1. Mumps is an acute infectious viral disease that causes swelling of the parotid salivary glands and can affect other organs. It is caused by the mumps virus and spreads through direct contact or droplets. 2. The disease usually affects children between 5-15 years of age and presents as pain and swelling of one or both parotid glands. Complications can include orchitis, pancreatitis, meningitis and deafness. 3. Prevention is through vaccination with the live attenuated mumps vaccine, which provides protection in 95% of individuals with a single dose. Para-medical workers can help control outbreaks through identification, notification, health education and promoting immunization.

1. ALL INDIA INSTITUTE OF LOCAL SELF
GOVERNMENT
DELHI
“MUIMPS an Overview”
For Para medicals
By
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

2. MUMPSINTRODUCTION.
An acute infectious disease caused by
a virus having affinity for glandular and
nervous tissue.
Clinically presents as non-suppurative
enlargement & 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

3. 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%

4. 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.

5. 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.

6. 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)

7. 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.
CONTRAINDICATION
a) To pregnant women.
b) Patients on immunosuppressive therapy.
c) Those who are severely ill.

8. 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

9. ROLE OF Para – Medical workers
1, Identification of cases.
2, Notification of disease.
3. Health education
4. creating awareness in the community for
immunization.

10. THANKS