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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.
Abstract:
The COVID-19 pandemic has not only strained healthcare systems in Africa but has also intensified the impact of emerging and re-emerging diseases. Specifically in Equatorial Guinea, mirroring the situation in other African countries, unique zoonotic outbreaks have occurred during this challenging period. One notable resurgence is Marburg virus disease (MVD), which has further burdened the already fragile healthcare system. The re-emergence of the Marburg virus amid the COVID-19 pandemic is believed to stem from a probable zoonotic spill-over, although the precise transmission routes remain uncertain. Given the gravity of the situation, addressing the existing challenges is paramount. Though the genome sequences from the current outbreak were not available for this study, we analyzed all the available whole genome sequences of this re-emerging pathogen to advocate for a shift towards active surveillance. This is essential to ensure the successful containment of any potential Marburg virus outbreak in Equatorial Guinea and the wider African context. This study, which presents an update on the phylodynamics and the genetic variability of MARV, further confirmed the existence of at least two distinct patterns of viral spread. One pattern demonstrates a slower but continuous and recurring virus circulation, while the other exhibits a faster yet limited and episodic spread. These results highlight the critical need to strengthen genomic surveillance in the region to effectively curb the pathogen's dissemination. Moreover, the study emphasizes the importance of prompt alert management, comprehensive case investigation and analysis, contact tracing, and active case searching. These steps are vital to support the healthcare system's response to this emerging health crisis. By implementing these strategies, we can better arm ourselves against the challenges posed by the resurgence of the Marburg virus and other infectious diseases.
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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