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Case Report: Human Monkeypox in the Kivus,a Conflict Region of the Democratic Republic of the Congo
Authors:Andrea M. McCollum  Yoshinori Nakazawa  Guy Mutombo Ndongala  Elisabeth Pukuta  Stomy Karhemere  Robert Shongo Lushima  Benoit Kebela Ilunga  Joelle Kabamba  Kimberly Wilkins  Jinxin Gao  Yu Li  Ginny Emerson  Inger K. Damon  Darin S. Carroll  Mary G. Reynolds  Jean Malekani  Jean-Jacques Muyembe Tamfum
Abstract:Monkeypox (MPX) is a zoonotic Orthopoxvirus infection endemic in central and western Africa. Human MPX cases occur in the central and northern regions of the Democratic Republic of the Congo (DRC), and this is the first report of confirmed MPX cases in the forested areas of North and South Kivu Provinces, with a detailed epidemiological investigation for one case. The location of each case is within areas predicted to be suitable for MPX virus transmission based on an ecological niche model. Phylogenetic analysis places these viruses in the Congo Basin clade.
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