Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries

Introduction: M-pox is a re-emerging pathogen that is spreading rapidly in developing countries, presenting a serious health risk. Data are scarce on M-pox and its determinants in endemic countries such as Cameroon. This study aimed to assess the epidemiological burden and factors linked to the res...

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Main Authors: Flaure Rasana P Nganmegni, Julienne Louise L Ngo, René G Essomba, Philippe S Nguwoh, Franck S Metomb, Emilienne Epee, Nadia Mandeng, Georges-Alain E Mballa, Yap Boum II, Marie Claire A Okomo, Christian N Taheu, Joseph Fokam
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2024-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/18397
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author Flaure Rasana P Nganmegni
Julienne Louise L Ngo
René G Essomba
Philippe S Nguwoh
Franck S Metomb
Emilienne Epee
Nadia Mandeng
Georges-Alain E Mballa
Yap Boum II
Marie Claire A Okomo
Christian N Taheu
Joseph Fokam
author_facet Flaure Rasana P Nganmegni
Julienne Louise L Ngo
René G Essomba
Philippe S Nguwoh
Franck S Metomb
Emilienne Epee
Nadia Mandeng
Georges-Alain E Mballa
Yap Boum II
Marie Claire A Okomo
Christian N Taheu
Joseph Fokam
author_sort Flaure Rasana P Nganmegni
collection DOAJ
description Introduction: M-pox is a re-emerging pathogen that is spreading rapidly in developing countries, presenting a serious health risk. Data are scarce on M-pox and its determinants in endemic countries such as Cameroon. This study aimed to assess the epidemiological burden and factors linked to the resurgence of M-pox in high-risk communities in Cameroon. Methodology: A community-based surveillance was conducted from April to October 2022, among 88 individuals at the Ayos Health District (AHD). Participants were interviewed, and cases of M-pox were defined based on World Health Organization (WHO) clinical criteria. Data were analyzed using CSPro v.6.0 and SPSS v.20.0, with p < 0.05 as the statistical significance level. Results: The overall suspected M-pox cases rate was 25% (22/88). Following logistic regression, history of chickenpox (OR 0.14, p = 0.05); history of smallpox (OR 9.14, p < 0.001), vaccination against poxviruses (p < 0.001), skin infection (OR 210, p < 0.001), upper respiratory infection (p < 0.001), atypical dermatitis (OR 144, p < 0.001), skin allergy (OR 68.57, p < 0.001), contact with an individual suffering from M-pox in the last 14 days before symptoms onset (OR 9.14, p < 0.001), contact with animals in the last 14 days before symptom onset (OR 12.68, p  0.001), regular meal consumption (OR 0.35, p = 0.04), meal-sharing, and handling of bushmeat (p = 0.01) were significantly associated with M-pox infection. Conclusions: The clinical features of M-pox were common in rural Cameroonian setting, suggesting the need for active surveillance in these high-risk communities.
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spelling doaj-art-4ec813579ca24ecfb64cb961058f520b2025-08-20T02:16:14ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802024-11-01181110.3855/jidc.18397Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countriesFlaure Rasana P Nganmegni0Julienne Louise L Ngo1René G Essomba2Philippe S Nguwoh3Franck S Metomb4Emilienne Epee5Nadia Mandeng6Georges-Alain E Mballa7Yap Boum II8Marie Claire A Okomo9Christian N Taheu10Joseph Fokam11Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaounde, CameroonDepartment of Public Health, School of Health Sciences, Catholic University of Central Africa, Yaounde, CameroonNational Public Health Laboratory, Ministry of Public Health, Yaounde, CameroonNational Public Health Laboratory, Ministry of Public Health, Yaounde, CameroonDelegation of Public Health, Ministry of Public Health, Centre Region, Yaounde, CameroonFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, CameroonNational Public Health Emergency Operations Coordination Centre, Ministry of Public Health, Yaounde, CameroonNational Public Health Emergency Operations Coordination Centre, Ministry of Public Health, Yaounde, CameroonFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, CameroonNational Public Health Laboratory, Ministry of Public Health, Yaounde, CameroonNational Public Health Laboratory, Ministry of Public Health, Yaounde, CameroonFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon Introduction: M-pox is a re-emerging pathogen that is spreading rapidly in developing countries, presenting a serious health risk. Data are scarce on M-pox and its determinants in endemic countries such as Cameroon. This study aimed to assess the epidemiological burden and factors linked to the resurgence of M-pox in high-risk communities in Cameroon. Methodology: A community-based surveillance was conducted from April to October 2022, among 88 individuals at the Ayos Health District (AHD). Participants were interviewed, and cases of M-pox were defined based on World Health Organization (WHO) clinical criteria. Data were analyzed using CSPro v.6.0 and SPSS v.20.0, with p < 0.05 as the statistical significance level. Results: The overall suspected M-pox cases rate was 25% (22/88). Following logistic regression, history of chickenpox (OR 0.14, p = 0.05); history of smallpox (OR 9.14, p < 0.001), vaccination against poxviruses (p < 0.001), skin infection (OR 210, p < 0.001), upper respiratory infection (p < 0.001), atypical dermatitis (OR 144, p < 0.001), skin allergy (OR 68.57, p < 0.001), contact with an individual suffering from M-pox in the last 14 days before symptoms onset (OR 9.14, p < 0.001), contact with animals in the last 14 days before symptom onset (OR 12.68, p  0.001), regular meal consumption (OR 0.35, p = 0.04), meal-sharing, and handling of bushmeat (p = 0.01) were significantly associated with M-pox infection. Conclusions: The clinical features of M-pox were common in rural Cameroonian setting, suggesting the need for active surveillance in these high-risk communities. https://jidc.org/index.php/journal/article/view/18397burdenpredictorsM-poxsuspectedcasesrural
spellingShingle Flaure Rasana P Nganmegni
Julienne Louise L Ngo
René G Essomba
Philippe S Nguwoh
Franck S Metomb
Emilienne Epee
Nadia Mandeng
Georges-Alain E Mballa
Yap Boum II
Marie Claire A Okomo
Christian N Taheu
Joseph Fokam
Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
Journal of Infection in Developing Countries
burden
predictors
M-pox
suspected
cases
rural
title Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
title_full Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
title_fullStr Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
title_full_unstemmed Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
title_short Burden and predictors of M-pox suspected cases in a rural setting of Cameroon: implications for developing countries
title_sort burden and predictors of m pox suspected cases in a rural setting of cameroon implications for developing countries
topic burden
predictors
M-pox
suspected
cases
rural
url https://jidc.org/index.php/journal/article/view/18397
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