Update on the Phylodynamic and Genetic Variability of Marburg Virus

Fabio Scarpa1, Liliana Bazzani2, Marta Giovanetti2,3

  • 1Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.

Viruses
|August 26, 2023
PubMed

Insights

The Marburg virus re-emerged in Equatorial Guinea during the COVID-19 pandemic, highlighting the need for enhanced genomic surveillance. Understanding viral spread patterns is crucial for controlling Marburg virus disease (MVD) outbreaks in Africa.

Area of Science:

  • * Epidemiology and Public Health
  • * Viral Phylodynamics and Genomics
  • * Infectious Disease Outbreak Response

Background:

  • * The COVID-19 pandemic has exacerbated healthcare system burdens in Africa, coinciding with intensified emerging and re-emerging infectious diseases.
  • * Equatorial Guinea experienced a resurgence of Marburg virus disease (MVD), a significant zoonotic outbreak, straining its already fragile healthcare infrastructure.
  • * The MVD re-emergence is suspected to be a zoonotic spill-over event, with transmission routes requiring further investigation.

Purpose of the Study:

  • * To analyze the phylodynamics and genetic variability of the Marburg virus (MARV) based on available whole genome sequences.
  • * To advocate for enhanced active surveillance strategies to contain potential MVD outbreaks in Equatorial Guinea and across Africa.
  • * To identify distinct patterns of viral circulation to inform public health interventions.

Main Methods:

  • * Analysis of available whole genome sequences of the Marburg virus.
  • * Phylodynamic and genetic variability assessment of the MARV strains.
  • * Review of existing public health response strategies for infectious disease outbreaks.

Main Results:

  • * Confirmed at least two distinct patterns of Marburg virus spread: one slow, continuous, and recurring; the other faster, limited, and episodic.
  • * Demonstrated the critical need for strengthened genomic surveillance to effectively monitor and control pathogen dissemination.
  • * Highlighted the importance of prompt alert management, case investigation, contact tracing, and active case searching.

Conclusions:

  • * Strengthening genomic surveillance is paramount for effective containment of Marburg virus disease and other infectious disease threats in Africa.
  • * Implementing robust public health measures, including alert management and active case finding, is vital for healthcare system resilience.
  • * Understanding viral spread dynamics is essential for developing targeted strategies against re-emerging zoonotic pathogens.

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