Temporal and Spatial Dynamics of Monkeypox in Democratic Republic of Congo, 2000-2015.
Fiche publication
Date publication
août 2019
Journal
EcoHealth
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MAUNY Frédéric
Tous les auteurs :
Mandja BM, Brembilla A, Handschumacher P, Bompangue D, Gonzalez JP, Muyembe JJ, Mauny F
Lien Pubmed
Résumé
Monkeypox is a viral disease with a clinical presentation resembling that of smallpox. Although monkeypox is considered to be an important zoonotic viral disease, its epidemiology remains poorly understood, especially the spatial and temporal distribution of the disease. The present study examined weekly reports of monkeypox cases collected from 2000 to 2015 at the health zone scale in the Democratic Republic of Congo. SaTScan was performed to identify spatial and temporal clusters of monkeypox cases. Significant primary spatial clusters were detected in the districts of Sankuru and Tshuapa. A centrifugal pattern was found, with significant primary spatial clusters extending over time from Sankuru and Tshuapa to several neighboring districts. Peaks of cases occurred from July to September for the 2000-2002 and 2003-2009 sub-periods and from January to March for the 2010-2015 sub-period. Despite the lack of additional data for confirmation, the increasing of monkeypox reported incidence was observed in the Democratic Republic of Congo during 2000-2015 period and this increase cannot be explain only by the improvements of surveillance systems. The detected spatial clusters were located in the dense rainforest of the Congo basin. The reasons for the excess incidence of monkeypox cases in the central region of the country are unknown, and the relative influence of ecological, environmental, and human factors on the mechanism of emergence of monkeypox has yet to be identified.
Mots clés
Democratic Republic of Congo, Emerging infectious disease, Monkeypox, SaTScan, Spatio-temporal clusters, Surveillance data
Référence
Ecohealth. 2019 Aug 13;: