Parotid gland
Mumps is seen to be a common cause of parotid gland swelling - 85% of cases occur in children younger than 15 years. The disease is highly contagious and spreads by airborne droplets from salivary, nasal, and urinary secretions. Symptoms include oedema in the area, trismus as well as otalgia. The lesion tends to begin on one side of the face and eventually becomes bilateral. The transmission of the paramyxovirus is by contact with the infected persons saliva. Initial symptoms tend to be a headache and fever. Mumps is not fatal, however further complications can include swelling of the ovaries or the testes. Diagnosis of mumps is confirmed through viral serology, management of the condition includes hydration and good oral hygiene of the patient requiring excellent motivation. However, since the development of the mumps vaccine, given at the age of between 4–6 years, the incidence of this viral infection has greatly reduced. This vaccine has reduced the incidence by 99%.
Social history of viruses
Other, more ancient, viruses have been less of a threat. Herpes viruses first infected the ancestors of modern humans over 80 million years ago. Humans have developed a tolerance to these viruses, and most are infected with at least one species. Records of these milder virus infections are rare, but it is likely that early hominids suffered from colds, influenza and diarrhoea caused by viruses just as humans do today. More recently evolved viruses cause epidemics and pandemics – and it is these that history records. The influenza virus is one that seems to have crossed the species barrier from pigs to ducks and water fowl and hence to humans. It is possible that a fatal plague in the Middle East at the time of the late 18th Dynasty was associated with this transmission at Amarna.