Abstract
INTRODUCTION: In September 2018, a suspected mumps case involving a 16 years old athlete participating in a national-level sports event was notified to the nearest district health office. There was contact history with a suspected mumps case during training in mid-August 2018 and parotid swelling started while in home state. METHODS: Active case detection was carried out among 36 close contacts attending the sports for fever and/or parotid swelling. Three buccal swab samples were sent for PCR test. Risk assessment was conducted, and control activities initiated. RESULTS: Eleven close contacts (aged 16-52 years) had respiratory infections without parotid swelling and given symptomatic treatment. One sample was positive for mumps (the index case). All contacts were isolated, monitored daily and given face masks, hand sanitisers and health education. Psychological first aid was given to the team, and none needed further intervention. Risk assessment found that the contacts might develop symptoms during the tournament duration with an outbreak potential despite preventive measures. DISCUSSION: Due to the potential spread of mumps infection, the team was not allowed to participate in the games. The contingent was offered to send a replacement team, but they declined and withdrew from the tournament. A further risk assessment was conducted upon request by the state sport director for the teams return to their state. The team was permitted to travel with precautionary measures and monitoring facilitated by the relevant point of entry health office and receiving state health department. Mumps outbreak in mass gatherings management guideline is recommended.
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@proceedings{APCPH-2019-254,
title = {Public Health Response to Mumps Case Detection During a Major National Sports Event},
author = {Masliza Mustafa and Husna Maizura Ahmad Mahir and Hairunnisa Hashami and Hasliza Mohammad and Ngo Siok Yung and Hasmaizal Hassim and Asiah Ayob},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: In September 2018, a suspected mumps case involving a 16 years old athlete participating in a national-level sports event was notified to the nearest district health office. There was contact history with a suspected mumps case during training in mid-August 2018 and parotid swelling started while in home state. METHODS: Active case detection was carried out among 36 close contacts attending the sports for fever and/or parotid swelling. Three buccal swab samples were sent for PCR test. Risk assessment was conducted, and control activities initiated. RESULTS: Eleven close contacts (aged 16-52 years) had respiratory infections without parotid swelling and given symptomatic treatment. One sample was positive for mumps (the index case). All contacts were isolated, monitored daily and given face masks, hand sanitisers and health education. Psychological first aid was given to the team, and none needed further intervention. Risk assessment found that the contacts might develop symptoms during the tournament duration with an outbreak potential despite preventive measures. DISCUSSION: Due to the potential spread of mumps infection, the team was not allowed to participate in the games. The contingent was offered to send a replacement team, but they declined and withdrew from the tournament. A further risk assessment was conducted upon request by the state sport director for the teams return to their state. The team was permitted to travel with precautionary measures and monitoring facilitated by the relevant point of entry health office and receiving state health department. Mumps outbreak in mass gatherings management guideline is recommended.},
note = {Type: POSTER PRESENTATION; Organisation: Communicable Diseases Control Section, Public Health Division, Perak State Health Department, Malaysia, Manjung District Health Office, Perak, Malaysia, Surveillance Section, Disease Control Division, Ministry of Health, Malaysia},
keywords = {mumps, outbreak management, public health response, sports event},
pubstate = {published},
tppubtype = {proceedings}
}