Epidemiologic and Ecologic Investigations of Monkeypox, Likouala Department, Republic of the Congo, 2017
Reena H. Doshi
, Sarah Anne J. Guagliardo, Jeffrey B. Doty, Angelie Dzabatou Babeaux, Audrey Matheny, Jillybeth Burgado, Michael B. Townsend, Clint N. Morgan, Panayampalli Subbian Satheshkumar, Nestor Ndakala, Therese Kanjingankolo, Lambert Kitembo, Jean Malekani, Lem’s Kalemba, Elisabeth Pukuta, Tobi N’kaya, Fabien Kangoula, Cynthia Moses, Andrea M. McCollum, Mary G. Reynolds, Jean-Vivien Mombouli, Yoshinori Nakazawa, and Brett W. Petersen
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (R.H. Doshi, S.A.J. Guagliardo, J.B. Doty, A. Matheny, J. Burgado, M.B. Townsend, C.N. Morgan, P.S. Satheshkumar, A.M. McCollum, M.G. Reynolds, Y. Nakazawa, B.W. Petersen); Ministry of Health, Brazzaville, Democratic Republic of the Congo (A.D. Babeaux, L. Kitembo, F. Kangoula, J.-V. Mombouli); Oak Ridge Institute for Science and Education, Centers for Disease Control and Prevention Fellowship Program, Oak Ridge, Tennessee, USA (A. Matheny, J. Burgado, C.N. Morgan); Centers for Disease Control and Prevention, Kinshasa, Democratic Republic of the Congo (N. Ndakala, T. Kanjingankolo, J.-V. Mombouli); University of Kinshasa, Kinshasa (J. Malekani, L. Kalemba); Institut Nationale de Recherche Biomedicale, Kinshasa (E. Pukuta); Ministere de l’Agriculture, de l’Elevage et de la Peche, Brazzaville (T. N’kaya); International Communication and Education Fund, Kinshasa (C. Moses)
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Figure 2
Figure 2. Transmission chain: pattern of virus transmission hypothesized to have occurred during monkeypox outbreak in Impfondo, Likouala Department, Republic of Congo, 2017. Case-patients are arranged according to date of symptom onset. Solid lines indicate probable lines of person-to-person transmission and dashed lines depict undetermined (hypothesized) transmission events. The number of days between onsets (case interval) is approximated by length of lines. Case-patients illustrated are siblings belonging to the same household.
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