Marburg virus Outbreak Declared Ended in Tanzania

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On Mar. 13, 2025, after two consecutive incubation periods (a total of 42 days) without a new confirmed case being reported after the last confirmed case died on January 28, 2025, the Ministry of Health of the United Republic of Tanzania declared the end of the Marburg virus disease (MVD) outbreak, as per World Health Organization (WHO) recommendations.

The outbreak was declared on January 20, 2025. As of March 12, 2025, two confirmed and eight probable cases were reported by the Ministry of Health from Biharamulo district in Kagera region. All 10 cases died (case fatality ratio 100%), including eight who died before the confirmation of the outbreak. A total of 272 contacts that were listed for monitoring completed their 21-day follow-up as of February 10, 2025. To date, no new confirmed cases of Marburg virus disease (MVD) have been reported in the United Republic of Tanzania.

As of March 12, 2025, 10 cases have been reported including two confirmed and eight probable cases. All cases resulted in deaths, including eight who died before the confirmation of the outbreak and were classified as probable cases, resulting in a case fatality ratio of 100%.

Cumulatively, 108 suspected cases were reported between January 20 and March 11, of which 106 tested negative for MVD. As of 12 March 2025, 281 contacts had been listed, including nine who were subsequently classified as probable and confirmed cases and 272 contacts who completed 21 days of follow-up.

MVD is a highly virulent disease that can cause severe disease and is clinically similar to Ebola disease (EBOD). People become infected after prolonged exposure to mines or caves inhabited by Rousettus fruit bat colonies, a type of fruit bat that can carry the Marburg virus.  

Marburg virus then spreads between people via direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and with surfaces and materials (e.g. bedding, clothing) contaminated with these fluids. Health workers have previously been infected while treating patients with MVD. Burial ceremonies that involve direct contact with the body of the deceased can also contribute to the transmission of Marburg virus.

Eighteen outbreaks of MVD have previously been reported globally. The most recent outbreak was reported in Rwanda between September and December 2024. Additional countries that previously reported outbreaks of MVD in the African Region include Angola, the Democratic Republic of the Congo, Equatorial Guinea, Ghana, Guinea, Kenya, South Africa, and Uganda. 

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Source: World Health Organization
Credit: Transmission electron micrograph of Marburg virus. Courtesy: Dr. Tom Geisbert, U.S. Centers for Disease Control and Prevention.