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Mumps and rubella: a year of enhanced surveillance and laboratory testing

Guy, R. J., Andrews, Ross M., Kelly, H. A., Leydon, J. A., Riddell, M. A., Lambert, Stephen B. and Catton, M. G. (2004). Mumps and rubella: a year of enhanced surveillance and laboratory testing. Epidemiology and Infection,132(3):391-398.

Document type: Journal Article
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Title Mumps and rubella: a year of enhanced surveillance and laboratory testing
Author Guy, R. J.
Andrews, Ross M.
Kelly, H. A.
Leydon, J. A.
Riddell, M. A.
Lambert, Stephen B.
Catton, M. G.
Journal Name Epidemiology and Infection
Publication Date 2004
Volume Number 132
Issue Number 3
ISSN 1469-4409   (check CDU catalogue open catalogue search in new window)
Start Page 391
End Page 398
Total Pages 8
Place of Publication United Kingdom
Publisher Cambridge University Press
Field of Research 0605 - Microbiology
0799 - Other Agricultural and Veterinary Sciences
1103 - Clinical Sciences
HERDC Category C1 - Journal Article (DEST)
Abstract In Victoria (Australia) surveillance for mumps and rubella has historically been passive, with most notified cases clinically diagnosed. In July 2001, the Victorian Department of Human Services implemented an enhanced surveillance system focusing on improved laboratory testing. We tested 85% of notifications and only 9% of all mumps and 27% of rubella notifications were laboratory confirmed. While most notified cases were children who had been clinically diagnosed, we found most laboratory-confirmed cases were in adults. The positive predictive value of the clinical case definition was low: mumps (10%); rubella (22%). These results highlight the value of laboratory confirmation of the diagnosis when mumps and rubella are rare, failure to do so is likely to overestimate disease incidence.
Keywords Australia
Communicable diseases
New South Wales
Population Surveillance
Predictive Value of Tests
Public Policy
Reproducibility of Results
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Created: Mon, 26 Nov 2007, 15:07:47 CST