In India, the government made MR vaccine in Universal immunization in 2019, just before the Covid19, leaving Mumps component out.
Kerala is currently grappling with a mumps outbreak, with approximately 2,505 cases reported in March alone. The overall tally for mumps in the state has reached 11,467 cases in 2024. Health officials in Kerala noted a significant spike on Sunday, 10 March, when 190 new cases were reported. The cause is said to be deficiency in childhood vaccinations.