Username Password Forgotten your password?
Search

Health Professionals

Mumps information for health professionals


Case notification

Please notify any suspected mumps cases immediately to the Medical Officer of Health and discuss the process for laboratory confirmation of the diagnosis without delay.

Our current rates of immunisation coverage are below the 95% required to prevent the spread of mumps, so urgent public health follow up of suspected or confirmed cases is important.


Mumps overview


An acute illness with unilateral or bilateral tenderness and swelling of the parotid or other salivary gland/s, lasting more than 2 days, with or without fever and without other apparent cause. Other symptoms may uncommonly include orchitis, mastitis, oophoritis, meningitis, encephalitis, pancreatitis and hearing loss.

Mumps likelihood increased if;

  • In the 12-25 days prior to onset

    • Overseas travel to an area where mumps is occurring – eg Fiji, Tonga

    • NZ travel to area with on-going Mumps cases (currently Auckland)

    • Contact with a confirmed case

    • One dose or no MMR vaccination.


Laboratory testing

  • A viral buccal swab for PCR ideally within 3 days, up to 7 days of parotitis onset is the recommended investigation. 

  • The buccal area is the space near the upper rear molars between the cheek and gum. In unilateral parotitis collect the sample from the affected sideResults may take several days if testing occurs at another laboratory.

  • Mumps IgM serology is not routinely recommended for diagnostic purposes. It can be useful as an early indication for public health purposes and may be advised in discussion with public health.

  • Include history of MMR vaccination and date of onset of parotitis on the laboratory request form


Public Health Advice

  • Notify Public Health on suspicion.

  • Exclude the person with suspected mumps from school, early childcare centre, university, work, sports or other groups while awaiting test results.

  • Advise the person to avoid close contact with non-immune individuals.

  • Advise good hand hygiene and cough etiquette for all suspected cases and their contacts to interrupt transmission.

  • Advise the person you are notifying Public Health and to expect a phone call.

  • People with mumps are most infectious from 2 days before to 5 days after  the onset of parotitis.

  • Primary and secondary care providers should ensure all their staff (including reception and administration) are immune. 

  • Primary care should check and offer MMR immunisation for all patients who are susceptible.  This is particularly important for Pacific people from countries that only offer MR (measles. rubella) not MMR e.g. Fiji, Tonga.  MMR is offered in the Cook islands, Niue, Tokelau and Samoa . Ensure pre-travel advice, especially to Fiji, Tonga includes checking mumps protection.  If in doubt, vaccinate.  MMR vaccine is free for anyone who needs it. 


Documents

On-call Medical Officer of Health - 07 579 8000 (Tauranga Hospital)
 
 
Websites with mumps information

Share on Facebook 
< Back