FOUR GENERATIONS OF PROBABLE PERSON-TO-PERSON TRANSMISSION OF HUMAN MONKEYPOX

This paper examines an outhreak of five cases of human monkeypox which occurred in children belonging to two families living in the West Kasai region of Zaire during May-July 1983. Epidemiologic investigations suggest that the first case was infected from an animal source, possibly a monkey, and tha...

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Bibliographic Details
Published in:American journal of epidemiology 1986-06, Vol.123 (6), p.1004-1012
Main Authors: JEZEK, Z., ARITA, I., MUTOMBO, M., DUNN, C., NAKANO, J.H., SZCZENIOWSKI, M.
Format: Article
Language:English
Subjects:
Animals
Biological and medical sciences
Child
Child, Preschool
Colobus
Democratic Republic of the Congo
Disease Outbreaks - epidemiology
Epidemiologic Methods
Equipment Contamination
Female
Human viral diseases
Humans
Infant
infections
Infectious diseases
Male
Meat - poisoning
Medical sciences
monkeypox
Monkeypox virus
Poxviridae Infections - epidemiology
Poxviridae Infections - physiopathology
Poxviridae Infections - transmission
poxvirus
Rats
Syringes
Vaccination
Viral diseases
Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye
Zoonoses
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Summary:This paper examines an outhreak of five cases of human monkeypox which occurred in children belonging to two families living in the West Kasai region of Zaire during May-July 1983. Epidemiologic investigations suggest that the first case was infected from an animal source, possibly a monkey, and that each of the other four cases was infected from a previous human case. Three of these cases of presumed person-to-person transmission occurred in close household contacts. The other case infection occurred either by casual contact within the hospital compound, or possibly because of infection due to use of the same syringe for injections. Human monkeypox is the most important orthopoxvirus infection in the post-smallpox eradication period. The disease is a zoonosis and person-to-person transmission is rather difficult. Thus, this episode is a rare event and special analysis of the circumstances is discussed. However, It supports the necessity to carry out surveillance and research on this disease as recently reported by Arita et al. (Am J Trop Med Hyg 1985;34:781-9).
ISSN:0002-9262
1476-6256
DOI:10.1093/oxfordjournals.aje.a114328