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1、ThenewenglandjournalofmedicineoriginalarticleMumpsOutbreakinOrthodoxJewishCommunitiesintheUnitedStatesAlbertE.Barskey,M.P.H.,CynthiaSchulte,R.N.,B.S.N.,JenniferB.Rosen,M.D.,ElizabethF.Handschur,M.P.H.,ElizabethRausch-Phung,M.D.,M.P.H.,MargaretK.Doll,M.P.H.,KishaP.Cummings,M.P.H.,E.OscarAlleyne,D

2、r.P.H.,PatriciaHigh,M.H.S.,JacquelineLawler,M.P.H.,AndriaApostolou,Ph.D.,M.P.H.,DebraBlog,M.D.,M.P.H.,ChristopherM.Zimmerman,M.D.,M.P.H.,BarbaraMontana,M.D.,M.P.H.,RafaelHarpaz,M.D.,CaroleJ.Hickman,Ph.D.,PaulA.Rota,Ph.D.,JenniferS.Rota,M.P.H.,WilliamJ.Bellini,Ph.D.,andKathleenM.Gallagher,D.Sc.,M

3、.P.H.AbstractBackgroundFromtheDivisionofViralDiseases,Na-By2005,vaccinationhadreducedtheannualincidenceofmumpsintheUnitedStatestionalCenterforImmunizationandRe-bymorethan99%,withfewoutbreaksreported.However,in2006,alargeoutbreakspiratoryDiseases(A.E.B.,R.H.,C.J.H.,occurredamonghighlyvaccinatedpo

4、pulationsintheUnitedStates,andsimilarout-P.A.R.,J.S.R.,W.J.B.,K.M.G.),andtheEpidemicIntelligenceService,Scientificbreakshavebeenreportedworldwide.TheoutbreakdescribedinthisreportoccurredEducationandProfessionalDevelopmentamongU.S.OrthodoxJewishcommunitiesduring2009and2010.ProgramOffice(A.A.),Cen

5、tersforDiseaseControlandPrevention,Atlanta;NewMethodsYorkStateDepartmentofHealth,Albany(C.S.,E.R.-P.,D.B.),NewYorkCityDe-Casesofsalivary-glandswellingandothersymptomsclinicallycompatiblewithpartmentofHealthandMentalHygiene,mumpswereinvestigated,anddemographic,clinical,laboratory,andvaccinationNe

6、wYork(J.B.R.,M.K.D.,K.P.C.,C.M.Z.),datawereevaluated.RocklandCountyDepartmentofHealth,Pomona(E.O.A.),andOrangeCountyHealthDepartment,Goshen(J.L.)—allResultsinNewYork;andNewJerseyDepartmentFromJune28,2009,throughJune27,2010,atotalof3502outbreak-relatedcasesofofHealthandSeniorServices,Trentonmumps

7、werereportedinNewYorkCity,twoupstateNewYorkcounties,andoneNew(E.F.H.,B.M.),andOceanCountyHealthDepartment,TomsRiver(P.H.)—bothJerseycounty.Ofthe1648casesforwhichclinicalspecimenswereavailable,50%inNewJersey.Addressreprintreq