Four new mumps infections were reported today by the state Department of Health, in an outbreak that brings the total to 27 this year.

The Hawaii Department of Health said in a press release the spread of mumps is not just affecting Hawaii, but an increase of cases is being seen nationwide as well as internationally.

The Centers For Disease Control’s (CDC) webpage at: https://www.cdc.gov/mumps/outbreaks.html shows many mumps outbreaks and clusters, some of which have been on-going since last year. Nationwide from Jan. 1 to April 22, 2017, a total of 42 states and the District of Columbia reported mumps infections in 2,570 people,” the press release said.

State officials say spreading mumps can be prevented through vaccinations. Those suspected of having mumps or have been diagnosed should avoid exposure to others for 9 days after swelling of the salivary glands, one of the symptoms.

“People who have been exposed to mumps and are not vaccinated should not attend school, work or travel from day 12 through day 25 after exposure,” the release said.

Healthcare providers are asked to report suspected cases by calling the disease reporting line at (808) 586-4586.