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2013-08-15Zeitschriftenartikel DOI: 10.25646/1576
Mumps epidemiology in Germany 2007-11
dc.contributor.authorTakla, Anja
dc.contributor.authorWichmann, Ole
dc.contributor.authorKlinc, Christina
dc.contributor.authorHautmann, H.
dc.contributor.authorRieck, Thorsten
dc.contributor.authorKoch, Judith
dc.date.accessioned2018-05-07T16:58:51Z
dc.date.available2018-05-07T16:58:51Z
dc.date.created2013-08-23
dc.date.issued2013-08-15none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reCAcj5lkQoTE/PDF/27D6tlmpbTKUQ.pdf
dc.identifier.urihttp://edoc.rki.de/176904/1651
dc.description.abstractIn Germany, mumps has been notifiable until 2013 only in the five Eastern federal states (EFS) of former East Germany. Due to different immunisation policies until 1990 and varying vaccination coverages thereafter, mumps incidences cannot be extrapolated to the 11 Western federal states (WFS). We studied mumps-related International Classification of Diseases (ICD-10) code diagnoses claimed through statutory health insurances between 2007 and 2011 to estimate countrywide mumps incidences in the outpatient sector, and compared them with case numbers from ambulatory notification data. Overall, 32,330 outpatient mumps cases were claimed. Annual incidence ranged between 9.3/100,000 and 11.8/100,000 and showed a significant decreasing trend. Compared with EFS, mumps incidence in WFS was higher and indicated a shift towards older age groups. Notified outpatient case numbers in EFS were 13-fold lower and from voluntary surveillance during an outbreak in the WFS Bavaria 8-fold lower than from insurance data (n=316 versus n=4,217 and n=238 versus 1,995, respectively). Of all notified cases with available information, 75.4% (EFS) and 57.6% (Bavaria) were unvaccinated; 6.8% (EFS) and 19.3% (Bavaria) required hospitalisation. In Germany, mumps is still endemic despite decades of vaccination, with considerable underreporting in the established notification systems.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionsepidemiologie
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectMaleeng
dc.subjectAdolescenteng
dc.subjectAdulteng
dc.subjectGermany/epidemiologyeng
dc.subjectMiddle Agedeng
dc.subjectYoung Adulteng
dc.subjectAge Distributioneng
dc.subjectVaccination/statistics & numerical dataeng
dc.subjectIncidenceeng
dc.subjectChildeng
dc.subjectDisease Outbreakseng
dc.subjectHealth Surveyseng
dc.subjectImmunization/statistics & numerical dataeng
dc.subjectMandatory Reportingeng
dc.subjectMumps/diagnosiseng
dc.subjectMumps/epidemiologyeng
dc.subjectMumps/prevention & controleng
dc.subjectOrchitis/complicationseng
dc.subjectOrchitis/epidemiologyeng
dc.subject.ddc610 Medizin
dc.titleMumps epidemiology in Germany 2007-11
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10032593
dc.identifier.doihttp://dx.doi.org/10.25646/1576
local.edoc.container-titleEuroSurveillance
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20557
local.edoc.container-publisher-nameECDC
local.edoc.container-volume18
local.edoc.container-issue33
local.edoc.container-year2013

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