Abstract：
BACKGROUND:Monkeypox is a zoonosis caused by an Orthopoxvirus of the Poxviridae family. Human infections are often severe and are a public health problem. PATIENTS AND METHOD:We conducted a monkeypox outbreak investigation of suspected case patients in five villages of the Alindao-Mingala Health District following blood sample confirmation of the virus by the Institut Pasteur in Bangui. We aimed to determine disease characteristics, to describe the context and the risk factors, and to measure the incidence and case fatality. Patients were reported in the villages of Rehou 4, 5, Dalakere 1, Kongbo, and Pavika from August to October 2016. Data was collected on individual records when interviewing patients or parents. RESULTS:A total of 26 patients were identified. The˂10 years and 21-30 years age groups were the most affected. The overall attack rate was 5 per 1000 inhabitants and the case fatality was 7.7%. Young age and the absence of smallpox vaccination were associated with severe presentations in 87.5% of cases. CONCLUSION:The annual number of monkeypox outbreaks increases in the Central African Republic with severe presentations and a high case fatality especially in children. Reinforcing the surveillance and characterization of circulating strains will provide information on the need for vaccine production.
journal_name
Med Mal Infectjournal_title
Medecine et maladies infectieusesauthors
Kalthan E,Tenguere J,Ndjapou SG,Koyazengbe TA,Mbomba J,Marada RM,Rombebe P,Yangueme P,Babamingui M,Sambella A,Nakoune ERdoi
10.1016/j.medmal.2018.02.010subject
Has Abstractpub_date
2018-06-01 00:00:00pages
263-268issue
4eissn
0399-077Xissn
1769-6690pii
S0399-077X(17)30026-4journal_volume
48pub_type
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