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One objective of the Healthy People 2010 initiative is eliminating indigenous cases of mumps in the U.S. Until 2006, this goal appeared to be achievable: Fewer than 350 cases were reported annually from 2000 through 2005. Unfortunately, an outbreak that began on college campuses in Iowa in January 2006 heralded a resurgence of the illness (Journal Watch Infectious Diseases Apr 21 2006).
In part to determine whether elimination of mumps is possible with the current two-dose childhood-vaccination strategy, researchers examined the epidemiology of the 2006 mumps outbreak. The analysis included all cases that were reported to the National Notifiable Diseases Surveillance System and met the standard case definition for the illness. Vaccine-covera…