Tanzania Confirms Second Marburg Outbreak After WHO Chief Visit

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Dar es Salaam — Tanzania’s President Samia Suluhu Hassan has declared an outbreak of Marburg virus, confirming a single case in the northwestern region of Kagera after a meeting with WHO director-general Tedros Adhanom Ghebreyesus.

The confirmation follows days of speculation about a possible outbreak in the region, after the WHO reported a number of deaths suspected to be linked to the highly infectious disease.

While Tanzania’s Ministry of Health declared last week that all suspected cases had tested negative for Marburg, the WHO called for additional testing at international reference laboratories.

“We never know when an outbreak might occur in a neighbouring nation. So we ensure infection prevention control assessments at every point of care as routine as a morning greeting at our workplaces.”Amelia Clemence, public health researcher

Subsequent laboratory tests conducted at Kagera’s Kabaile Mobile Laboratory and confirmed in Dar es Salaam identified one positive case, while 25 other suspected cases tested negative, the president told a press conference in Dodoma, in the east of the country today (Monday).

“The epicentre has now shifted to Biharamulo district of Kagera,” she told the press conference, distinguishing this outbreak from the previous one centred in Bukoba district.

Tedros said the WHO would release US$3 million from its emergencies contingency fund to support efforts to contain the outbreak.

Health authorities stepped up surveillance and deployed emergency response teams after the WHO raised the alarm about nine suspected cases in the region, including eight deaths.

The suspected cases displayed symptoms consistent with Marburg infection, including headache, high fever, diarrhoea, and haemorrhagic complications, according to the WHO’s alert to member countries on 14 January. The organisation noted a case fatality rate of 89 per cent among the suspected cases.

“We appreciate the swift attention accorded by the WHO,” Hassan said.

She said her administration immediately investigated the WHO’s alert.

“The government took several measures, including the investigation of suspected individuals and the deployment of emergency response teams,” she added.

Cross-border transmission

The emergence of this case in a region that experienced Tanzania’s first-ever Marburg outbreak in March 2023 has raised concerns about cross-border transmission, particularly following Rwanda’s recent outbreak that infected 66 people and killed 15 before being declared over in December 2024.

The situation is particularly critical given Kagera’s position as a transport hub connecting four East African nations.

Amelia Clemence, a public health researcher working in the region, says constant vigilance is required.

“We never know when an outbreak might occur in a neighbouring nation. So we ensure infection prevention control assessments at every point of care as routine as a morning greeting at our workplaces.”

The Kagera region’s ecosystem, home to fruit bats that serve as natural reservoirs for the Marburg virus, adds another layer of complexity to disease surveillance efforts.

The virus, closely related to Ebola, spreads through contact with bodily fluids and can cause severe haemorrhagic fever.

Transparency urged

Elizabeth Sanga, shadow minister of health for Tanzania’s ACT Wazalendo opposition party, says greater transparency would help guide public health measures.

“This could have helped to guide those who are traveling to the affected region to be more vigilant and prevent the risk of further spread,” she said.

WHO regional director for Africa Matshidiso Moeti says early notification of investigation outcomes is important.

“We stand ready to support the government in its efforts to investigate and ensure that measures are in place for an effective and rapid response,” she said, noting that existing national capacities built from previous health emergencies could be quickly mobilised.

The situation coincides with leadership changes in Tanzania’s Ministry of Health, with both the chief medical officer and permanent secretary being replaced.

This piece was produced by SciDev.Net’s Sub-Saharan Africa English desk.

Source: allafrica.com

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Investment at port to prolong cruise ship stays

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Investment at port to prolong cruise ship stays

Belfast Harbour is to invest £90m to improve the port’s facilities for cruise ships and the wind energy industry.

It is hoped the investment will mean more cruises start and finish in the city rather than just calling for a day.

It is part of a wider £300m spending plan by the harbour over the next five years.

The harbour is also seeking a change in the law which would allow it to borrow money for investment.

Almost 150 cruise ships called in Belfast last year, bringing 260,000 passengers and crew.

The harbour hopes that it can convince companies to start and finish cruises in Belfast and will upgrade its facilities for that purpose.

It will involve moving the cruise terminal to a currently undeveloped site on Airport Road West.

Belfast Harbour chief executive Joe O’Neill said: “Part of our ambition is to do what are called turnaround cruises.

“That’s where people come here, they board, they do a seven-day cruise and return.

“To cater for that segment of the market we need more substantial facilities, an airport type terminal.”

The site already has planning permission and the facility could be complete by late 2027 or early 2028.

Moving the cruise berth will also free up space to expand the harbour’s existing marshalling area for wind turbines.

Mr O’Neill said there were increased opportunities in the sector with some major offshore wind farms being planned off the Irish coast.

“We envisage about 30 different windfarm projects over the next 10 years or so in our natural trading hinterland,” he said.

