GREENSBORO, N.C. -- Student health remains top of mind on three Piedmont-Triad college campuses.

UNCG confirmed its first case of mumps last week. High Point has 14 confirmed cases, and Elon University has seven.

Mumps spreads through coughing, sneezing, or direct contact with someone who has it. It can cause high fever, swollen glands in your throat, and muscle aches.

Experts say most people get two shots of measles, mumps, and rubella vaccine when they’re 1 and 4. The shots provide around 90 percent immunity to mumps, but it can decline in effectiveness in young adulthood.

Doctor Christopher Ohl, infectous diseases expert at Wake Forest Baptist Medical Center, said, “They’ve been kind of smoldering on -- particularly at High Point -- for some time, so we’re working hard to identify cases, and public health is trying to then make sure everyone around those people have had at least two measles mumps and rubella vaccines.”

Ohl says before 1980 it was common to only get one dose of the vaccine, instead of two. If were born before then, and if you work on or near these campuses or plan to go overseas, you shuold consider a second shot.

The schools have been offering students a third booster if they believe they could have come into contact with the disease.