Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology
Mumps virus is a highly transmissible pathogen that is effectively controlled in countries with high vaccination coverage. Nevertheless, outbreaks have occurred worldwide over the past decades in vaccinated populations. Here we analyse an outbreak of mumps virus genotype G among college students in...
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| Format: | Article |
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Elsevier
2024-03-01
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| Series: | Epidemics |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1755436524000124 |
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| author | Michiel van Boven Jantien A. Backer Irene Veldhuijzen Justin Gomme Rob van Binnendijk Patricia Kaaijk |
| author_facet | Michiel van Boven Jantien A. Backer Irene Veldhuijzen Justin Gomme Rob van Binnendijk Patricia Kaaijk |
| author_sort | Michiel van Boven |
| collection | DOAJ |
| description | Mumps virus is a highly transmissible pathogen that is effectively controlled in countries with high vaccination coverage. Nevertheless, outbreaks have occurred worldwide over the past decades in vaccinated populations. Here we analyse an outbreak of mumps virus genotype G among college students in the Netherlands over the period 2009–2012 using paired serological data. To identify infections in the presence of preexisting antibodies we compared mumps specific serum IgG concentrations in two consecutive samples (n=746), whereby the first sample was taken when students started their study prior to the outbreaks, and the second sample was taken 2–5 years later. We fit a binary mixture model to the data. The two mixing distributions represent uninfected and infected classes. Throughout we assume that the infection probability increases with the ratio of antibody concentrations of the second to first sample. The estimated infection attack rate in this study is higher than reported earlier (0.095 versus 0.042). The analyses yield probabilistic classifications of participants, which are mostly quite precise owing to the high intraclass correlation of samples in uninfected participants (0.85, 95%CrI: 0.82−0.87). The estimated probability of infection increases with decreasing antibody concentration in the pre-outbreak sample, such that the probability of infection is 0.12 (95%CrI: 0.10−0.13) for the lowest quartile of the pre-outbreak samples and 0.056 (95%CrI: 0.044−0.068) for the highest quartile. We discuss the implications of these insights for the design of booster vaccination strategies. |
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| id | doaj.art-770986d8535c454a8d7e57bfb35c46bb |
| institution | Directory Open Access Journal |
| issn | 1755-4365 |
| language | English |
| last_indexed | 2024-04-25T01:12:34Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epidemics |
| spelling | doaj.art-770986d8535c454a8d7e57bfb35c46bb2024-03-10T05:11:37ZengElsevierEpidemics1755-43652024-03-0146100751Estimation of the infection attack rate of mumps in an outbreak among college students using paired serologyMichiel van Boven0Jantien A. Backer1Irene Veldhuijzen2Justin Gomme3Rob van Binnendijk4Patricia Kaaijk5Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands; Corresponding author at: Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The NetherlandsDepartment of Epidemiology and Social Medicine, University of Antwerp, Antwerp, Belgium; NHS Scotland, Edinburgh, Scotland, United KingdomCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The NetherlandsCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The NetherlandsMumps virus is a highly transmissible pathogen that is effectively controlled in countries with high vaccination coverage. Nevertheless, outbreaks have occurred worldwide over the past decades in vaccinated populations. Here we analyse an outbreak of mumps virus genotype G among college students in the Netherlands over the period 2009–2012 using paired serological data. To identify infections in the presence of preexisting antibodies we compared mumps specific serum IgG concentrations in two consecutive samples (n=746), whereby the first sample was taken when students started their study prior to the outbreaks, and the second sample was taken 2–5 years later. We fit a binary mixture model to the data. The two mixing distributions represent uninfected and infected classes. Throughout we assume that the infection probability increases with the ratio of antibody concentrations of the second to first sample. The estimated infection attack rate in this study is higher than reported earlier (0.095 versus 0.042). The analyses yield probabilistic classifications of participants, which are mostly quite precise owing to the high intraclass correlation of samples in uninfected participants (0.85, 95%CrI: 0.82−0.87). The estimated probability of infection increases with decreasing antibody concentration in the pre-outbreak sample, such that the probability of infection is 0.12 (95%CrI: 0.10−0.13) for the lowest quartile of the pre-outbreak samples and 0.056 (95%CrI: 0.044−0.068) for the highest quartile. We discuss the implications of these insights for the design of booster vaccination strategies.http://www.sciencedirect.com/science/article/pii/S1755436524000124Mumps virusSerologyOutbreakPaired dataMixture model |
| spellingShingle | Michiel van Boven Jantien A. Backer Irene Veldhuijzen Justin Gomme Rob van Binnendijk Patricia Kaaijk Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology Epidemics Mumps virus Serology Outbreak Paired data Mixture model |
| title | Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| title_full | Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| title_fullStr | Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| title_full_unstemmed | Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| title_short | Estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| title_sort | estimation of the infection attack rate of mumps in an outbreak among college students using paired serology |
| topic | Mumps virus Serology Outbreak Paired data Mixture model |
| url | http://www.sciencedirect.com/science/article/pii/S1755436524000124 |
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