ESPV- ONE HEALTH

MONKEYPOX - AFRICA (02): CENTRAL AFRICAN REPUBLIC (HAUTE-KOTTO)

MONKEYPOX - AFRICA (02): CENTRAL AFRICAN REPUBLIC (HAUTE-KOTTO)
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A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 16 Mar 2018
Source: WHO Weekly Bulletin of Outbreaks and Other Emergencies
[edited]
<http://apps.who.int/iris/bitstream/10665/260520/1/OEW11-101632018.pdf>


During week 9 (week ending 4 Mar 2018), 3 suspected cases of monkeypox
were reported in Bria town in Haute-Kotto prefecture. Samples obtained
from the 1st 2 cases tested positive for monkeypox at the Institut
Pasteur Bangui. Further investigations are ongoing.

Public health actions
---------------------
A crisis committee has been revitalized in response to the monkeypox
outbreak, being supported by WHO and partners. An isolation unit has
been set up in Bria hospital, where the 3 patients are being treated,
supported by the NGO IMC. The contacts of these cases are being
monitored. Standard case definition for monkeypox has been
disseminated to facilitate identification of cases and awareness about
prevention is ongoing in the community and on the local community
radio.

The Ministry of Health is in the process of developing a monkeypox
outbreak response plan, following the confirmation of the disease in
Bria.

--
communicated by:
ProMED-mail
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[There has been a substantial outbreak of monkeypox (MPX) in Nigeria
over the past 6 months. The above is the 1st report of monkeypox cases
in the Central African Republic (CAR). The MPX virus clade involved in
this outbreak and the one in Nigeria is not mentioned. With just one
reported fatality in Nigeria, and that one in an immunosuppressed
individual, the West Africa clade may be the one involved in this
outbreak. That clade has the lowest case fatality rate. The question
remains about the source of these infections within Nigeria and now in
the CAR. One wonders if there is a MPXV epizootic going on in rodent
hosts across a relatively wide geographic area. Studies of prevalence
of MPXV in rodent hosts are not mentioned in this or in previous
reports. The main reservoirs of monkeypox virus are suspected to be
rodents, including rope (or striped) squirrels (_Funisciurus_ spp; an
arboreal rodent) and terrestrial rodents in the genera _Cricetomys_
and _Graphiurus_. - Mod.TY

Maps
Central African Republic:
<http://www.africa.upenn.edu/CIA_Maps/Central_African_19865.gif> and
<http://healthmap.org/promed/p/60845>
Nigeria: <http://healthmap.org/promed/p/62>.]

[See Also:
Monkeypox - Africa: Nigeria
http://promedmail.org/post/20180120.5572204
2017
---
Monkeypox - Africa (20): Nigeria
http://promedmail.org/post/20171220.5516079
Monkeypox - Africa (19): Nigeria
http://promedmail.org/post/20171130.5475421
Monkeypox - Africa (18): Nigeria
http://promedmail.org/post/20171122.5458228
Monkeypox - Africa (17): Nigeria (DE) conf & susp
http://promedmail.org/post/20171120.5453985
Monkeypox - Africa (16): Nigeria (DE) conf. susp.
http://promedmail.org/post/20171112.5439201
Monkeypox - Africa (15): Nigeria (15) (ED, BE) susp.
http://promedmail.org/post/20171101.5419090
Monkeypox - Africa (14): Nigeria
http://promedmail.org/post/20171030.5412495
Monkeypox - Africa (13): Nigeria (DE)
http://promedmail.org/post/20171020.5393564
Monkeypox - Africa (11): Nigeria
http://promedmail.org/post/20171017.5386734
Monkeypox - Africa (10): Nigeria
http://promedmail.org/post/20171016.5384844
Monkeypox - Africa (09): Nigeria, hospital cases NOT, other states'
cases susp. http://promedmail.org/post/20171014.5380964
Monkeypox - Africa (08): Nigeria
http://promedmail.org/post/20171010.5369514
Monkeypox - Africa (07): Nigeria
http://promedmail.org/post/20171009.5368881
Monkeypox - Africa (06): Nigeria
http://promedmail.org/post/20171007.536663]
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