2017 Uganda Marburg virus outbreak

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Uganda Marburg outbreak 2017
Initial case= 25 September 2017 [1]
Declared ended= 2 December 2017 [2]
Uganda Ug-map.png
Uganda
Uganda
Uganda (orthographic projection) Uganda (orthographic projection).svg
Uganda (orthographic projection)
Confirmed cases [3] 2
Probable cases [4] 1
Deaths [5] 3

The 2017 Uganda Marburg virus outbreak was confirmed by the World Health Organization (WHO) on 20 October 2017 after there had been an initial fatality due to the virus. [6]

Contents

The Ugandan Ministry of Health indicated that an individual had died of the virus on 19 October; the following day, 20 October, WHO released a press statement regarding the matter. The eastern part of the country is the affected area where the cases have occurred. [1] [3] On 22 October, it was reported that 55 individuals were under surveillance for the virus. [7] On 25 October, the number of individuals rose to 155 in terms of contact tracing [8]

Virology and epidemiology

Marburg virus Marburg virus.jpg
Marburg virus

According to the Centers for Disease Control and Prevention (CDC), the Marburg virus was first recognised in 1967. [9] In terms of diagnosis the presentation is similar to malaria or typhoid fever and therefore not easy to identify (diagnose). [10]

The Marburg virus is considered a filovirus, which is the same as the Ebola virus in terms of viral classification. [11] According to Mehedi, et al. macrophages, monocytes, and dendritic cells, are what the virus attacks due to their importance in the human bodies normal mechanism [12]

According to the World Health Organization there is currently no treatment for the disease. [13] As of 11 November 2017, according to the Ministry of Health no new cases have been reported to this point [14] the report originates from Kampala.

On 8 December the World Health Organization declared the end to the outbreak in the country of Uganda due to two 21-day quarantine periods [15]

Other outbreaks


The table lists a subset of the Marburg virus disease outbreaks, which have occurred specifically in Uganda:

Marburg virus disease outbreaks in Uganda
YearCountryVirusHuman casesHuman deaths Case fatality rate Reference
2007Flag of Uganda.svg  Uganda MARV & RAVV 2150% [16]
2008Flag of Uganda.svg  Uganda Flag of the Netherlands.svg  Netherlands Flag of the United States.svg  United States MARV2150% [17]
2012Flag of Uganda.svg  Uganda MARV18950% [18]
2014Flag of Uganda.svg  Uganda MARV11100% [19]
2017Flag of Uganda.svg  Uganda MARV33100% [2]

See also

Related Research Articles

<span class="mw-page-title-main">Marburg virus disease</span> Human viral disease

Marburg virus disease is a viral hemorrhagic fever in human and non-human primates caused by either of the two Marburgviruses: Marburg virus (MARV) and Ravn virus (RAVV). Its clinical symptoms are very similar to those of Ebola virus disease (EVD).

<span class="mw-page-title-main">Incubation period</span> Time between infection and the onset of disease symptoms

Incubation period is the time elapsed between exposure to a pathogenic organism, a chemical, or radiation, and when symptoms and signs are first apparent. In a typical infectious disease, the incubation period signifies the period taken by the multiplying organism to reach a threshold necessary to produce symptoms in the host.

<i>Ebolavirus</i> Genus of virus

The genus Ebolavirus is a virological taxon included in the family Filoviridae, order Mononegavirales. The members of this genus are called ebolaviruses, and encode their genome in the form of single-stranded negative-sense RNA. The six known virus species are named for the region where each was originally identified: Bundibugyo ebolavirus, Reston ebolavirus, Sudan ebolavirus, Taï Forest ebolavirus, Zaire ebolavirus, and Bombali ebolavirus. The last is the most recent species to be named and was isolated from Angolan free-tailed bats in Sierra Leone. Each species of the genus Ebolavirus has one member virus, and four of these cause Ebola virus disease (EVD) in humans, a type of hemorrhagic fever having a very high case fatality rate. The Reston virus has caused EVD in other primates. Zaire ebolavirus has the highest mortality rate of the ebolaviruses and is responsible for the largest number of outbreaks of the six known species of the genus, including the 1976 Zaire outbreak and the outbreak with the most deaths (2014).

<span class="mw-page-title-main">Viral hemorrhagic fever</span> Type of illnesses

Viral hemorrhagic fevers (VHFs) are a diverse group of animal and human illnesses. VHFs may be caused by five distinct families of RNA viruses: the families Filoviridae, Flaviviridae, Rhabdoviridae, and several member families of the Bunyavirales order such as Arenaviridae, and Hantaviridae. All types of VHF are characterized by fever and bleeding disorders and all can progress to high fever, shock and death in many cases. Some of the VHF agents cause relatively mild illnesses, such as the Scandinavian nephropathia epidemica, while others, such as Ebola virus, can cause severe, life-threatening disease.

