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坦桑尼亚的马尔堡病毒疫情:对全球卫生安全的威胁。

Marburg virus outbreak in Tanzania: A threat to global health security.

作者信息

Edward Majani, Scott Godfred Yawson, John Withness, Rajabu Martha Ernest, Mahulu Elton, Saidu Musa Shuaibu, Don Eliseo Lucero-Prisno Iii

机构信息

Faculty of Medicine St. Francis University College of Health and Allied Sciences Morogoro Tanzania.

Department of Medical Diagnostics Kwame Nkrumah University of Science and Technology Kumasi Ghana.

出版信息

Public Health Chall. 2023 Nov 20;2(4):e140. doi: 10.1002/puh2.140. eCollection 2023 Dec.

Abstract

The current Marburg virus (MARV) outbreak in Tanzania served as a stark reminder of the ongoing threat posed by emerging infectious diseases and the urgent need for global health security. The Tanzanian Ministry of Health (MoH) officially declared the outbreak on March 21, 2023. Eight cases in all, five of which included fatalities, have been reported in the country at present. The virus is a member of the Filoviridae family closely related to the widely known Ebola virus. Similar to other filoviruses, MARV causes acute and lethal hemorrhagic fever in both human and nonhuman primates with high case fatality rates ranging from 24% to 90%. The outbreak has highlighted the need for improved disease surveillance and response systems, as well as increased funding for research into emerging infectious diseases. The Tanzanian MoH has deployed a response team to investigate and monitor the transmission in the Kagera Region. The team works closely in collaboration with other organizations, such as the World Health Organization and the Africa Centre for Disease Control and Prevention, to ensure the effective control of the situation. Although there is no vaccine or treatment approved for Marburg virus disease (MVD), supportive management improves survival. Existing infection prevention and control protocols for Ebola and other viral hemorrhagic fevers such as isolation and use of appropriate personal protective equipment can be used to prevent transmission of MVD. The global community must work together to strengthen health systems, enhance research efforts, and build resilient and responsive health systems to prevent future outbreaks of this kind. In this article, we have analyzed the MVD outbreak in Tanzania, specifically in the Bukoba district of the Kagera Region, and provided recommendations for the management of the current outbreak and future outbreaks.

摘要

目前在坦桑尼亚爆发的马尔堡病毒疫情,强烈提醒人们新兴传染病带来的持续威胁以及全球卫生安全的迫切需求。坦桑尼亚卫生部于2023年3月21日正式宣布此次疫情爆发。该国目前共报告了8例病例,其中5例死亡。该病毒是丝状病毒科的成员,与广为人知的埃博拉病毒密切相关。与其他丝状病毒类似,马尔堡病毒可在人类和非人类灵长类动物中引发急性致命性出血热,病死率高达24%至90%。此次疫情凸显了改进疾病监测和应对系统的必要性,以及增加对新兴传染病研究资金投入的需求。坦桑尼亚卫生部已部署了一个应对小组,对卡盖拉地区的疫情传播情况进行调查和监测。该小组与世界卫生组织和非洲疾病控制与预防中心等其他组织密切合作,以确保有效控制局势。虽然目前尚无批准用于马尔堡病毒病的疫苗或治疗方法,但支持性治疗可提高生存率。现有的针对埃博拉和其他病毒性出血热的感染预防与控制方案,如隔离和使用适当的个人防护装备,可用于预防马尔堡病毒病的传播。国际社会必须共同努力,加强卫生系统,加大研究力度,建立有韧性且反应迅速的卫生系统,以防止未来此类疫情的爆发。在本文中,我们分析了坦桑尼亚,特别是卡盖拉地区布科巴区的马尔堡病毒病疫情,并为当前及未来疫情的管理提供了建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c214/12039743/9dd8b54e99c1/PUH2-2-e140-g001.jpg

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