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Tanzania finally confirms outbreak of Marburg virus disease

About eight people suspected to have the disease died, but President Samia acknowledged only one death

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by STAR REPORTER

Health21 January 2025 - 08:24
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In Summary


  • A total of 25 suspected cases have been reported as of 20 January 2025, all of whom have tested negative and are currently under close follow-up, the president said. The cases have been reported in Biharamulo district in Kagera.

Marburg Virus /HANDOUT

Tanzania has at last confirmed an outbreak of Marburg virus disease, after days of denial.

Last week, Tanzania had dismissed a World Health Organisation (WHO) report of a suspected new outbreak of the Ebola-like Marburg virus in the northwestern Kagera region.

WHO had said a total of nine suspected cases were reported over the last five days in the Kagera region, including eight deaths.

But in a statement, Tanzania's Health Minister Jenista Mhagama said after samples were analysed, all suspected cases were found negative for Marburg virus.

We "would like to assure the international organisations, including WHO that we shall always keep them up to date with ongoing developments," Mhagama said.

This week, the country made an about-turn with President Samia Suluhu Hassan admitting an outbreak is ongoing.

However, she still denied that there were deaths caused by the disease.

“Laboratory tests conducted at Kabaile Mobile Laboratory in Kagera and later confirmed in Dar es Salaam identified one patient as being infected with the Marburg virus. Fortunately, the remaining suspected patients tested negative,” the president said. “We have demonstrated in the past our ability to contain a similar outbreak and are determined to do the same this time around.”

She made the announcement during a press briefing alongside WHO Director-General, Dr Tedros Adhanom Ghebreyesus, in the country’s administrative capital Dodoma.

A total of 25 suspected cases have been reported as of 20 January 2025, all of whom have tested negative and are currently under close follow-up, the president said. The cases have been reported in Biharamulo district in Kagera.

“We have resolved to reassure the general public in Tanzania and the international community as a whole of our collective determination to address the global health challenges, including the Marburg virus disease,” said President Hassan. 

WHO said it is supporting Tanzanian health authorities to enhance key outbreak control measures including disease surveillance, testing, treatment, infection prevention and control, case management, as well as increasing public awareness among communities to prevent further spread of the virus.

“WHO, working with its partners, is committed to supporting the government of Tanzania to bring the outbreak under control as soon as possible, and to build a healthier, safer, fairer future for all the people of Tanzania,” said Dr Tedros. “Now is a time for collaboration, and commitment, to protecting the health of all people in Tanzania, and the region, from the risks posed by this disease.”

Marburg virus disease is highly virulent and causes haemorrhagic fever. It belongs to the same family as the virus that causes Ebola virus disease. Illness caused by Marburg virus begins abruptly. Patients present with high fever, severe headache and severe malaise. They may develop severe haemorrhagic symptoms within seven days. 

“The declaration by the president and the measures being taken by the government are crucial in addressing the threat of this disease at the local and national levels as well as preventing potential cross-border spread,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “Our priority is to support the government to rapidly scale up measures to effectively respond to this outbreak and safeguard the health of the population,” 

Tanzania previously reported an outbreak of Marburg in March 2023 – the country’s first – in Kagera region, in which a total of nine cases (eight confirmed and one probable) and six deaths were reported, with a case fatality ratio of 67%.

In the African region, previous outbreaks and sporadic cases have been reported in Angola, the Democratic Republic of the Congo, Ghana, Kenya, Equatorial Guinea, Rwanda, South Africa and Uganda.

Marburg virus is transmitted to people from fruit bats and spreads among humans through direct contact with the bodily fluids of infected people, surfaces and materials.

 Although several promising candidate medical countermeasures are currently undergoing clinical trials, there is no licensed treatment or vaccine for effective management or prevention of Marburg virus disease. However, early access to treatment and supportive care – rehydration with oral or intravenous fluids – and treatment of specific symptoms, improve survival.

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