“We’ve got some existing capacity but we want to enhance that.”

Investment by the harbour is currently funded from its retained earnings, rather than by borrowing money.

It wants to borrow to invest in larger projects but is currently constrained by its legal status.

It is classified as a public corporation, meaning that any debt it takes on counts as part of Stormont’s capital budget.

It wants to be reclassified as a private corporation which requires legal changes, including reducing the role of the Infrastructure Minister in appointing the harbour board.

A change to the law in Scotland has allowed similar legal reclassification of ports there.

The Department of Infrastructure has launched a consultation on the issue.

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Tanzania Declares Marburg Outbreak – Africa CDC Mobilizes Immediate Response

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Tanzania Declares Marburg Outbreak – Africa CDC Mobilizes Immediate Response

Addis Ababa, January 20, 2025</Strong> — Tanzania has declared a Marburg virus disease (MVD) outbreak after confirming one case and identifying 25 suspected cases in the Kagera Region of Northwestern Tanzania. The Marburg virus, a highly infectious and often fatal disease, is similar to Ebola and is transmitted to humans from fruit bats and monkeys. This outbreak marks the nation’s second encounter with the deadly virus, following the outbreak in Bukoba District of Kagera Region in March 2023, which resulted in nine cases and six deaths.

In response to this urgent threat, the Africa CDC is mobilizing strong support to help Tanzania contain the outbreak. A team of twelve public health experts will be deployed as part of an advance mission in the next 24 hours. The multidisciplinary team includes epidemiologists, risk communication, infection prevention and control (IPC), and laboratory experts to provide on-ground support for surveillance, IPC, diagnostics, and community engagement.

The Director-General of Africa CDC, Dr. Jean Kaseya, has engaged with Tanzania’s President Samia Suluhu Hassan and the Minister of Health to ensure coordinated efforts and secure political commitment for the response.

“Africa CDC stands firmly with Tanzania in this critical moment. To support the government’s efforts, we are committing US$ 2 million to bolster immediate response measures, including deploying public health experts, strengthening diagnostics, and enhancing case management. Building on Tanzania’s commendable response during the 2023 outbreak, we are confident that swift and decisive action, combined with our support and those of other partners, will bring this outbreak under control,” Dr. Kaseya stated.

Africa CDC has recently supported efforts to enhance the diagnostic and sequencing capacity of public health laboratories in Tanzania. PCR Test kits and genomic sequencing reagents have been dispatched, with additional supplies in the pipeline. To ensure rapid identification and confirmation of cases, the institution will also provide technical assistance to strengthen detection and genome sequencing for better characterization of the pathogen. Additionally, support will be provided to improve case management protocols and enhance the capacity to deliver safe and effective treatment.

Africa CDC is committed to working closely with the Government of Tanzania, regional partners, international organizations, and global stakeholders, including the World Health Organization, to stop the spread of the Marburg virus.

Source: allafrica.com

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Tanzania Confirms Outbreak of Marburg Virus Disease

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Dodoma — Tanzania today confirmed an outbreak of Marburg virus disease in the northwestern Kagera region after one case tested positive for the virus following investigations and laboratory analysis of suspected cases of the disease.

President of the Republic of Tanzania, Her Excellency Samia Suluhu Hassan, made the announcement during a press briefing alongside World Health Organization (WHO) Director-General, Dr Tedros Adhanom Ghebreyesus, in the country’s administrative capital Dodoma.

“Laboratory tests conducted in Kabaile Mobile Laboratory in Kagera and later confirmed in Dar es Salaam identified one patient as being infected with the Marburg virus. Fortunately, the remaining suspected patients tested negative,” the president said. “We have demonstrated in the past our ability to contain a similar outbreak and are determined to do the same this time around.”

A total of 25 suspected cases have been reported as of 20 January 2025, all of whom have tested negative and are currently under close follow-up, the president said. The cases have been reported in Biharamulo and Muleba districts in Kagera.

“We have resolved to reassure the general public in Tanzania and the international community as a whole of our collective determination to address the global health challenges, including the Marburg virus disease,” said H.E President Hassan.

WHO is supporting Tanzanian health authorities to enhance key outbreak control measures including disease surveillance, testing, treatment, infection prevention and control, case management, as well as increasing public awareness among communities to prevent further spread of the virus.

“WHO, working with its partners, is committed to supporting the government of Tanzania to bring the outbreak under control as soon as possible, and to build a healthier, safer, fairer future for all the people of Tanzania,” said Dr Tedros. “Now is a time for collaboration, and commitment, to protecting the health of all people in Tanzania, and the region, from the risks posed by this disease.”

Marburg virus disease is highly virulent and causes haemorrhagic fever. It belongs to the same family as the virus that causes Ebola virus disease. Illness caused by Marburg virus begins abruptly. Patients present with high fever, severe headache and severe malaise. They may develop severe haemorrhagic symptoms within seven days.

