2023 Equatorial Guinea Marburg virus disease outbreak

Last updated
2023 Equatorial Guinea Marburg virus disease outbreak
137488 web.jpg
Micrograph of Marburg viruses
DiseaseMarburg virus
Location Equatorial Guinea
Date7 February 2023 – 8 June 2023
Confirmed cases17
Suspected cases28
Deaths
12 confirmed
(20 suspected) [1] [2]
Fatality rate71%
Suspected cases have not been confirmed by laboratory tests as being due to this strain, although some other strains may have been ruled out.

A disease outbreak was first reported in Equatorial Guinea on 7 February 2023 and, on 13 February 2023, it was identified as being Marburg virus disease. It was the first time the disease was detected in the country. As of 4 April 2023, there were 14 confirmed cases and 28 suspected cases, including ten confirmed deaths from the disease in Equatorial Guinea. [3] [2] On 8 June 2023, the World Health Organization declared the outbreak over. [4] In total, 17 laboratory-confirmed cases and 12 deaths were recorded. All the 23 probable cases reportedly died. Four patients recovered from the virus and have been enrolled in a survivors programme to receive psychosocial and other post-recovery support. [5]

Contents

Background

Marburg virus disease is a viral hemorrhagic fever caused by the Marburg virus, with a case fatality ratio of up to 88 percent. Symptoms are similar to Ebola virus disease. [6]

There are no vaccines or antiviral treatments for Marburg. [6]

Outbreak

Municipalities of Equatorial Guinea, Africa Municipalities of Equatorial Guinea.png
Municipalities of Equatorial Guinea, Africa

An outbreak of an unidentified illness was first reported on 7 February 2023 and linked to people who took part in a funeral ceremony in Kié-Ntem province's Nsok-Nsomo district. Eight deaths were reported by 10 February 2023, prompting a local lockdown, while Cameroon introduced border restrictions. Reported symptoms included nose bleeds, fever, joint pain and other ailments. [7]

On 13 February 2023, the World Health Organization and Equatorial Guinea's health ministry announced that one of the samples sent to the Pasteur Institute laboratory in Senegal had tested positive for Marburg virus. [8] At that time, there were 25 suspected cases, including 9 deaths. The condition of the confirmed case was not reported. [3]

Neighbouring Cameroon detected two suspected cases of Marburg virus disease on 13 February 2023, [9] but they were later ruled out. [10]

On 25 February, a suspected case of Marburg was reported in the Spanish city of Valencia, [11] however this case was subsequently discounted. [12]

On 28 February, Equatoguinean Health Minister Mitoha Ondo'o Ayekaba reported that there had been two more deaths of people with symptoms of the disease. [1]

On 4 April, it was reported that 10 confirmed deaths from the disease had occurred. It was also revealed that cases had been detected in four different districts of the country, including eight cases in the port city of Bata. [2]

See also

Related Research Articles

<span class="mw-page-title-main">Lassa fever</span> Viral disease spread by a type of mouse

Lassa fever, also known as Lassa hemorrhagic fever, is a type of viral hemorrhagic fever caused by the Lassa virus. Many of those infected by the virus do not develop symptoms. When symptoms occur they typically include fever, weakness, headaches, vomiting, and muscle pains. Less commonly there may be bleeding from the mouth or gastrointestinal tract. The risk of death once infected is about one percent and frequently occurs within two weeks of the onset of symptoms. Of those who survive, about a quarter have hearing loss, which improves within three months in about half of these cases.

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

Marburg virus disease (MVD), formerly Marburg hemorrhagic fever (MHF) 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).

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.

<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 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.

<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">Western African Ebola epidemic</span> 2013–2016 major disease outbreak

The 2013–2016 epidemic of Ebola virus disease, centered in West Africa, was the most widespread outbreak of the disease in history. It caused major loss of life and socioeconomic disruption in the region, mainly in Guinea, Liberia and Sierra Leone. The first cases were recorded in Guinea in December 2013; the disease spread to neighbouring Liberia and Sierra Leone, with minor outbreaks occurring in Nigeria and Mali. Secondary infections of medical workers occurred in the United States and Spain. Isolated cases were recorded in Senegal, the United Kingdom and Italy. The number of cases peaked in October 2014 and then began to decline gradually, following the commitment of substantial international resources.

<span class="mw-page-title-main">2014 Democratic Republic of the Congo Ebola 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">Ebola virus epidemic in Guinea</span> 2013–2016 disease outbreak in Guinea

An epidemic of Ebola virus disease in Guinea from 2013 to 2016 represented the first-ever outbreak of Ebola in a West African country. Previous outbreaks had been confined to several countries in Sub-Saharan Africa.

<span class="mw-page-title-main">Ebola virus disease in Mali</span>

Ebola virus disease in Mali occurred in October 2014, leading to concern about the possibility of an outbreak of Ebola in Mali. A child was brought from Guinea and died in the northwestern city of Kayes. Mali contact traced over 100 people who had contact with the child; tracing was completed in mid-November with no further cases discovered. In November, a second unrelated outbreak occurred in Mali's capital city, Bamako. Several people at a clinic are thought to have been infected by a man traveling from Guinea. On January 18, Mali was declared Ebola-free after 42 days with no new cases. There had been a cumulative total of eight cases with six deaths.

