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

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 complete...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/13/9/07-0175_article
_version_ 1818339568274898944
author 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
author_facet 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
author_sort Mary G. Reynolds
collection DOAJ
description 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.
first_indexed 2024-12-13T15:29:04Z
format Article
id doaj.art-753ed4904cad4bf89c48dd7e9de6961a
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-13T15:29:04Z
publishDate 2007-09-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-753ed4904cad4bf89c48dd7e9de6961a2022-12-21T23:40:15ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-09-011391332133210.3201/eid1309.070175Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003Mary G. ReynoldsWhitni B. DavidsonAaron T. CurnsCraig S. ConoverGregory HuhnJeffrey P. DavisMark WegnerDonita R. CroftAlexandra NewmanNkolika N. ObiesieGail R. HansenPatrick L. HaysPamela PontonesBrad BeardRobert TeclawJames F. HowellZachary BradenRobert C. HolmanKevin L. KaremInger K. DamonFor 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.https://wwwnc.cdc.gov/eid/article/13/9/07-0175_articleMonkeypoxepidemiologyrisk factorsmallpox vaccinationzoonoticsubclinical infection
spellingShingle 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
Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
Emerging Infectious Diseases
Monkeypox
epidemiology
risk factor
smallpox vaccination
zoonotic
subclinical infection
title Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
title_full Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
title_fullStr Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
title_full_unstemmed Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
title_short Spectrum of Infection and Risk Factors for Human Monkeypox, United States, 2003
title_sort spectrum of infection and risk factors for human monkeypox united states 2003
topic Monkeypox
epidemiology
risk factor
smallpox vaccination
zoonotic
subclinical infection
url https://wwwnc.cdc.gov/eid/article/13/9/07-0175_article
work_keys_str_mv AT marygreynolds spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT whitnibdavidson spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT aarontcurns spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT craigsconover spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT gregoryhuhn spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT jeffreypdavis spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT markwegner spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT donitarcroft spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT alexandranewman spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT nkolikanobiesie spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT gailrhansen spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT patricklhays spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT pamelapontones spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT bradbeard spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT robertteclaw spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT jamesfhowell spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT zacharybraden spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT robertcholman spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT kevinlkarem spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003
AT ingerkdamon spectrumofinfectionandriskfactorsforhumanmonkeypoxunitedstates2003