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October 1988

Perspectives on the Relative Resurgence of Mumps in the United States

Author Affiliations

6536 29th Ave NE Seattle, WA 98115

Am J Dis Child. 1988;142(10):1021. doi:10.1001/archpedi.1988.02150100015005

Sir.—In the May 1988 issue of AJDC, Cochi et al1 described the problem of mumps resurgence in the United States, due to a relatively underimmunized cohort of children born between 1967 and 1977. This cohort has been developing mumps at an older median age than children in the prevaccine days. It is regrettable that this problem was allowed to develop, because it was predictable and could have been attacked at less expense when the children were much younger and easily identifiable as being susceptible.2,3

Mumps is a disease subject to eradication. It is not highly contagious and has no animal reservoir. Mumps vaccine should have been provided by Centers for Disease Control, Atlanta, through its vaccine assistance program for low-income children in the early 1970s when it became apparent that the vaccine was being used widely by private health care providers for their patients and that this

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