Mumps and rubella: a year of enhanced surveillance and laboratory testing
In Victoria (Australia) surveillance for mumps and rubella has historically been passive, with most notified cases clinically diagnosed. In July 2001, the Victorian Department of Human Services implemented an enhanced surveillance system focusing on improved laboratory testing. We tested 85% of noti...
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| Veröffentlicht in: | Epidemiology and infection 2004-06, Vol.132 (3), p.391-398 |
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| container_title | Epidemiology and infection |
| container_volume | 132 |
| creator | GUY, R. J. ANDREWS, R. M. KELLY, H. A. LEYDON, J. A. RIDDELL, M. A. LAMBERT, S. B. CATTON, M. G. |
| description | In Victoria (Australia) surveillance for mumps and rubella has historically been passive, with most notified cases clinically diagnosed. In July 2001, the Victorian Department of Human Services implemented an enhanced surveillance system focusing on improved laboratory testing. We tested 85% of notifications and only 9% of all mumps and 27% of rubella notifications were laboratory confirmed. While most notified cases were children who had been clinically diagnosed, we found most laboratory-confirmed cases were in adults. The positive predictive value of the clinical case definition was low: mumps (10%); rubella (22%). These results highlight the value of laboratory confirmation of the diagnosis when mumps and rubella are rare, failure to do so is likely to overestimate disease incidence. |
| doi_str_mv | 10.1017/S0950268804001955 |
| format | Article |
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These results highlight the value of laboratory confirmation of the diagnosis when mumps and rubella are rare, failure to do so is likely to overestimate disease incidence.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268804001955</identifier><identifier>PMID: 15188707</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Age ; Biological and medical sciences ; Child ; Child, Preschool ; Diagnosis, Differential ; Epidemiology ; Female ; Fundamental and applied biological sciences. Psychology ; Human viral diseases ; Humans ; Immunization ; Incidence ; Infectious diseases ; Laboratories ; Male ; Measles ; Medical research ; Medical sciences ; Microbiology ; Mumps ; Mumps - diagnosis ; Mumps - epidemiology ; Mumps virus ; New South Wales - epidemiology ; Parvovirus ; Personal health ; Population Surveillance ; Predictive Value of Tests ; Public Policy ; Reproducibility of Results ; Rubella ; Rubella - diagnosis ; Rubella - epidemiology ; Rubella virus ; Surveillance ; Vaccination ; Vaccines ; Viral diseases ; Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye ; Viruses</subject><ispartof>Epidemiology and infection, 2004-06, Vol.132 (3), p.391-398</ispartof><rights>2004 Cambridge University Press</rights><rights>Copyright 2004 Cambridge University Press</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-93d30b9c3526cfaf2b9d58be26bd91d21cc58367a93056d37b24953e3f6b1bb03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3865428$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3865428$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27924,27925,53791,53793,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15793214$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15188707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GUY, R. J.</creatorcontrib><creatorcontrib>ANDREWS, R. M.</creatorcontrib><creatorcontrib>KELLY, H. A.</creatorcontrib><creatorcontrib>LEYDON, J. A.</creatorcontrib><creatorcontrib>RIDDELL, M. A.</creatorcontrib><creatorcontrib>LAMBERT, S. B.</creatorcontrib><creatorcontrib>CATTON, M. G.