Marburg virus outbreak in Tanzania: A threat to global health security

Majani M Edward, G. Y. Scott, Withness John, Martha Ernest Rajabu, Elton Mahulu, Shuaibu Saidu Musa, Lucero-Prisno Iii Don Eliseo
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Abstract

The current Marburg virus (MARV) outbreak in Tanzania served as a stark reminder of the ongoing threat posed by emerging infectious diseases and the urgent need for global health security. The Tanzanian Ministry of Health (MoH) officially declared the outbreak on March 21, 2023. Eight cases in all, five of which included fatalities, have been reported in the country at present. The virus is a member of the Filoviridae family closely related to the widely known Ebola virus. Similar to other filoviruses, MARV causes acute and lethal hemorrhagic fever in both human and nonhuman primates with high case fatality rates ranging from 24% to 90%. The outbreak has highlighted the need for improved disease surveillance and response systems, as well as increased funding for research into emerging infectious diseases. The Tanzanian MoH has deployed a response team to investigate and monitor the transmission in the Kagera Region. The team works closely in collaboration with other organizations, such as the World Health Organization and the Africa Centre for Disease Control and Prevention, to ensure the effective control of the situation. Although there is no vaccine or treatment approved for Marburg virus disease (MVD), supportive management improves survival. Existing infection prevention and control protocols for Ebola and other viral hemorrhagic fevers such as isolation and use of appropriate personal protective equipment can be used to prevent transmission of MVD. The global community must work together to strengthen health systems, enhance research efforts, and build resilient and responsive health systems to prevent future outbreaks of this kind. In this article, we have analyzed the MVD outbreak in Tanzania, specifically in the Bukoba district of the Kagera Region, and provided recommendations for the management of the current outbreak and future outbreaks.
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坦桑尼亚爆发马尔堡病毒疫情:对全球健康安全的威胁
坦桑尼亚目前爆发的马尔堡病毒(MARV)疫情严酷地提醒人们,新出现的传染病构成了持续的威胁,全球卫生安全亟待解决。坦桑尼亚卫生部(MoH)于 2023 年 3 月 21 日正式宣布疫情爆发。目前,该国共报告了 8 例病例,其中 5 例死亡。该病毒属于丝状病毒科,与广为人知的埃博拉病毒密切相关。与其他丝状病毒类似,MARV 可导致人类和非人灵长类动物急性致命性出血热,病死率高达 24% 至 90%。疫情的爆发凸显了改善疾病监测和应对系统以及增加新发传染病研究资金的必要性。坦桑尼亚卫生部部署了一个应对小组,负责调查和监测卡盖拉地区的传播情况。该小组与世界卫生组织和非洲疾病控制和预防中心等其他组织密切合作,以确保有效控制疫情。虽然马尔堡病毒病(MVD)没有获得批准的疫苗或治疗方法,但支持性管理可提高存活率。针对埃博拉和其他病毒性出血热的现有感染预防和控制方案,如隔离和使用适当的个人防护设备,可用于预防马尔堡病毒病的传播。全球社会必须共同努力,加强卫生系统,加大研究力度,建立有弹性、反应迅速的卫生系统,以防止今后爆发此类疾病。在本文中,我们分析了坦桑尼亚(特别是卡盖拉大区的布科巴区)爆发的甲脊髓灰质炎疫情,并对当前疫情和未来疫情的管理提出了建议。
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