Monkeypox

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Monkeypox

What Causes Monkeypox?

Monkeypox, a viral zoonotic disease, has gained significant attention in recent years due to its increasing incidence in both endemic and non-endemic regions. The disease is similar to smallpox but generally less severe. Understanding what causes monkeypox is crucial in combating its spread and ensuring public health safety.

The Monkeypox Virus

The primary cause of monkeypox is the monkeypox virus, which belongs to the Orthopoxvirus genus in the Poxviridae family. This virus is closely related to the variola virus, which causes smallpox, as well as the vaccinia virus used in the smallpox vaccine. Monkeypox virus is transmitted to humans from animals, making it a zoonotic disease.

Animal Reservoirs and Transmission to Humans

The natural reservoir of the monkeypox virus includes several wild animals, primarily rodents and primates. The virus is typically found in regions of Central and West Africa, where these animals are native. Human infections often occur through direct contact with the blood, bodily fluids, or cutaneous or mucosal lesions of infected animals. Handling or consuming the meat of infected animals can also lead to transmission.

While the name “monkeypox” suggests a connection to monkeys, rodents, particularly African squirrels and rats, are believed to be the primary reservoirs of the virus. In some cases, people have contracted monkeypox from monkeys, hence the name, but this is less common.

Human-to-Human Transmission

In addition to zoonotic transmission, monkeypox can spread from person to person. Human-to-human transmission occurs through direct contact with infectious sores, scabs, or body fluids, as well as respiratory droplets during prolonged face-to-face contact. Contaminated materials such as bedding or clothing can also facilitate transmission.

While human-to-human transmission is possible, it is generally less efficient than the transmission of other viruses like smallpox. This means that, while outbreaks can occur, they are typically self-limiting with the right public health interventions.

Risk Factors and Vulnerable Populations

Certain factors increase the risk of contracting monkeypox. People living in or near forested areas where the virus is endemic are at higher risk due to potential contact with infected animals. Additionally, healthcare workers and household members who care for infected individuals are at risk of contracting the virus, especially if they do not use proper protective measures.

Immunocompromised individuals, including those with HIV/AIDS, and people who have not been vaccinated against smallpox may be more susceptible to severe outcomes if infected with monkeypox.

Symptoms and Complications

Monkeypox typically begins with fever, headache, muscle aches, and exhaustion. The most distinctive symptom is a rash that often begins on the face and then spreads to other parts of the body. The rash goes through several stages, from macules to pustules, before eventually scabbing over and healing.

While most cases of monkeypox resolve on their own, complications can occur, especially in individuals with weakened immune systems. Complications can include secondary bacterial infections, respiratory distress, and, in rare cases, death.

Prevention and Control

Preventing monkeypox involves reducing the risk of animal-to-human transmission and limiting human-to-human spread. Public health measures such as educating communities about the dangers of handling wild animals, implementing strict quarantine protocols, and encouraging the use of personal protective equipment (PPE) for healthcare workers are critical in controlling outbreaks.

Vaccination also plays a role in prevention. The smallpox vaccine has been shown to provide some protection against monkeypox, and newer vaccines specifically targeting monkeypox are under development.

For more detailed information on zoonotic diseases and the latest updates on monkeypox, you can visit Centers for Disease Control and Prevention (CDC).


Understanding what causes monkeypox and how it spreads is essential for prevention and control efforts. By staying informed and following public health guidelines, we can mitigate the risks associated with this disease. To learn more about other health-related causes, visit What Causes for a comprehensive guide.


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