Prevention

The best way to prevent mumps is to be vaccinated against the disease. Most people have immunity to mumps once they're fully vaccinated.

The mumps vaccine is usually given as a combined measles-mumps-rubella (MMR) inoculation, which contains the safest and most effective form of each vaccine. Two doses of the MMR vaccine are recommended before a child enters school. Those vaccines should be given when the child is:

• Between the ages of 12 and 15 months
• Between the ages of 4 and 6 years

College students, international travelers and health care workers in particular are encouraged to make sure they've had two doses of the MMR vaccine. A single dose is not completely effective at preventing mumps.

A third dose of vaccine isn't routinely recommended. But your doctor might recommend a third dose if you are in an area that is experiencing an outbreak. A study of a recent mumps outbreak on a college campus showed that students who received a third dose of MMR vaccine had a much lower risk of contracting the disease.

Those who don't need the MMR vaccine

You don't need a vaccination if you:

• Had two doses of the MMR vaccine after 12 months of age
• Had one dose of MMR after 12 months of age and you're a preschool child or an adult who isn't at high risk of measles or mumps exposure
• Have blood tests that demonstrate your immunity to measles, mumps and rubella
• Were born before 1957 — most people in that age group were likely infected by the virus naturally and have immunity

Also, the vaccine isn't recommended for:

• People who have had a life-threatening allergic reaction to the antibiotic neomycin or any other component of the MMR vaccine
• Pregnant women or women who plan to get pregnant within the next four weeks
• People with severely compromised immune systems

Those who should get the MMR vaccine

You should get vaccinated if you don't fit the criteria listed above and if you:

• Are a nonpregnant woman of childbearing age
• Attend college or another postsecondary school
• Work in a hospital, medical facility, child care center or school
• Plan to travel overseas or take a cruise

Those who should wait to get the MMR vaccine

Consider waiting if:

• You're moderately or severely ill. Wait until you recover.
• You're pregnant. Wait until after you give birth.

Those who should check with their doctors

Talk to your doctor before getting vaccinated for mumps if you:

• Have cancer
• Have a blood disorder
• Have a disease that affects your immune system, such as HIV/AIDS
• Are being treated with drugs, such as steroids, that affect your immune system
• Have received another vaccine within the past four weeks

Side effects of the vaccine

The MMR vaccine is very safe and effective. Getting the MMR vaccine is much safer than getting mumps.

Most people experience no side effects from the vaccine. Some people experience a mild fever or rash or achy joints for a short time.

Rarely, children who get the MMR vaccine might experience a seizure caused by fever. But these seizures haven't been associated with any long-term problems.

Extensive reports — from the American Academy of Pediatrics, the Institute of Medicine and the Centers for Disease Control and Prevention — conclude that there's no link between the MMR vaccine and autism.