New cases of mumps continue to climb as the state Department of Health confirmed another 11 today, raising the statewide total to 154 this year.

The highly contagious disease was confirmed in seven adults and four children, with 10 of the cases on Oahu and one on Kauai.

Health officials said more cases are expected as the disease continues to run its course across the state, and are urging MMR vaccination as a measure of prevention.

One dose of the MMR vaccine is recommended for adults born in 1957 or after, and a second dose at a minimum of four weeks after the first dose is also recommended. Children should receive two doses of the MMR vaccine.

Mumps is spread through coughing, sneezing or touching contaminated objects or surfaces. Symptoms include fever, headache, swollen glands in front of the ears or jaw, tiredness and muscle aches, the health department said in a press release.

Those who contract the disease are required under state law to remain out of the public for nine days — skipping school, work or travel.

More 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/.