Temple University now offers free vaccinations for students and staff after reporting 86 cases of mumps at school. The university clinic is reportedly offering the measles, mumps and rubella (MMR) vaccine free of charge on Wednesday and Friday next week when they present their school card. This is the case when the health department in Philadelphia said that 16 of the cases were confirmed as mumps while the other 70 are still considered "likely" cases. The outbreak is said to have caused Tempus to change its vaccination policy for incoming students so they must have received two doses of MMR vaccine before entering school. Mumps is highly contagious and reportedly has symptoms such as "fever, headache, muscle aches, tiredness and loss of appetite". According to the CDC, mumps can be shared through everyday activities such as mugs or sports.