Evidence map›Paper›PMID 40394565›Full record

Observational studyBMC medicine2025

Marburg virus disease in Rwanda: an observational study of the first 10 days of outbreak response, clinical interventions, and outcomes.

Gashaija Absolomon, Canita R Brent, Emmanuel C Nyabyenda, Kelly Mwiza, Piero Irakiza, Zuki Chiwandire, Caroline Mudereri, Nathalie Umutoni, Sabine Musange, Eric Seruyange and 5 more

Abstract readObservational Study
In one paragraph

Observational study in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Marburg Virus: A Looming Threat Nigeria Cannot Ignore.Nigerian medical journal : journal of the Nigeria Medical Association
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Gashaija AbsolomonCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Canita R BrentCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Emmanuel C NyabyendaCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Kelly MwizaCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Piero IrakizaCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Zuki ChiwandireCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Caroline MudereriCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Nathalie UmutoniCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Sabine MusangeCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Eric SeruyangeSchool of Medicine and Pharmacy, University of Rwanda, Kigali, Rwanda.
Felix K RubugaCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda.
Theogene TwagiramugabeSchool of Medicine and Pharmacy, University of Rwanda, Kigali, Rwanda.
Sanctus MusafiriUniversity Teaching Hospital of Kigali-CHUK, Kigali, Rwanda.
Edson RwagasoreRwanda Biomedical Center, Kigali, Rwanda.
Jeanine CondoCenter for Impact, Innovation and Capacity Building in Health Information Systems and Nutrition (CIIC-HIN), Kigali, Rwanda. jcondo@ciichin.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMarburg virus disease (MVD) is a highly fatal hemorrhagic fever with fatality rates between 33 and 88% in sub-Saharan Africa. Rwanda reported its first MVD outbreak on September 27, 2024. This study assessed Rwanda's response to its first MVD outbreak, focusing on identifying critical success factors and areas for improvement during the initial 10 days after outbreak declaration.

methodsThis observational study analyzed publicly available data from daily screenings and outbreak reports provided by the Rwanda Ministry of Health and Rwanda Biomedical Center between September 27 and October 7, 2024. The study examined confirmed cases, deaths, testing rates, and recoveries, including healthcare response measures. Data was collected from checkpoints and passenger screening at entry points, with information aggregated into Rwanda's Health System.

resultsBy October 7, 2024, Rwanda reported 56 confirmed MVD cases, including 12 deaths and 8 recoveries. Daily screening began on October 3rd, and by October 7th, 2387 individuals were tested, with a positivity rate of 2.3%. Healthcare workers accounted for over 70% of confirmed cases. No new deaths were reported from October 4 (day 7) until October 7th (day 10), though the first 2-3 days after outbreak declaration were critical, with 6 deaths occurring during this period. Rwanda's response included increased testing, early detection, intensive care management, experimental therapeutics (monoclonal antibodies and remdesivir), and comprehensive contact tracing.

conclusionsAnalysis of the first 10 days of Rwanda's MVD outbreak provides valuable insights into effective outbreak response, highlighting the importance of early interventions, healthcare worker protection, enhanced testing, and international collaboration. Early detection and intensive management of cases, including advanced critical care and strong laboratory infrastructure, are essential to reduce early mortality. These findings emphasize the need to strengthen healthcare systems by establishing rapid preparedness and response mechanisms before outbreaks occur and fostering international partnerships to enhance outbreak management and control.

Indexed as

Disease OutbreaksMarburg Virus DiseaseAdolescentAdultChildFemaleHumansMaleMarburgvirusMiddle AgedRwandaYoung AdultEarly detectionHealthcare responseManagementMarburg virus diseaseOutbreakRwanda

Identifiers

PMID40394565
PMCPMC12093668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.