Rwanda celebrates as Marburg outbreak is declared over by WHO

Rwanda successfully concluded its fight against the Marburg Virus Disease outbreak, which was first declared on September 27. This outbreak resulted in 15 deaths out of 66 reported cases, with a significant number of those affected being healthcare workers. Notably, the last Marburg patient was discharged on November 8, marking a crucial point in the country’s battle against the virus. The World Health Organization announced the outbreak was officially over after 42 days without any new infections, thus fulfilling the criteria for declaring an outbreak concluded. Public health efforts played a pivotal role in mitigating the disease’s impact and preventing further casualties. Efforts conducted by Rwanda's healthcare system involved extensive disease surveillance, rigorous contact tracing, and comprehensive public awareness campaigns. The majority of those who fell ill were among healthcare workers attending to the initial cases, highlighting the high-risk nature of their profession. The government, in collaboration with the WHO, implemented infection prevention and control measures to manage the crisis effectively. Those affected were monitored to ensure they received appropriate care and support, including addressing any potential long-term health consequences associated with the virus. The Marburg virus, an Ebola-like pathogen, poses significant health risks with a severe mortality rate of 24% to 88%. Due to the virus's characteristics, the Rwandan health authorities took preemptive steps, including securing vaccine doses under trial and enhancing their health infrastructure's response capabilities. The comprehensive approach adopted was credited with reducing the death rate during this outbreak significantly compared to previous instances of Marburg disease in other regions. The government remains vigilant against potential resurgence, acknowledging the ongoing risks especially posed by wildlife such as bats, which are known reservoirs for the virus. Dr. Brian Chirombo, WHO's representative in Rwanda, emphasized the importance of the strong response and leadership exhibited throughout the crisis. The declaration of the outbreak’s end is viewed not as a closure but a crucial point in ongoing public health preparedness. Continued focus on health education and disease monitoring is essential to prevent future outbreaks. Following this outbreak's management, international and regional health agencies are encouraged to reflect on Rwanda's proactive measures and adapt similar strategies in other regions susceptible to viral outbreaks.