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{{Marburg hemorrhagic fever}}
{{Marburg hemorrhagic fever}}
{{CMG}}{{AE}}
{{CMG}};{{AE}} {{Anmol}}


==Overview==
==Overview==
No specific treatment or [[vaccine]] is yet available for Marburg hemorrhagic fever. Several [[vaccine]] candidates are being tested but it could be several years before any are available. New drug therapies have shown promising results in laboratory studies and are currently being evaluated. One way to protect against infection is avoiding fruit bats, and sick non-human [[primates]] in central Africa. Reducing the risk of infection to people include reducing the risk of bat-to-human transmission as well as human-to-human transmission, health education and, [[outbreak]] containment measures.


==Primary Prevention==
==Primary Prevention==
*No specific treatment or vaccine is yet available for MHF. Several vaccine candidates are being tested but it could be several years before any are available. New drug therapies have shown promising results in laboratory studies and are currently being evaluated.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
*No specific treatment or [[vaccine]] is yet available for Marburg hemorrhagic fever. Several [[vaccine]] candidates are being tested but it could be several years before any are available. New drug therapies have shown promising results in laboratory studies and are currently being evaluated.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
*One way to protect against infection is avoiding fruit bats, and sick non-human primates in central Africa.<ref name="urlwww.cdc.gov">{{cite web |url=https://www.cdc.gov/vhf/marburg/pdf/factsheet.pdf |title=www.cdc.gov |format= |work= |accessdate=}}</ref>
*One way to protect against infection is avoiding fruit bats, and sick non-human [[primates]] in central Africa.<ref name="urlwww.cdc.gov">{{cite web |url=https://www.cdc.gov/vhf/marburg/pdf/factsheet.pdf |title=www.cdc.gov |format= |work= |accessdate=}}</ref>


====Precautionary measures for pig farms in endemic zones====
====Precautionary measures for pig farms in endemic zones====
Avoid pigs becoming infected through preventing contact with fruit bats in pig farms in Africa. There may be potential amplification of the virus which may cause or contribute to outbreak of Marburg hemorrhagic fever.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
Avoid pigs becoming [[infected]] through preventing contact with fruit bats in pig farms in Africa. There may be potential amplification of the virus which may cause or contribute to outbreak of Marburg hemorrhagic fever.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>


====Reducing the risk of infection in people====
====Reducing the risk of infection in people====


In the absence of effective treatment and human vaccine, raising awareness of the risk factors for Marburg infection and the protective measures individuals can take to reduce human exposure to the virus, are the only ways to reduce human infections and deaths.
In the absence of effective treatment and human vaccine, raising awareness of the risk factors for [[Marburg infection]] and the protective measures individuals can take to reduce human exposure to the [[virus]], are the only ways to reduce human [[infections]] and deaths.


During MHF outbreaks in Africa, public health educational messages for risk reduction should focus on:<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
DuringMarburg hemorrhagic fever outbreaks, public health educational messages for risk reduction should focus on:<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>


*Reducing the risk of bat-to-human transmission:
*'''Reducing the risk of bat-to-human transmission:'''
**Bat-to-human transmissiomn arises from prolonged exposure to mines or caves inhabited by fruit bat colonies.
**Bat-to-human [[transmission]] arises from prolonged exposure to mines or caves inhabited by fruit bat colonies.
**People should wear gloves and other appropriate protective clothing (including masks) during work or research activities or tourist visits in mines or caves inhabited by fruit bat colonies.
**People should wear gloves and other appropriate protective clothing (including masks) during any activity in mines or caves inhabited by fruit bat colonies.
**All animal products (blood and meat) should be thoroughly cooked before consumption during the outbreaks.
**All animal products should be thoroughly cooked before consumption during the outbreaks.
*Reducing the risk of human-to-human transmission:  
*'''Reducing the risk of human-to-human transmission:'''
**Human-to-human transmission arises through direct or close contact with infected patients (particularly with their body fluids).
**Human-to-human transmission arises through direct or close contact with [[infected]] [[Patient|patients]] (particularly with their [[body fluids]]).
**Close physical contact should be avoided with patients suffering from Marburg hemorrhagic fever.  
**Close physical contact should be avoided with patients suffering from Marburg hemorrhagic fever.  
**When taking care of ill patients at home, gloves and appropriate personal protective equipment should be worn.  
**When taking care of ill patients at home, gloves and appropriate personal protective equipment should be worn.  
**Regular hand washing should be performed after visiting sick relatives in hospital, as well as after taking care of ill patients at home.
**Regular hand washing should be performed after visiting sick relatives in hospital, as well as after taking care of ill patients at home.
*Communities affected by Marburg
*'''Health education:'''
**Efforts should be made to ensure that the population is well informed, both about the nature of the disease itself and about necessary outbreak containment measures.
**Efforts should be made to ensure that the population is well informed, both about the nature of the [[disease]] itself and about necessary outbreak containment measures.
*Outbreak containment measures
*'''Outbreak containment measures:'''
**Prompt and safe burial of the dead
**Prompt and safe burial of the dead
**Identifying people who may have been in contact with someone infected with Marburg and monitoring their health for 21 days
**Identifying people who may have been in contact with someone infected with [[Marburg virus]] and monitoring their health for 21 days.
**Separating the healthy from the sick to prevent further spread
**Separating the healthy from the sick to prevent further spread.
**Maintaining good hygiene and a clean environment
**Maintaining good hygiene and a clean environment.
*Reducing the risk of possible sexual transmission.
*'''Reducing the risk of possible sexual transmission:'''
**WHO recommends that male survivors of Marburg virus disease practice safe sex and hygiene for 12 months from onset of symptoms or until their semen twice tests negative for Marburg virus.
**[[WHO]] recommends that male survivors of [[Marburg virus]] disease practice [[safe sex]] and hygiene for 12 months from onset of symptoms or until their [[semen]] twice tests negative for [[Marburg virus]].
*Contact with body fluids should be avoided and washing with soap and water is recommended.
**Contact with body fluids should be avoided and washing with soap and water is recommended.
*WHO does not recommend isolation of male or female convalescent patients whose blood has been tested negative for Marburg virus.
**[[WHO]] does not recommend [[Isolation (health care)|isolation]] of male or female [[convalescent]] [[Patient|patients]] whose [[blood]] has been tested negative for [[Marburg virus]].


