Marburg virus disease in Equatorial Guinea - Update 4

According to the European Centre for Disease Prevention and Control (ECDC), no new confirmed Marburg virus disease (MVD) cases have been reported in Equatorial Guinea since 20 April 2023.

The World Health Organization (WHO) reports the total number of confirmed MVD cases since the beginning of the outbreak is 40 (17 confirmed) with 35 deaths (12 confirmed).

If there are no further cases, the outbreak will be declared over on 1 June 2023, 42 days after the last confirmed case left hospital.

Advice to travellers

Marburg virus disease is a type of viral haemorrhagic fever (VHF). Humans may become infected from direct contact with the reservoir host, African fruit bats or from direct contact or droplet spread from infected humans or non-human primates.

The risk to travellers becoming infected or developing Marburg virus disease is extremely low.

• Travellers to known Marburg outbreak areas must be made aware of the risk of infection and transmission routes of Marburg virus.
• Medical personnel travelling to work in an outbreak region must follow strict infection prevention control guidance.

Travellers returning from a Marburg outbreak area should seek rapid medical attention by contacting NHS 24 (Scotland) or NHS 111 (rest of UK) for advice prior to attending UK medical facilities if they develop fever and have:

• returned to the UK within 21 days from a region or area with a known outbreak of Marburg Virus Disease
• had contact with individuals infected with a VHF.

For further information, see the TRAVAX Viral Haemorrhagic Fever page.