine Pediatric Oncall 7 January 2006 Archived from the original on 30 April 2007 Eurosurveillance report on Portugal outbreak Archived from the original on 7 September 2005 Smith Rebecca 24 November 2009 Single mumps vaccine production stops Telegraph Retrieved 18 March 2020 Donaldson R J 6 December 2012 Essential Community Medicine including relevant social services Springer Science amp Business Media ISBN 978 94 011 6249 4 Forsey T 1994 Mumps vaccines current status Journal of Medical Microbiology 41 1 1 2 doi 10 1099 00222615 41 1 1 ISSN 0022 2615 PMID 8006938 Pavivac ineffective CMO s letter HSSMD33 02 Archived 27 September 2007 at the Wayback Machine Nov 2002Further reading EditMumps The History of Vaccines Mumps Immunization WHOExternal links EditMumps Vaccine at the US National Library of Medicine Medical Subject Headings MeSH Mumps Vaccine Drug Information Portal U S National Library of Medicine Portals Medicine Viruses Retrieved from https en wikipedia org w index php title Mumps vaccine amp oldid 1124260593, wikipedia, wiki, book, books, library,