<span class="mw-page-title-main">Crimean–Congo hemorrhagic fever</span> Disease of humans and other animals

Crimean–Congo hemorrhagic fever (CCHF) is a viral disease. Symptoms of CCHF may include fever, muscle pains, headache, vomiting, diarrhea, and bleeding into the skin. Onset of symptoms is less than two weeks following exposure. Complications may include liver failure. Survivors generally recover around two weeks after onset.

The species Bundibugyo ebolavirus is the taxonomic home of one virus, Bundibugyo virus (BDBV), that forms filamentous virions and is closely related to the infamous Ebola virus (EBOV). The virus causes severe disease in humans in the form of viral hemorrhagic fever and is a Select agent, World Health Organization Risk Group 4 Pathogen, National Institutes of Health/National Institute of Allergy and Infectious Diseases Category A Priority Pathogen, Centers for Disease Control and Prevention Category A Bioterrorism Agent, and is listed as a Biological Agent for Export Control by the Australia Group.

The species Sudan ebolavirus is a virological taxon included in the genus Ebolavirus, family Filoviridae, order Mononegavirales. The species has a single virus member, Sudan virus (SUDV). The members of the species are called Sudan ebolaviruses. It was discovered in 1977 and causes Ebola clinically indistinguishable from the ebola Zaire strain, but is less transmissible than it. Unlike with ebola Zaire there is no vaccine available.

<span class="mw-page-title-main">Marburg virus</span> Species of filamentous virus responsible for hemorrhagic fever

Marburg virus (MARV) is a hemorrhagic fever virus of the Filoviridae family of viruses and a member of the species Marburg marburgvirus, genus Marburgvirus. It causes Marburg virus disease in primates, a form of viral hemorrhagic fever. The virus is considered to be extremely dangerous. The World Health Organization (WHO) rates it as a Risk Group 4 Pathogen. In the United States, the National Institute of Allergy and Infectious Diseases ranks it as a Category A Priority Pathogen and the Centers for Disease Control and Prevention lists it as a Category A Bioterrorism Agent. It is also listed as a biological agent for export control by the Australia Group.

Ravn virus is a close relative of Marburg virus (MARV). RAVV causes Marburg virus disease in humans and nonhuman primates, a form of viral hemorrhagic fever. RAVV is a Select agent, World Health Organization Risk Group 4 Pathogen, National Institutes of Health/National Institute of Allergy and Infectious Diseases Category A Priority Pathogen, Centers for Disease Control and Prevention Category A Bioterrorism Agent, and listed as a Biological Agent for Export Control by the Australia Group.

<span class="mw-page-title-main">Ebola</span> Viral hemorrhagic fever of humans and other primates caused by ebolaviruses

Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after infection. The first symptoms are usually fever, sore throat, muscle pain, and headaches. These are usually followed by vomiting, diarrhoea, rash and decreased liver and kidney function, at which point some people begin to bleed both internally and externally. It kills between 25% and 90% of those infected – about 50% on average. Death is often due to shock from fluid loss, and typically occurs between six and 16 days after the first symptoms appear. Early treatment of symptoms increases the survival rate considerably compared to late start. An Ebola vaccine was approved by the US FDA in December 2019.

<i>Zaire ebolavirus</i> Species of virus affecting humans and animals

Zaire ebolavirus, more commonly known as Ebola virus, is one of six known species within the genus Ebolavirus. Four of the six known ebolaviruses, including EBOV, cause a severe and often fatal hemorrhagic fever in humans and other mammals, known as Ebola virus disease (EVD). Ebola virus has caused the majority of human deaths from EVD, and was the cause of the 2013–2016 epidemic in western Africa, which resulted in at least 28,646 suspected cases and 11,323 confirmed deaths.

<span class="mw-page-title-main">2014 Democratic Republic of the Congo Ebola virus outbreak</span> Disease outbreak in central Africa

In 2014, an outbreak of Ebola virus disease in the Democratic Republic of the Congo (DRC) occurred. Genome sequencing has shown that this outbreak was not related to the 2014–15 West Africa Ebola virus epidemic, but was of the same EBOV species. It began in August 2014 and was declared over in November of that year, after 42 days without any new cases. This is the 7th outbreak there, three of which occurred during the period of Zaire.

<span class="mw-page-title-main">2017 Democratic Republic of the Congo Ebola virus outbreak</span>

The Democratic Republic of the Congo (DRC) was identified by the World Health Organization (WHO) on 11 May 2017 as having one Ebola-related death.

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<span class="mw-page-title-main">Bibliography of Ebola</span>

This is a bibliography of the Ebola virus disease, also known as Ebola hemorrhagic fever, a viral hemorrhagic fever of humans and other primates caused by ebolaviruses.

