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When you need to urgently call a doctor

Mass vaccination against mumps has led to certain changes in the nature of the spread of this disease. If earlier they were mostly ill for children aged 3-6 years, then in recent decades there has been a significant “growing up” of infection. Children 3-6 years old get sick relatively rarely, but the incidence among schoolchildren has increased by 14 times. Now schoolchildren are almost two-thirds of all cases, and the remaining third are in adults. Moreover, among those who have previously been vaccinated for mumps, more severe forms of infection are recorded.

At the moment, more than 30% of the adult population does not have immunity against this “childhood” disease. Frequent outbreaks of infection in closed groups. In adults, the course of the disease is not very different from the classical form. The disease is characterized by an acute onset with an increase in body temperature to 38-40 ° C, with the appearance of signs of general intoxication, pulling pains and a feeling of tension in the parotid region, tinnitus, most patients have bilateral lesions of the parotid salivary glands. Within 4-5 days, the lesion reaches a maximum and disappears after another 7-10 days.

For adults, frequent involvement in the process of the nervous system is characteristic, which indicates the severity of the disease. The leading place is occupied by orchitis, that is, inflammation of the testicles, which is recorded in one third of all sick men, and this is fraught with future infertility. The pancreas is often affected, which is manifested by abdominal pain, nausea, and vomiting. In about 4% of cases (and this is a lot), meningitis develops.

In connection with the increase in the incidence of mumps, an order of the Ministry of Health introduced vaccination (or for previously vaccinated ones, revaccination) of schoolchildren and students of 1-2 years of secondary and higher education institutions who did not suffer from mumps. In Moscow, the regional calendar of preventive vaccinations includes revaccination against mumps for students in grades 9-10 who did not receive it at the age of six.
There are a number of signs that should alert parents. In this case, you should immediately consult a doctor.

Signs to see a doctor
Unusual drowsiness or lethargy.
Unusually frequent breathing – shortness of breath (for babies more than 60 breaths per minute, for older children more than 40 breaths per minute).
Difficulty breathing (heavy inhalation or exhalation).
Wheezing or buzzing breathing.
The child’s pulse is above 160 beats / min.
Body temperature does not decrease after taking antipyretic drugs.
Against the background of increased body temperature, involuntary muscle twitches – cramps appear.
The baby faints.
The child has repeated vomiting, an unusual smell (for example, acetone) has appeared.
Temperatures above 39 ° C in children under 6 months.
Difficult tilt of the head forward; Strong headache.
Blue or swollen tongue, face.
Blue around the lips.
Abdominal pain that does not stop for more than 3 hours.
Diarrhea for more than a day.
Lack of urine for more than 6 hours (in infants 3) with diarrhea or vomiting.
Pain and swelling in the groin and in the scrotum.
The child does not even give careful pressure on the stomach.
The disease does not develop as expected.
Call a doctor as soon as possible
Remember that the life of a child may depend on the speed of your actions. Be sure and urgently call a doctor also in cases where you feel that you are losing control of the situation and do not understand what is happening to the child.

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