NAVLE Primates

Primate Monkeypox Study Guide

Monkeypox (mpox) is an emerging zoonotic viral disease caused by monkeypox virus (MPXV), a double-stranded DNA virus in the genus Orthopoxvirus, family Poxviridae.

Overview and Clinical Importance

Monkeypox (mpox) is an emerging zoonotic viral disease caused by monkeypox virus (MPXV), a double-stranded DNA virus in the genus Orthopoxvirus, family Poxviridae. Although first discovered in captive cynomolgus monkeys in 1958, the virus primarily circulates in African rodents, with primates serving as accidental spillover hosts. Following smallpox eradication in 1980, mpox has become the most significant orthopoxvirus infection affecting humans and nonhuman primates.

Characteristic Clade I (Central African) Clade II (West African)
Geographic Origin Congo Basin, Central Africa West Africa (Nigeria, others)
Virulence More virulent, severe disease Less virulent, milder disease
Case Fatality Rate Up to 10 percent in humans 1-3 percent in humans
Human-to-Human Transmission More efficient transmission Lower transmission efficiency

Etiology and Viral Characteristics

Virus Classification

Monkeypox virus belongs to the Orthopoxvirus genus, which also includes variola virus (smallpox), vaccinia virus, and cowpox virus. MPXV is a complex, enveloped, double-stranded DNA virus approximately 200-250 nanometers in diameter with a characteristic brick or box-shaped morphology under electron microscopy.

Viral Clades

Two distinct genetic clades exist with different virulence and geographic distribution:

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