RT Journal A1 Stephenson J T1 EMerging monkeypox JF JAMA JO JAMA YR 2010 FD October 20 VO 304 IS 15 SP 1659 OP 1659 DO 10.1001/jama.2010.1451 UL http://dx.doi.org/10.1001/jama.2010.1451 AB Through active population-based surveillance in 9 health zones in the central DRC, where smallpox vaccination ceased in 1980, the researchers identified at least 760 confirmed cases of monkeypox between November 2005 and November 2007; infection was 5.2 less likely among those who had been vaccinated against smallpox vs those who had not (0.78 per 10 000 vs 4.05 per 10 000). These data, compared with surveillance data in the 1980s, suggest that monkeypox incidence has increased 20-fold (from 0.72 cases per 10 000 to 14.42 per 10 000) after smallpox vaccination campaigns ended.