The state Health Department announced Thursday that 10 more people in Hawaii have been diagnosed with mumps, including four on Kauai, raising the statewide total to 143 cases.

Most of the cases of the highly contagious disease have been reported on Oahu, but the latest count represents a big jump for Kauai, to eight cases from four.

Health officials expect more cases to emerge as the disease circulates through the community. Mumps, whose trademark symptom is swollen salivary glands, can also cause fever, fatigue, head and muscle aches.

It is spread through coughing, sneezing and touching things with unwashed hands. People who come down with mumps are advised to stay at home to avoid passing it to others, and to contact their medical practitioner immediately.

“Additionally, everyone is asked to review their immunization records to ensure they are fully vaccinated,” the Health Department said in a news release Thursday. It recommends two doses of the MMR vaccine to protect against measles, mumps and rubella.

To learn more, visit health.hawaii.gov/docd/department-of-health-investigating-mumps-cases or call the Aloha United Way’s information and referral line at 211.