Extended Human-to-Human Transmission during a Monkeypox Outbreak in the Democratic Republic of the Congo
Leisha Diane Nolen
, Lynda Osadebe, Jacques Katomba, Jacques Likofata, Daniel Mukadi, Benjamin Monroe, Jeffrey B. Doty, Christine Marie Hughes, Joelle Kabamba, Jean Malekani, Pierre Lokwa Bomponda, Jules Inonga Lokota, Marcel Pie Balilo, Toutou Likafi, Robert Shongo Lushima, Benoit Kebela Ilunga, Frida Nkawa, Elisabeth Pukuta, Stomy Karhemere, Jean-Jacques Muyembe Tamfum, Beatrice Nguete, Emile Okitolonda Wemakoy, Andrea M. McCollum, and Mary G. Reynolds
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (L.D. Nolen, L. Osadebe, B. Monroe, J. Doty, C.M. Hughes, A.M. McCollum, M.G. Reynolds); Minstere de la Santé, Kinshasa, Democratic Republic of the Congo (J. Katomba, J. Likofata, R. Shongo Lushima, B. Kebela Ilunga); US Centers for Disease Control and Prevention, Kinshasa (J. Katomba, J. Likofata, J. Kabamba); National Institute for Biomedical Research, Kinshasa (D. Mukadi, F. Nkawa, E. Pukuta, S. Karhemere, J.-J. Muyembe Tamfum); University of Kinshasa, Kinshasa (J. Malekani,); Kinshasa School of Public Health, Kinshasa (M.P. Balilo, T. Likafi, B. Nguete, E. Okitolonda Wemakoy); Minstere de la Santé Tshuapa Health District, Bokungu, Democratic Republic of the Congo (P.L. Bomponda, J.I. Lokota)
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Figure 1
Figure 1. Region affected by monkeypox illness. A) The Democratic Republic of the Congo is outlined; Tshuapa District is highlighted in yellow and Bokungu Health Zone in red. B) Health zones within Tshuapa District; Bokungu Health Zone is highlighted in red. The village with the largest cluster of cases is indicated by a yellow square. C) Distribution of cases (shown by red triangles) in the village with the most cases during this outbreak.
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