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| August 2003 |
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| MONKEYPOX CONT'D |
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| Clinical Manifestations in Animals |
In the current outbreak, illness in animals has been reported to include fever, cough,
blepharoconjunctivitis, and lymphadenopathy, followed by a nodular or pustular rash. Some animals have
died while others reportedly recovered. While the current cases have primarily involved prairie dogs,
single cases have been reported in a rabbit and a Gambian giant rat. No cases have been reported to date
in dogs, cats, or horses. As a precaution, however, all mammals should be considered susceptible at this time.
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| Treatment |
Currently, no treatment is available for monkeypox. Smallpox vaccine has been
reported to reduce the risk of monkeypox among previously vaccinated persons in Africa. CDC is
assessing the potential role of postexposure use of smallpox vaccine as well as therapeutic use
of the antiviral drug, cidofovir.
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| Recommendations for Pet Owners |
Pet owners who suspect their animal (rodent or rabbit) may have an illness
compatible with monkeypox should immediately isolate the animal from humans and other animals,
have an evaluation performed by their veterinarian, and notify their state or local health
department. Owners should notify the veterinarian before transporting the animal to the clinic
so that appropriate infection control precautions can be implemented prior to arrival. Owners
also should consider wearing a mask and gloves when handling the animal, and should transport
it in a separate container such as a cardboard box or animal crate. The animal's bedding should
be collected and bagged and brought with the animal to the veterinary clinic for disposal as
medically regulated waste. Soiled bedding should not be disposed of as household trash. Following
identification of an animal with suspect monkeypox in a household, any animals (including dogs and
cats) who may have come in contact with the sick animal should be closely observed for signs of
illness for a period of one month following the last date of exposure. Conta-minated household
surfaces should be cleaned and disinfected. Standard household cleaning/disinfectants may be used
in accordance with manufacturer's instructions.
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| Evaluation and Reporting of Animals with Suspect Monkeypox |
Veterinarians examining sick prairie dogs or Gambian giant rats, or other
mammals that may have come in contact with a suspected monkeypox case, should consider the
diagnosis of monkeypox infection. Animals that currently appear healthy but have been
implicated as a probable source of infection for a human case should also be treated as a
suspected case of monkeypox. All suspected cases of monkeypox in animals should be reported
immediately to state or local health department officials.
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