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Identification of human monkeypox cases during 2005 in southern Sudan (now South Sudan) raised several questions about the natural history of monkeypox virus (MPXV) in Africa. The outbreak area, characterized by seasonally dry riverine grasslands, is not identified as environmentally suitable for MPXV transmission. We examined possible origins of this outbreak by performing phylogenetic analysis of genome sequences of MPXV isolates from the outbreak in Sudan and from differing localities. We also compared the environmental suitability of study localities for monkeypox transmission. Phylogenetically, the viruses isolated from Sudan outbreak specimens belong to a clade identified in the Congo Basin. This finding, added to the political instability of the area during the time of the outbreak, supports the hypothesis of importation by infected animals or humans entering Sudan from the Congo Basin, and person-to-person transmission of virus, rather than transmission of indigenous virus from infected animals to humans. [ABSTRACT FROM AUTHOR]

African giant pouched rats (Cricetomys) are native to tropical Africa, where they range from Senegal and Gambia east across West Africa and the Congo Basin to the Indian Ocean coast of East Africa. Ecological niche models show that Cricetomys species differ in their invasive potential. Although neither of the presently recognized Cricetomys species appears to have genuinely broad distributional potential in North America, models predict that C. emini would have extremely restricted distributional potential, whereas C. gambianus would have a broader potential across the southeastern United States. [ABSTRACT FROM AUTHOR]

During a suspected monkeypox outbreak in the Republic of Congo, we documented transmission of varicella-zoster virus (VZV) infection with palm and sole manifestations among 5 family members. Genotyping results confirmed the VZV strain European E2, a genotype not previously reported in Africa. VZV with palm and sole involvement should be considered when differentiating a monkeypox diagnosis. [ABSTRACT FROM AUTHOR]