Stability of Monkeypox Virus in Body Fluids and Wastewater

An outbreak of human mpox infection in nonendemic countries appears to have been driven largely by transmission through body fluids or skin-to-skin contact during sexual activity. We evaluated the stability of monkeypox virus (MPXV) in different environments and specific body fluids and tested the...

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Main Authors: Claude Kwe Yinda, Dylan H. Morris, Robert J. Fischer, Shane Gallogly, Zachary A. Weishampel, Julia R. Port, Trenton Bushmaker, Jonathan E. Schulz, Kyle Bibby, Neeltje van Doremalen, James O. Lloyd-Smith, Vincent J. Munster
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/10/23-0824_article
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author Claude Kwe Yinda
Dylan H. Morris
Robert J. Fischer
Shane Gallogly
Zachary A. Weishampel
Julia R. Port
Trenton Bushmaker
Jonathan E. Schulz
Kyle Bibby
Neeltje van Doremalen
James O. Lloyd-Smith
Vincent J. Munster
author_facet Claude Kwe Yinda
Dylan H. Morris
Robert J. Fischer
Shane Gallogly
Zachary A. Weishampel
Julia R. Port
Trenton Bushmaker
Jonathan E. Schulz
Kyle Bibby
Neeltje van Doremalen
James O. Lloyd-Smith
Vincent J. Munster
author_sort Claude Kwe Yinda
collection DOAJ
description An outbreak of human mpox infection in nonendemic countries appears to have been driven largely by transmission through body fluids or skin-to-skin contact during sexual activity. We evaluated the stability of monkeypox virus (MPXV) in different environments and specific body fluids and tested the effectiveness of decontamination methodologies. MPXV decayed faster at higher temperatures, and rates varied considerably depending on the medium in which virus was suspended, both in solution and on surfaces. More proteinaceous fluids supported greater persistence. Chlorination was an effective decontamination technique, but only at higher concentrations. Wastewater was more difficult to decontaminate than plain deionized water; testing for infectious MPXV could be a helpful addition to PCR-based wastewater surveillance when high levels of viral DNA are detected. Our findings suggest that, because virus stability is sufficient to support environmental MPXV transmission in healthcare settings, exposure and dose-response will be limiting factors for those transmission routes.
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spelling doaj.art-ee384dabd960462e8b5506cb79a5019e2023-09-21T14:52:02ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-10-0129102065207210.3201/eid2910.230824Stability of Monkeypox Virus in Body Fluids and WastewaterClaude Kwe YindaDylan H. MorrisRobert J. FischerShane GalloglyZachary A. WeishampelJulia R. PortTrenton BushmakerJonathan E. SchulzKyle BibbyNeeltje van DoremalenJames O. Lloyd-SmithVincent J. Munster An outbreak of human mpox infection in nonendemic countries appears to have been driven largely by transmission through body fluids or skin-to-skin contact during sexual activity. We evaluated the stability of monkeypox virus (MPXV) in different environments and specific body fluids and tested the effectiveness of decontamination methodologies. MPXV decayed faster at higher temperatures, and rates varied considerably depending on the medium in which virus was suspended, both in solution and on surfaces. More proteinaceous fluids supported greater persistence. Chlorination was an effective decontamination technique, but only at higher concentrations. Wastewater was more difficult to decontaminate than plain deionized water; testing for infectious MPXV could be a helpful addition to PCR-based wastewater surveillance when high levels of viral DNA are detected. Our findings suggest that, because virus stability is sufficient to support environmental MPXV transmission in healthcare settings, exposure and dose-response will be limiting factors for those transmission routes. https://wwwnc.cdc.gov/eid/article/29/10/23-0824_articlempoxhuman monkeypox virusvirusessexually transmitted infectionsvirus stabilitysurfaces
spellingShingle Claude Kwe Yinda
Dylan H. Morris
Robert J. Fischer
Shane Gallogly
Zachary A. Weishampel
Julia R. Port
Trenton Bushmaker
Jonathan E. Schulz
Kyle Bibby
Neeltje van Doremalen
James O. Lloyd-Smith
Vincent J. Munster
Stability of Monkeypox Virus in Body Fluids and Wastewater
Emerging Infectious Diseases
mpox
human monkeypox virus
viruses
sexually transmitted infections
virus stability
surfaces
title Stability of Monkeypox Virus in Body Fluids and Wastewater
title_full Stability of Monkeypox Virus in Body Fluids and Wastewater
title_fullStr Stability of Monkeypox Virus in Body Fluids and Wastewater
title_full_unstemmed Stability of Monkeypox Virus in Body Fluids and Wastewater
title_short Stability of Monkeypox Virus in Body Fluids and Wastewater
title_sort stability of monkeypox virus in body fluids and wastewater
topic mpox
human monkeypox virus
viruses
sexually transmitted infections
virus stability
surfaces
url https://wwwnc.cdc.gov/eid/article/29/10/23-0824_article
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