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Cells are sometimes infected by more than one virus at once. When two viruses disassemble to expose their genomes for replication in the same cell, similar regions of their genomes can pair together and exchange sequences in a process called recombination. Alternatively, viruses with segmented genomes can swap segments in a process called reassortment.
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Human monkeypox.

Andrea M McCollum1, Inger K Damon

  • 1Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
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Summary
This summary is machine-generated.

Human monkeypox, a zoonotic Orthopoxvirus, presents similarly to smallpox, making clinical differentiation challenging. Enhanced diagnostics and research are crucial for effective surveillance, prevention, and treatment, especially in Central Africa.

Keywords:
Orthopoxvirusmonkeypoxsmallpox

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Area of Science:

  • Virology and Infectious Diseases
  • Public Health and Epidemiology
  • Zoonotic Disease Research

Background:

  • Human monkeypox is a zoonotic disease caused by an Orthopoxvirus, clinically resembling smallpox.
  • Distinguishing monkeypox from smallpox and varicella is challenging, necessitating reliable laboratory diagnostics.
  • The majority of human infections are concentrated in Central Africa, posing surveillance difficulties in resource-limited areas.

Purpose of the Study:

  • To highlight the need for improved laboratory diagnostic tools for precise and rapid identification of monkeypox.
  • To emphasize the importance of contemporary epidemiological studies in populations without routine smallpox vaccination.
  • To underscore the necessity for further research into therapeutics, vaccines, and the virus's ecology in endemic regions.

Main Methods:

  • Review of current clinical presentations and diagnostic challenges of human monkeypox.
  • Analysis of epidemiological patterns and surveillance difficulties in Central African settings.
  • Assessment of the potential and limitations of new therapeutics and vaccines.

Main Results:

  • Clinical differentiation of monkeypox from similar viral diseases is difficult.
  • Effective surveillance in endemic areas requires evidence-guided tools and public health education.
  • Current knowledge gaps exist regarding epidemiology, ecology, and biology, hindering prevention and treatment strategies.

Conclusions:

  • Advanced laboratory diagnostics are essential for accurate monkeypox identification and surveillance.
  • Targeted epidemiological research and improved public health infrastructure are critical for disease control.
  • Further investigation into novel vaccines, therapeutics, and the virus's behavior in endemic zones is imperative.