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Popping up in Plymouth County. Health officials there. Say they have 4 confirmed cases of the illness. And they expect that number to rise. Johnson county is still recovering from the largest mumps outbreak since 2006. And now Health Officials in Plymouth County are also battling the airborne virus we have four confirmed cases and several probably cases in Plymouth County, said tara geddes Community Health manager at Floyd Valley Hospital mumps is caused by a virus. And spreads through saliva droplets. Going from one person to the next. Through sneezing, coughing or even talking. Symptoms include. Fever, headace, and the biggest indicator. Sw ....