Related Experiment Video
Updated: Aug 11, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
[Orf in urban surroundings and religious practices: a study over a 3-year period]
P D Ghislain1, Y Dinet, J Delescluse
1Service de Dermatologie, CH François Rabelais, Bruxelles, Belgique. PierreDominique.Ghislain@advalvas.be
Background:
Orf is a sheep disease, due to a parapox virus. Men in close contact with these animals may be contaminated. This generally occurs during professional activities. In our clinic, located in the heart of Brussels, we were surprised by the number of orf cases encountered each year, grouped during a short three-week period.
Patients And Methods:
We decided to set up a prospective study of three years. Forty-four cases (14 to 64 years of age) were observed: 14 in 1998, 18 in 1999 and 12 in 2000. There were 29 men and 15 women.
Results:
Only one patient had professional contact with sheep; 42 were muslims. Forty-two lesions out of 44 developed in the same time span, 10 days earlier each year. Complications observed were: erythema multiforme (7 cases), lymphangitis (3 cases), axillary adenitis (3 cases), eyelid edema (2 cases), generalized maculopapular eruption (2 cases) and contact dermatitis to the cream applied (1 case).
Discussion:
This peculiar epidemiology can easily be explained: patients are contaminated during a religious feast, Aid el Kebir (the Feast of Sacrifice). On this occasion, they slaughter sheep, which they manipulate with bare hands. Small trauma often occur at that time. We conclude that orf is not only a professional disease but particuliar habits may cause epidemic-type contamination.
Insights
Orf virus, a sheep disease, can infect humans through close contact. This study found that specific cultural practices, not just professional exposure, can lead to Orf virus outbreaks.
Area of Science:
- Veterinary Dermatology
- Zoonotic Diseases
- Epidemiology
Context:
- Orf virus (parapoxvirus) is a known zoonotic disease primarily associated with sheep.
- Clinicians observed a surprising seasonal clustering of Orf cases in Brussels.
- The typical professional transmission route did not explain the observed case distribution.
Purpose:
- To investigate the epidemiology of Orf virus infections in a non-professional context.
- To identify the transmission dynamics of Orf virus in the observed patient population.
- To understand the factors contributing to the seasonal outbreaks of Orf.
Summary:
- A three-year prospective study identified 44 Orf cases, with 42 occurring within a specific annual timeframe.
- Only one patient had professional contact with sheep; the majority were Muslim, suggesting a link to religious practices.
- The timing of infections correlated with the Islamic festival Aid el Kebir, where sheep are ritually slaughtered, facilitating transmission through skin trauma.
Impact:
- Highlights that Orf virus transmission is not limited to occupational exposure in sheep farmers.
- Demonstrates how specific cultural or religious practices can lead to epidemic-type outbreaks of zoonotic diseases.
- Emphasizes the need for public health awareness regarding Orf virus risks during specific cultural events.
More Related Videos
Related Concept Videos
Naturalistic Observations
Archival Research
Longitudinal Research
Cross-Sectional Research
Observational Studies
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One example of...
Ethnic Identity within a Larger Culture

