[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

Abstract

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.

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