
Unusually large outbreaks of mumps across the United States in 2016 and 2017 raised questions about the extent of mumps circulation and the relationship between these and prior outbreaks. We paired epidemiological data from public health investigations with analysis of mumps virus whole genome sequences from 201 infected individuals, focusing on Massachusetts university communities. Our analysis suggests continuous, undetected circulation of mumps locally and nationally, including multiple independent introductions into Massachusetts and into individual communities. Despite the presence of these multiple mumps virus lineages, the genomic data show that one lineage has dominated in the US since at least 2006. Widespread transmission was surprising given high vaccination rates, but we found no genetic evidence that variants arising during this outbreak contributed to vaccine escape. Viral genomic data allowed us to reconstruct mumps transmission links not evident from epidemiological data or standard single-gene surveillance efforts and also revealed connections between apparently unrelated mumps outbreaks.
Biomedical and clinical sciences, Epidemiology, Medical and Health Sciences, Disease Outbreaks, Sequence alignment, veterinary and food sciences, 2.2 Factors relating to the physical environment, Genetic epidemiology, Clinical Epidemiology, Viral, Aetiology, Biology (General), Phylogeny, Molecular Epidemiology, Phylogenetic analysis, Genome, Vaccination, Sequence analysis, Genomics, Biological Sciences, Biological sciences, Infectious Diseases, Mumps virus, Virus Diseases, Viruses, Viral genomics, Multiple alignment calculation, Infection, Sequence Analysis, Biotechnology, Research Article, Genotype, QH301-705.5, 610, Infectious Disease, Genome, Viral, Vaccine Related, Viral Proteins, Virology, Genetics, Humans, Mumps, Agricultural, Biomedical and Clinical Sciences, Agricultural and Veterinary Sciences, Human Genome, DNA, Sequence Analysis, DNA, United States, Immunology of Infectious Disease, Good Health and Well Being, Mutation, Immunization, Developmental Biology
Biomedical and clinical sciences, Epidemiology, Medical and Health Sciences, Disease Outbreaks, Sequence alignment, veterinary and food sciences, 2.2 Factors relating to the physical environment, Genetic epidemiology, Clinical Epidemiology, Viral, Aetiology, Biology (General), Phylogeny, Molecular Epidemiology, Phylogenetic analysis, Genome, Vaccination, Sequence analysis, Genomics, Biological Sciences, Biological sciences, Infectious Diseases, Mumps virus, Virus Diseases, Viruses, Viral genomics, Multiple alignment calculation, Infection, Sequence Analysis, Biotechnology, Research Article, Genotype, QH301-705.5, 610, Infectious Disease, Genome, Viral, Vaccine Related, Viral Proteins, Virology, Genetics, Humans, Mumps, Agricultural, Biomedical and Clinical Sciences, Agricultural and Veterinary Sciences, Human Genome, DNA, Sequence Analysis, DNA, United States, Immunology of Infectious Disease, Good Health and Well Being, Mutation, Immunization, Developmental Biology
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 44 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 1% |