====Controlling infection in health-care settings====
====Controlling infection in health-care settings====
*Health-care workers caring for patients with suspected or confirmed Marburg virus should apply infection control precautions to avoid any exposure to blood and body fluids and to direct unprotected contact with possibly contaminated environment.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
*Health-care workers caring for patients with suspected or confirmed [[Marburg virus|Marburg viru]]<nowiki/>s should apply [[infection control]] precautions to avoid any exposure to [[blood]] and [[Bodily fluid|body fluids]] and to direct unprotected contact with possibly contaminated environment.<ref name="urlWHO | Marburg haemorrhagic fever">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs_marburg/en/ |title=WHO &#124; Marburg haemorrhagic fever |format= |work= |accessdate=}}</ref>
*Specific control measures and reinforcement of standard precautions include hand hygiene, use of personal protective equipment (PPE), safe injection practices, and safe burial practices.
*Specific control measures and reinforcement of standard precautions include hand hygiene, use of personal protective equipment (PPE), safe [[Injection (medicine)|injection]] practices, and safe burial practices.
*Samples taken by laboratory workers from suspected human and animal Marburg cases for diagnosis should be handled by trained staff and processed in suitably equipped laboratories.
*Samples taken by [[laboratory]] workers from suspected human and animal [[Marburg hemorrhagic fever|Marburg]] cases for diagnosis should be handled by trained staff and processed in suitably equipped laboratories.


==References==
==References==
{{reflist|2}}
{{reflist|2}}


[[Category:Disease]]
[[Category:Disease]]

Latest revision as of 18:16, 20 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]

Overview

No specific treatment or vaccine is yet available for Marburg hemorrhagic fever. Several vaccine candidates are being tested but it could be several years before any are available. New drug therapies have shown promising results in laboratory studies and are currently being evaluated. One way to protect against infection is avoiding fruit bats, and sick non-human primates in central Africa. Reducing the risk of infection to people include reducing the risk of bat-to-human transmission as well as human-to-human transmission, health education and, outbreak containment measures.

Primary Prevention

  • No specific treatment or vaccine is yet available for Marburg hemorrhagic fever. Several vaccine candidates are being tested but it could be several years before any are available. New drug therapies have shown promising results in laboratory studies and are currently being evaluated.[1]
  • One way to protect against infection is avoiding fruit bats, and sick non-human primates in central Africa.[2]

Precautionary measures for pig farms in endemic zones

Avoid pigs becoming infected through preventing contact with fruit bats in pig farms in Africa. There may be potential amplification of the virus which may cause or contribute to outbreak of Marburg hemorrhagic fever.[1]

Reducing the risk of infection in people

In the absence of effective treatment and human vaccine, raising awareness of the risk factors for Marburg infection and the protective measures individuals can take to reduce human exposure to the virus, are the only ways to reduce human infections and deaths.

DuringMarburg hemorrhagic fever outbreaks, public health educational messages for risk reduction should focus on:[1]

  • Reducing the risk of bat-to-human transmission:
    • Bat-to-human transmission arises from prolonged exposure to mines or caves inhabited by fruit bat colonies.
    • People should wear gloves and other appropriate protective clothing (including masks) during any activity in mines or caves inhabited by fruit bat colonies.
    • All animal products should be thoroughly cooked before consumption during the outbreaks.
  • Reducing the risk of human-to-human transmission:
    • Human-to-human transmission arises through direct or close contact with infected patients (particularly with their body fluids).
    • Close physical contact should be avoided with patients suffering from Marburg hemorrhagic fever.
    • When taking care of ill patients at home, gloves and appropriate personal protective equipment should be worn.
    • Regular hand washing should be performed after visiting sick relatives in hospital, as well as after taking care of ill patients at home.
  • Health education:
    • Efforts should be made to ensure that the population is well informed, both about the nature of the disease itself and about necessary outbreak containment measures.
  • Outbreak containment measures:
    • Prompt and safe burial of the dead
    • Identifying people who may have been in contact with someone infected with Marburg virus and monitoring their health for 21 days.
    • Separating the healthy from the sick to prevent further spread.
    • Maintaining good hygiene and a clean environment.
  • Reducing the risk of possible sexual transmission:

Controlling infection in health-care settings

  • Health-care workers caring for patients with suspected or confirmed Marburg virus should apply infection control precautions to avoid any exposure to blood and body fluids and to direct unprotected contact with possibly contaminated environment.[1]
  • Specific control measures and reinforcement of standard precautions include hand hygiene, use of personal protective equipment (PPE), safe injection practices, and safe burial practices.
  • Samples taken by laboratory workers from suspected human and animal Marburg cases for diagnosis should be handled by trained staff and processed in suitably equipped laboratories.

References

  1. 1.0 1.1 1.2 1.3 "WHO | Marburg haemorrhagic fever".
  2. "www.cdc.gov" (PDF).