<span class="mw-page-title-main">1967 Marburg virus outbreak</span> Disease outbreak in Germany and Yugoslavia

The 1967 Marburg virus outbreak was the first recorded outbreak of Marburg virus disease. It started in early August 1967 when 30 people became ill in the West German towns of Marburg and Frankfurt and later two in Belgrade, Yugoslavia. The infections were traced back to three laboratories in the separate locations which received a shared shipment of infected African green monkeys. The outbreak involved 25 primary Marburg virus infections and seven deaths, and six non-lethal secondary cases.

<span class="mw-page-title-main">1976 Zaire Ebola virus outbreak</span> Outbreak of Ebola virus disease

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<span class="mw-page-title-main">2022–2023 Uganda Ebola outbreak</span> Disease outbreak in East Africa

The 2022–2023 Uganda Ebola outbreak was an outbreak of the Sudan ebolavirus, which causes Ebola, from 20 September 2022 until 10 January 2023 in the Western and Central Regions of Uganda. Over 160 people were infected, including 77 people who died. It was Uganda's fifth outbreak with Sudan ebolavirus. The Ugandan Ministry of Health declared the outbreak on 20 September 2022. As of 25 October 2022, there were confirmed cases in the Mubende, Kyegegwa, Kassanda, Kagadi, Bunyanga, Kampala and Wakiso districts. As of 24 October 2022, there were a total of 90 confirmed or probable cases and 44 deaths. On 12 October, the first recorded death in the capital of Kampala occurred; 12 days later on 24 October, there had been a total of 14 infections in the capital in the last two days. On 11 January 2023 after 42 days without new cases the outbreak was declared over.

References

  1. 1 2 Athumani, Halima. "Uganda Confirms 1 Death From Ebola-like Marburg Virus". VOA. Retrieved 21 October 2017.
  2. 1 2 "Uganda controls deadly Marburg fever outbreak, WHO says". ABC News. Archived from the original on 8 December 2017. Retrieved 8 December 2017.
  3. 1 2 "Ebola-like Marburg virus kills two in Uganda". Daily Nation. Retrieved 21 October 2017.
  4. "Marburg virus disease – Uganda and Kenya". World Health Organization. Archived from the original on 17 November 2017. Retrieved 16 November 2017.
  5. "Uganda – Marburg Virus Disease (DG ECHO, Ministry of Health)( ECHO Daily Flash of 06 November 2017)". ReliefWeb. 6 November 2017. Retrieved 6 November 2017.
  6. "WHO supports containment of rare virus on Uganda-Kenya border". World Health Organization. Retrieved 21 October 2017.
  7. "Marburg: 55 people under surveillance". The Observer – Uganda. Retrieved 23 October 2017.
  8. "Marburg virus disease – Uganda". World Health Organization. Archived from the original on 26 October 2017. Retrieved 16 November 2017.
  9. "Ebola & Marburg | NIH: National Institute of Allergy and Infectious Diseases". www.niaid.nih.gov. Retrieved 21 October 2017.
  10. "Marburg Hemorrhagic Fever (Marburg HF) | CDC". www.cdc.gov. Retrieved 21 October 2017.
  11. Bente, Dennis; Gren, Jason; Strong, James E.; Feldmann, Heinz (2009). "Disease modeling for Ebola and Marburg viruses". Disease Models & Mechanisms. 2 (1–2): 12–17. doi:10.1242/dmm.000471. ISSN   1754-8403. PMC   2615158 . PMID   19132113.
  12. Mehedi, Masfique; Groseth, Allison; Feldmann, Heinz; Ebihara, Hideki (2011). "Clinical aspects of Marburg hemorrhagic fever". Future Virology. 6 (9): 1091–1106. doi:10.2217/fvl.11.79. ISSN   1746-0794. PMC   3201746 . PMID   22046196.
  13. "Marburg virus disease". World Health Organization. Retrieved 29 October 2017.
  14. "Press Release | Ministry of Health". health.go.ug. Retrieved 16 November 2017.
  15. "Uganda ends Marburg virus disease outbreak". ReliefWeb. Retrieved 8 December 2017.
  16. "WHO | Marburg haemorrhagic fever in Uganda". www.who.int. Archived from the original on 8 October 2014. Retrieved 23 October 2017.
  17. "Imported Case of Marburg Hemorrhagic Fever --- Colorado, 2008". cdc.gov. Retrieved 23 October 2017.
  18. "WHO | Marburg haemorrhagic fever in Uganda – update". www.who.int. Archived from the original on 10 August 2014. Retrieved 29 October 2017.
  19. "WHO | Marburg virus disease – Uganda". www.who.int. Archived from the original on 17 November 2014. Retrieved 29 October 2017.

Further reading