Spaces:
Sleeping
Sleeping
| Division of Public Health Services Disease Handbook for Childcare Providers | |
| Bureau of Infectious Disease Control REVISED –January 2018 | |
| MUMPS | |
| Mumps is a viral illness that usually causes | |
| swelling and tenderness of the salivary glands, | |
| particularly the gland at the angle of the jaw. | |
| Headache, slight fever and earache are common. | |
| Possible complications includ e Meningitis (an | |
| inflammation of the coverings of the brain and | |
| spinal cord), Encephalitis (an inflammation of the | |
| brain), deafness and, particularly in adolescent or | |
| adult males, inflammation of the testicles. Mumps | |
| during pregnancy can result is loss of the fetus. | |
| Who gets this disease? | |
| Mumps may be seen in unimmunized children, or | |
| adolescents and young adults who graduated from | |
| school prior to laws requiring mumps | |
| immunization. Most adults born before 1957 | |
| have been infected by exposure to the disease and | |
| are probably immune. | |
| How is it spread? | |
| The mumps virus is found most often in saliva. It | |
| is transmitted by direct contact or by droplet | |
| spread of the virus in the air through sneezes and | |
| coughs. Mumps is most infectious 48 hours prior | |
| to the onset of symptoms. | |
| What are the symptoms? | |
| The most common symptoms are: 1) fever with | |
| headache and earache, loss of appetite and 2) | |
| swollen glands in front of and below the ear. | |
| Symptoms appear 12 -25 days after exposure. | |
| Infected persons are contagious from 1- 2 days | |
| before to 5 days after swelling begins. A small | |
| percentage of immunized children may be | |
| infected with mumps if their bodies fail to | |
| respond adequately to the vaccine. | |
| How can the spread of this disease be | |
| prevented? | |
| The national Advisory Committee on | |
| Immunization Practices ( ACIP) recommends that | |
| children be immunized against mumps. This is | |
| frequently combined with measles and rubella | |
| vaccine, which is required for childcare and | |
| school attendance. Children should receive this | |
| vaccine between 12 -15 months of age and again | |
| between 4-6 years of age. | |
| Who should be excluded? | |
| A child or staff member with mumps should not | |
| return until five days after the onset of swelling. | |
| Any susceptible , unvaccinated child or staff | |
| member at a childcare center shall not return to | |
| the center unti l 26 days after onset of parotid | |
| gland inflammation in the last person with mumps | |
| in the center. Any person so excluded may return | |
| to the center immediately if he/she receives | |
| mumps vaccine. | |
| Reportable? | |
| Yes. Mumps is reportable by New Hampshire | |
| law to the Division of Public Health Services, | |
| Bureau of Infectious Disease Control at (603) | |
| 271-4496. | |