Usually the State Health Department gets about 12 or 13 confirmed cases a year.
Health officials in Iowa are battling the first mumps epidemic in the U.S. in 20 years. More than 500 suspected cases have been reported there.
Mumps is spread by coughing and sneezing. The most common symptoms are fever, headache and swollen salivary glands. But it can lead to more severe problems, such as hearing loss, meningitis and fertility-diminishing swollen testicles
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