<span class="mw-page-title-main">Ebola in Nigeria</span>

Cases of the Ebola virus disease in Nigeria were reported in 2014 as a small part of the epidemic of Ebola virus disease which originated in Guinea that represented the first outbreak of the disease in a West African country. Previous outbreaks had been confined to countries in Central Africa.

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

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

<span class="mw-page-title-main">2017 Uganda Marburg virus outbreak</span> Disease outbreak in Uganda

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.

<span class="mw-page-title-main">Kivu Ebola epidemic</span> Ebola virus outbreak in the eastern DRC from 2018 to 2020

The Kivu Ebola epidemic was an outbreak of Ebola virus disease (EVD) mainly in eastern Democratic Republic of the Congo (DRC), and in other parts of Central Africa, from 2018 to 2020. Between 1 August 2018 and 25 June 2020 it resulted in 3,470 reported cases. The Kivu outbreak also affected Ituri Province, whose first case was confirmed on 13 August 2018. In November 2018, the outbreak became the biggest Ebola outbreak in the DRC's history, and had become the second-largest Ebola outbreak in recorded history worldwide, behind only the 2013–2016 Western Africa epidemic. In June 2019, the virus reached Uganda, having infected a 5-year-old Congolese boy who entered Uganda with his family, but was contained.

<span class="mw-page-title-main">2021 North Kivu Ebola</span> Disease outbreak in the Democratic Republic of the Congo

On 7 February 2021, the Congolese health ministry announced that a new case of Ebola near Butembo, North Kivu had been detected the previous day. The case was a 42-year-old woman who had symptoms of Ebola in Biena on 1 February 2021. A few days after, she died in a hospital in Butembo. The WHO said that more than 70 people who had contact with the woman had been tracked.

<span class="mw-page-title-main">2022 Ghana Marburg virus disease outbreak</span> Disease outbreak in Ghana

In July 2022, an outbreak of Marburg virus disease occurred in Ghana. Two positive cases were reported by Ghana on 8 July. After confirmation by the World Health Organization, it is the first such outbreak in Ghana. Two men aged 26 and 51 years old were infected with the disease and both cases resulted in fatalities. An additional case was identified, bringing the total to three.

Events in the year 2023 in Equatorial Guinea.

The 2023 Tanzania Marburg virus disease outbreak lasted from March until June. It was first reported on 21 March 2023 by the Ministry of Health of Tanzania and the first time that Tanzania reported an outbreak of Marburg virus disease. On 2 June 2023, Tanzania declared the outbreak over.

<span class="mw-page-title-main">Rwanda Marburg virus disease outbreak</span> 2024 disease outbreak in Rwanda

The first-ever outbreak of Marburg virus disease (MVD) in Rwanda was reported to the World Health Organization (WHO) on 28 September 2024. The outbreak is one of the biggest Marburg outbreaks ever documented. Most cases were in healthcare workers, especially those working in intensive care units. Cases have been reported in seven of the 30 districts with 3 districts in Kigali Province reporting the highest number. As of 10 October 2024, there were 58 confirmed cases and 13 fatalities.

References

  1. 1 2 "Death Toll In E. Guinea Marburg Outbreak Rises To 11". Barron's . Archived from the original on 28 February 2023. Retrieved 28 February 2023.
  2. 1 2 3 Schnirring, Lisa (4 April 2023). "Equatorial Guinea confirms another Marburg virus case". University of Minnesota. CIDRAP. Archived from the original on 4 April 2023. Retrieved 4 April 2023.
  3. 1 2 "Equatorial Guinea declares outbreak of Ebola-like Marburg virus". BNO News. Archived from the original on 20 February 2023. Retrieved 13 February 2023.
  4. "WHO declares end to Marburg virus outbreak in Equatorial Guinea". France 24 . Archived from the original on 6 November 2023. Retrieved 19 June 2023.
  5. "Marburg Virus Disease outbreak in Equatorial Guinea ends". WHO | Regional Office for Africa. 2023-06-08. Archived from the original on 2023-08-01. Retrieved 2023-07-05.
  6. 1 2 "Marburg (Marburg Virus Disease) | Marburg (Marburg Virus Disease) | CDC". www.cdc.gov. 8 August 2022. Archived from the original on 19 October 2022. Retrieved 14 February 2023.
  7. Atabong, Amindeh. "Equatorial Guinea quarantines 200 after unknown hemorrhagic fever deaths". Reuters. Archived from the original on 2023-02-23. Retrieved 10 February 2023.
  8. "Equatorial Guinea confirms first-ever Marburg virus disease outbreak". World Health Organization. Archived from the original on 13 February 2023. Retrieved 13 February 2023.
  9. "Cameroon detects two suspected cases of Marburg virus near Eq. Guinea". Reuters . Archived from the original on 2023-02-21. Retrieved 14 February 2023.
  10. "| By Ministère de la Santé Publique du Cameroun | Facebook". www.facebook.com. Archived from the original on 2023-02-28. Retrieved 2023-02-28.
  11. "Aislado un paciente en Valencia por sospechas de que padezca la grave fiebre de Marburgo". El País . Archived from the original on 2023-02-25. Retrieved 25 February 2023.
  12. "Spain says patient does not have Marburg disease". Reuters . Archived from the original on 2023-02-27. Retrieved 28 February 2023.

Further reading