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Rwanda reports recovery of all Marburg patients

By Théophile Niyitegeka
On 9 November 2024 at 08:11

The Rwandan Ministry of Health (MINISANTE) has announced that all patients who had contracted the Marburg virus—a severe hemorrhagic fever—have recovered. Despite this positive outcome, the ministry emphasized that preventative and containment measures remain in place.

This update was provided on November 8, 2024, in a weekly report covering the status of the Marburg virus from November 1 to November 8, 2024. The Ministry of Health reported that out of 1,390 tests conducted, no new cases were detected. However, it affirmed that efforts to prevent and combat the virus continue.

In a recent media briefing, the ministry stated that it is focusing on monitoring individuals who have been in contact with infected patients and providing treatment to ensure the virus does not result in further fatalities. This approach has raised optimism about potentially eradicating the virus in Rwanda.

Health Minister Dr. Sabin Nsanzimana highlighted that efforts include tracking down everyone who had contact with the first confirmed patient, providing swift treatment, and administering vaccines. Rigorous screening protocols are in place at borders, Kigali International Airport, and other checkpoints to prevent the virus’s spread beyond initially affected areas.

"We have vaccinated individuals who had close contact with infected persons to break the chain of transmission. Protecting healthcare workers, especially those treating patients, is critical," said Dr. Nsanzimana. "We’re ensuring that healthcare providers are well-protected, and vaccination remains the best method to safeguard them and allow them to work without anxiety."

Dr. Nsanzimana reiterated the goal to prevent any new infections. Nevertheless, the ministry has advised recovered patients to exercise caution and avoid unprotected sexual activity and breastfeeding, as the virus can remain in certain body parts for more than a year, potentially leading to transmission.

On November 4, 2024, Dr. Nsanzimana explained that patients who have recovered are undergoing long-term monitoring, as the virus can persist in some bodily fluids. "Recovery means there’s no virus left in their blood, confirmed by two tests taken 72 hours apart. We advise recovered individuals to avoid unprotected sexual activity until final tests show the virus is entirely cleared."

"We’re closely monitoring recovered patients to prevent any resurgence, while taking care to avoid stigma. It’s essential not to shun recovered individuals out of fear they might still be contagious," he added. Those under monitoring may be followed for up to three months, with some cases lasting up to a year, depending on individual medical factors.

"The virus can linger longer in some areas, especially in semen, but tends to disappear more quickly in saliva, urine, and breast milk. We’re conducting regular tests on recovered patients to ensure the virus is fully cleared from these fluids," he explained.

The monitoring will continue until each individual receives final tests confirming the absence of the virus.

Rwanda announced its first-ever Marburg virus outbreak on September 27, 2024.

As of November 4, 66 people had been infected with the Marburg virus, with 15 deaths, 49 recoveries, and two individuals still under medical care.

Marburg symptoms include high fever, headache, muscle pain, vomiting, and diarrhea. Individuals experiencing these symptoms are encouraged to contact health authorities for prompt assistance.

Dr. Nsanzimana recently explained that patients who have recovered are undergoing long-term monitoring, as the virus can persist in some bodily fluids.

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