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Uganda - 1 dead due to Marburg - 197 case contacts - no active cases for 42 days, the outbreak is considered to be contained
This 2nd fatality is in a different district and does not appear to have been a contact of the first.
Perhaps he had contact with infected animals? Or died of something other than Marburg?
It seems highly suspicious that the "index case" was a medical worker who had no known contact with infected animals, so I would suggest a third possibility is that there are undocumented transmission strains. Medical workers are usually the "sentinel" cases that attract epidemiologists.
Uganda says no fresh cases of Ebola-like Marburg virus
AFP ? 6 hours ago
Ugandan health officials said Tuesday that all suspected cases of the Ebola-like Marburg virus had tested negative and those held in isolation released.
A 30-year-old medical technician died from Marburg on September 28, 11 days after falling ill in a Kampala hospital where he worked, sparking alarm.
"At the moment there are no new cases reported or suspected," senior health ministry official Issa Makumbi told AFP.
Five people placed in isolation in the east African nation earlier this month had all been cleared and released, he added...
Re: Uganda - 1 dead due to Marburg - 146 being monitored - 11 symptomatic, 2nd fatality suspected
Uganda to soon be Marburg free
By Namuli Zahra - 19th, October 2014
The government is on a count down to declare Uganda Marburg-free as no new case has been registered in more than a fortnight.
This was revealed by the Director General of health services Dr Jane Ruth Acieng while giving a progressive report to President Yoweri Kaguta Museveni.
The countdown kicks off tomorrow Monday the 21st of this month.
Apparently of the 106 people who had been put under surveillance 40 have been discharged after repeated tests that presented negative results of the disease.
According to the Director General of health services Dr Jane Ruth Aceng, there is no new confirmed case of Marburg since the first that occurred on September 30 that involved Mengo hospital health worker who died of the hemorrhagic fever.
The countdown period is a prerequisite to the World Health Organization requiring any affected country to monitor the situation for at least 42 days before finally declaring an end to the outbreak.
The Director General of health services for Uganda, Dr Jane Ruth Aceng says 24 more people have been declared Marburg-free after test results from the Uganda Virus Research Institute in Entebbe.
One female is still under isolation at Mulago Hospital, pending test results.
120 contacts have been identified and are being monitored for signs and symptoms, as of last week.
- The suspect case admitted at Mulago Isolation unit, with history of travel from Sierra Leone, on 18 Oct 2014, tested negative on PCR for Ebola Zaire, Ebola Sudan, CCHF [Crimean-Congo hemorrhagic fever], and RVF [Rift Valley fever], Marburg, and Ebola Bundibugyo on 19 Oct 2014.
- No new case of Marburg disease has been confirmed since detection of the index case, [who] was buried on 30 Sep 2014
Kampala: Uganda`s Ministry of Health on Tuesday declared the East African country officially free of the deadly Marburg epidemic, which killed one health worker and left 197 people quarantined. Sarah Achieng Opendi, the state minister for primary healthcare told reporters here that the declaration comes after the completion of 42 days of the post Marburg surveillance, which is a prerequisite before World Health Organization (WHO) declares a country free of any Viral Hemorrhagic Fever(VHF).
[...]
Re: Uganda - 1 dead due to Marburg - 197 case contacts - no active cases for 42 days, the outbreak is considered to be contained
Marburg virus disease - Uganda
<!-- Default DIV wrapper for all story meta data -->Disease outbreak news
13 November 2014
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On 11 November 2014, the Government of Uganda declared that Uganda was free of the Marburg virus. This declaration was made at the National Media Centre by the Minister of State for Primary Health Care, Hon. Sarah Achieng Opendi.
On 4 October 2014, WHO was notified by the Government of Uganda of a case of Marburg virus disease. The case was a male health professional that developed symptoms on 11 September. On 17 September, the patient was admitted to a district health facility in Mpigi. He was later transferred to a hospital in Kampala. On 28 September, the case passed away and was buried on 30 September in Kasese district.
A national task force with 5 sub committees (surveillance/epidemiology, case management, social mobilization, psychosocial, and coordination) oversaw the outbreak response. A total of 197 case contacts were listed and followed up for 21 days. Thirteen contacts developed Marburg-like symptoms but all tested negative for the virus. Suspected Marburg cases were managed in 4 isolation facilities in Kampala, Wakiso/Entebbe, Mpigi, and Kasese districts. Psychosocial support was provided to contacts and family members of the deceased. The public was sensitized about Marburg and viral haemorrhagic fevers.
Since there have been no active cases of Marburg for 42 days, the outbreak is considered to be contained.
Heightened surveillance activities will be maintained to identify potential outbreaks in the future. Public awareness campaigns will also continue in view of the ongoing Ebola virus disease outbreak in West Africa.
The response was supported by WHO, UNICEF, USAID, World Vision, Uganda Red Cross, M?decins Sans Fronti?res (MSF), the African Field Epidemiology Network (AFENET) and the US Centers for Disease Control and Prevention (CDC).
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