Five new mumps cases have been reported on Oahu, bringing the total this year to a record 47.

The state Department of Health said in a press release today that the confirmed cases include children and adults, “whose infection is linked to other cases on Oahu.”

The department expects to see more cases of mumps in Hawaii as the viral disease is highly contagious and circulating on Oahu.

In addition to a swollen jaw, symptoms include fever, headache, muscle aches, tiredness, and loss of appetite. It is disease that can be spread through coughing and sneezing, close contact, or touching something contaminated then touching the eyes, nose, or mouth.

Two doses of the MMR (measles, mumps, and rubella) vaccine are 88 percent effective against mumps and one dose is 78 percent effective, according to the health department. The vaccine is available at local pharmacies across the state.

Locate a vaccinating pharmacy at http://health.hawaii.gov/docd/vaccines-immunizations/vaccine-locators/ or call the Aloha United Way information and referral line at 2-1-1.

Additional information about mumps and the ongoing investigation can be found on the DOH website at http://health.hawaii.gov/docd/department-of-health-investigating-mumps-cases/.