A probable case of Marburg virus was reported in Guinea in Tèmessadou M’boke, prefecture of Guéckédou, on 8/5/21. That is vital as a result of the virus causes a hemorrhagic fever, just like Ebola, one other filovirus. This might be the primary time Marburg has been recognized in West Africa. Guéckédou is also the same region that suffered an Ebola outbreak this yr.
Two nationwide laboratories primarily based in Guéckédou and Conakry confirmed the identification. The samples have been despatched to Pasteur Institute in Dakar, Senegal, a better degree lab, for affirmation.
Simply as with Ebola, bats are the reservoir for Marburg. On this case, it’s the Egyptian fruit bat (Rousettus aegyptiacus), a cave-dwelling bat current all through the continent. Non-human primates are additionally inclined to an infection.
Signs embrace headache, fever and muscle aches, adopted by nausea and vomiting, shock and generally bleeding. As with Ebola, transmission is thru contact with infectious tissue or physique fluids.
There have been 12 earlier vital Marburg outbreaks since 1967.
The primary epidemic occurred in Germany and Yugoslavia after contaminated inexperienced monkeys had been imported to these international locations. There was a 23% fatality fee there amongst 31 sufferers. The worst epidemic was in Angola in 2005, with 252 infections and a 90% demise fee. This epidemic apparently unfold by means of the reuse of contaminated transfusion equipment in a pediatric ward. As with Ebola, transmission can happen at funerals and in dealing with our bodies. There was one report of sexual transmission.
Two notable sicknesses occurred amongst vacationers who had gone caving in Uganda in 2009. The primary was a Dutch girl who died after being “bumped” by a bat. The second was a Colorado woman who developed a febrile sickness and have become critically ailing after a visit to Uganda. Whereas initially no analysis was made, she requested retesting after studying in regards to the Dutch girl; each had been in the identical cave. She was subsequently identified with Marburg. This illustrates the significance of a cautious historical past, particularly in returning vacationers.
Remedy is aggressive supportive care. There aren’t any identified efficient antivirals or vaccines and coverings for Ebola are not efficient in Marburg.
The one excellent news in that is that Marburg epidemics have traditionally been smaller and higher contained than Ebola.
This case serves as an essential reminder of what occurs once we encroach on wildlife territory and the way human and animal well being is inexorably intertwined.