A case report of monkeypox as a result of conflict in the context of a measles campaign

dc.contributor.authorJarman, E. L.en
dc.contributor.authorAlain, M.en
dc.contributor.authorConroy, Niallen
dc.contributor.authorOmam, L. A.en
dc.contributor.funderUNICEFen
dc.date.accessioned2024-08-28T15:14:22Z
dc.date.available2024-08-28T15:14:22Z
dc.date.issued2022-09-12en
dc.description.abstractIntroduction: Northwest and Southwest Cameroon suffer with ongoing conflict, associated with internal displacement of communities into bushland, violence and destruction of the health system. Case presentation: During a measles immunisation and surveillance campaign, following a measles outbreak, a 14-year-old boy was identified as having fever and a rash. This developed following close contact with a giant forest rat. He was diagnosed with monkeypox and this was confirmed by PCR. He was treated with oral cloxacillin and topical tetracycline for superadded bacterial skin and eye infections, and isolation policies were put in place. His rash improved over 7 days, when it scabbed over and his fever settled. Discussion: Recent displacement into a bush settlement away from agricultural opportunities increased his family’s reliance on bush meat. Displacement away from established surveillance systems increased the risk of undetected transmission. This is the second confirmed case of Monkeypox in Cameroon in the last year, and the first in the Southwest region. Conclusion: Conflict led to the breakdown of surveillance systems, a lack of health personnel, destruction of health facilities and displacement of communities, which raised the risk of monkeypox outbreaks within Northwest and Southwest Cameroon. Surveillance for monkeypox is challenging due to clinical similarity to chickenpox. There is a risk of emergence in new regions with suitable hosts. The factors underlying the establishment of monkeypox infections in new regions are multifactorial and require a strong public health response for prevention and control. A OneHealth approach to emerging infectious diseases is essential.en
dc.description.sponsorshipUNICEF (Reach Out N.G.O)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid100312en
dc.identifier.citationJarman, E.L., Alain, M., Conroy, N. and Omam, L.A. (2022) ‘A case report of monkeypox as a result of conflict in the context of a measles campaign’, Public Health in Practice, 4, 100312, (3 pp). Available at: https://doi.org/10.1016/j.puhip.2022.100312en
dc.identifier.doihttps://doi.org/10.1016/j.puhip.2022.100312en
dc.identifier.endpage3en
dc.identifier.issn2666-5352en
dc.identifier.journaltitlePublic Health in Practiceen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/16236
dc.identifier.volume4en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofPublic Health in Practiceen
dc.rights© 2022 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectMonkeypoxen
dc.subjectMeaslesen
dc.subjectSouthwest Cameroonen
dc.titleA case report of monkeypox as a result of conflict in the context of a measles campaignen
dc.typeArticle (peer-reviewed)en
oaire.citation.volume4en
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