</creatorcontrib><title>Mumps and rubella: a year of enhanced surveillance and laboratory testing</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>In Victoria (Australia) surveillance for mumps and rubella has historically been passive, with most notified cases clinically diagnosed. In July 2001, the Victorian Department of Human Services implemented an enhanced surveillance system focusing on improved laboratory testing. We tested 85% of notifications and only 9% of all mumps and 27% of rubella notifications were laboratory confirmed. While most notified cases were children who had been clinically diagnosed, we found most laboratory-confirmed cases were in adults. The positive predictive value of the clinical case definition was low: mumps (10%); rubella (22%). These results highlight the value of laboratory confirmation of the diagnosis when mumps and rubella are rare, failure to do so is likely to overestimate disease incidence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Laboratories</subject><subject>Male</subject><subject>Measles</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Mumps</subject><subject>Mumps - diagnosis</subject><subject>Mumps - epidemiology</subject><subject>Mumps virus</subject><subject>New South Wales - epidemiology</subject><subject>Parvovirus</subject><subject>Personal health</subject><subject>Population Surveillance</subject><subject>Predictive Value of Tests</subject><subject>Public Policy</subject><subject>Reproducibility of Results</subject><subject>Rubella</subject><subject>Rubella - diagnosis</subject><subject>Rubella - epidemiology</subject><subject>Rubella virus</subject><subject>Surveillance</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Viral diseases</subject><subject>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><subject>Viruses</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkV2L1DAUhoMo7rj6AwSRIuhd9SRpvvZCkEVnF0bFXcXLkLTpbMe2GZN2cf69qVNmV0W8CuF5cjhvXoQeY3iJAYtXl6AYEC4lFABYMXYHLXDBVV4UoO6ixYTziR-hBzFuAEARKe6jI8ywlALEAp2_H7ttzExfZWG0rm3NSWaynTMh83Xm-ivTl67K4hiuXZNouv2SW2N9MIMPu2xwcWj69UN0rzZtdI_m8xh9eff28-lZvvq4PD99s8pLJvmQK1pRsKqkjPCyNjWxqmLSOsJtpXBFcJk8yoVRFBivqLCkUIw6WnOLrQV6jF7v525H27mqdP0QTKu3oelM2GlvGv076ZsrvfbXOkUHjEUa8GIeEPz3MS2vuyaWU_Te-TFqQQAoxfK_IhZKKEKnlZ79IW78GPr0C5oAYwQ440nCe6kMPsbg6sPKGPRUp_6rzvTm6e2sNy_m_pLwfBZMLE1bh1RQE295QlGCi-Q92XubmDo7cCo5K8iUNN_jJg7uxwGb8E1zQQXTfPlJf-AXX8-Wlxd6lXw6ZzGdDU21djeJ_53mJ4m2zx4</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>GUY, R. 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J.</au><au>ANDREWS, R. M.</au><au>KELLY, H. A.</au><au>LEYDON, J. A.</au><au>RIDDELL, M. A.</au><au>LAMBERT, S. B.</au><au>CATTON, M. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mumps and rubella: a year of enhanced surveillance and laboratory testing</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>132</volume><issue>3</issue><spage>391</spage><epage>398</epage><pages>391-398</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>In Victoria (Australia) surveillance for mumps and rubella has historically been passive, with most notified cases clinically diagnosed. In July 2001, the Victorian Department of Human Services implemented an enhanced surveillance system focusing on improved laboratory testing. We tested 85% of notifications and only 9% of all mumps and 27% of rubella notifications were laboratory confirmed. While most notified cases were children who had been clinically diagnosed, we found most laboratory-confirmed cases were in adults. The positive predictive value of the clinical case definition was low: mumps (10%); rubella (22%). These results highlight the value of laboratory confirmation of the diagnosis when mumps and rubella are rare, failure to do so is likely to overestimate disease incidence.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>15188707</pmid><doi>10.1017/S0950268804001955</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2004-06, Vol.132 (3), p.391-398 |
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| subjects | Adolescent Adult Age Biological and medical sciences Child Child, Preschool Diagnosis, Differential Epidemiology Female Fundamental and applied biological sciences. Psychology Human viral diseases Humans Immunization Incidence Infectious diseases Laboratories Male Measles Medical research Medical sciences Microbiology Mumps Mumps - diagnosis Mumps - epidemiology Mumps virus New South Wales - epidemiology Parvovirus Personal health Population Surveillance Predictive Value of Tests Public Policy Reproducibility of Results Rubella Rubella - diagnosis Rubella - epidemiology Rubella virus Surveillance Vaccination Vaccines Viral diseases Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye Viruses |
| title | Mumps and rubella: a year of enhanced surveillance and laboratory testing |
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