Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003

Autor: Mary G. Reynolds, Whitni B. Davidson, Aaron T. Curns, Craig S. Conover, Gregory Huhn, Jeffrey P. Davis, Mark Wegner, Donita R. Croft, Alexandra Newman, Nkolika N. Obiesie, Gail R. Hansen, Patrick L. Hays, Pamela Pontones, Brad Beard, Robert Teclaw, James F. Howell, Zachary Braden, Robert C. Holman, Kevin L. Karem, Inger K. Damon
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 13, Iss 9, Pp 1332-1332 (2007)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid1309.070175
Popis: For the 2003 monkeypox virus (MPXV) outbreak in the United States, interhuman transmission was not documented and all case-patients were near or handled MPXV-infected prairie dogs. We initiated a case–control study to evaluate risk factors for animal-to-human MPXV transmission. Participants completed a questionnaire requesting exposure, clinical, and demographic information. Serum samples were obtained for analysis of immunoglobulin G (IgG) and IgM to orthopoxvirus. When data were adjusted for smallpox vaccination, case-patients were more likely than controls to have had daily exposure to a sick animal (odds ratio [OR] 4.0, 95% confidence interval [CI] 1.2–13.4), cleaned cages and bedding of a sick animal (OR 5.3, 95% CI 1.4–20.7), or touched a sick animal (OR 4.0, 95% CI 1.2–13.4). These findings demonstrate that human MPXV infection is associated with handling of MPXV-infected animals and suggest that exposure to excretions and secretions of infected animals can result in infection.
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