“The declaration by the president and the measures being taken by the government are crucial in addressing the threat of this disease at the local and national levels as well as preventing potential cross-border spread,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “Our priority is to support the government to rapidly scale up measures to effectively respond to this outbreak and safeguard the health of the population,”

Tanzania previously reported an outbreak of Marburg in March 2023 – the country’s first – in Kagera region, in which a total of nine cases (eight confirmed and one probable) and six deaths were reported, with a case fatality ratio of 67%.

In the African region, previous outbreaks and sporadic cases have been reported in Angola, the Democratic Republic of the Congo, Ghana, Kenya, Equatorial Guinea, Rwanda, South Africa and Uganda.

Marburg virus is transmitted to people from fruit bats and spreads among humans through direct contact with the bodily fluids of infected people, surfaces and materials. Although several promising candidate medical countermeasures are currently undergoing clinical trials, there is no licensed treatment or vaccine for effective management or prevention of Marburg virus disease. However, early access to treatment and supportive care – rehydration with oral or intravenous fluids – and treatment of specific symptoms, improve survival.

Source: allafrica.com

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Tanzania: Pemba’s Woman Salt Farmers Forge Livelihoods Amid Climate Woes

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For female artisanal salt farmers in Pemba, salt production is both their livelihood and their struggle. In this deeply patriarchal Muslim community, the gleaming piles of white salt represent survival–a craft demanding patience, precision and grit. However, rising sea levels put their enterprise at risk.

As the cool morning breeze sweeps across the Indian Ocean beach in Tanzania’s Pemba archipelago, Salma Mahmoud Ali begins her day. With her brightly coloured Kikoi cinched tightly around her waist and a dark blue scarf framing her face, she walks barefoot toward her salt ponds. The humid air hangs, but Ali wades through ankle-deep water with courage.

Armed with a shovel, rake and pick, she methodically drags sparkling crystals under the rising sun. Each stroke pulls salt from the brine–a hard process born of necessity.

“It’s a tough job,” says Ali, a 31-year-old mother of three. “The heat is too much–no matter how much water you drink, the thirst won’t go away. But it’s how I feed my family and send my children to school.”

For Ali and dozens of female artisanal salt farmers in Pemba, salt production is both their livelihood and their struggle. In this deeply patriarchal Muslim community, the gleaming piles of white salt represent survival–a craft demanding patience, precision and grit.

On Pemba Island, where farms yield 2,000 tons of salt annually, prosperity feels like a mirage. Experts believe output could triple with better tools, but resources remain scarce. Families and cooperatives divide the land, with an average of four owners per plot, leaving wealth unevenly distributed. Farm owners collect the bulk of the earnings, while the workers–who toil under the weight of every harvest–are left to scrape by, their paychecks barely carrying them through the season.

Most families rely on coarse, untreated salt, with only one in four affording iodized varieties. “It’s our life,” said Halima Hamoud Heri, a laborer, kneeling under the blazing sun. “Hard, but it keeps us going.”

Gruelling Craft

Salt farming has always tested endurance, but climate change conspires against the women who depend on it. Rising temperatures accelerate evaporation, often causing salt to crumble before it can be harvested. Unpredictable rainfall–once a seasonal certainty–now arrives without warning, flooding the ponds and washing away weeks of labor back into the sea.

“We used to know when the dry season would start and end,” says Khadija Rashid, who has worked the ponds for 10 years. “Now the rain surprises us. Sometimes it’s too hot, and the salt dries too fast. Other times, the rain ruins everything before we can collect it.”

For families like Ali’s, whose alternative livelihoods like fishing and farming have also been battered by erratic weather, salt production is a lifeline. It is work that demands accuracy and perseverance, and it leaves its mark on those who perform it. The sun cracks skin and the salt cuts into hands.

“By the time you carry the seawater, clear the mud, and harvest the salt, you’re so tired you can barely stand,” says Ali. “But you still have to do it again tomorrow.”

A Fragile Ecosystem

Standing at the edge of a salt farm in Pemba, Batuli Yahya, a field marine scientist from the Institute of Marine Sciences at the University of Dar es Salaam, gestured toward the silvery expanse.

“Salt production depends on delicate environmental conditions,” she says. “But those conditions are changing faster than ever due to climate pressures.”

The salt ponds, once reliable sources of livelihood for coastal communities, are increasingly at risk as rising sea levels, erratic rainfall, and intensifying heat disrupt their fragile balance.

“Sea level rise causes seawater to spill over into areas where salinity levels are meticulously controlled,” Yahya explains. “It’s a growing threat that turns productive farms into unusable pools.”

The challenges don’t end there. Rainfall patterns have become more unpredictable, she said, with sudden downpours diluting the brine or destroying salt pans altogether.

“Too much rain at the wrong time can ruin months of preparation,” Yahya notes. “And when it’s coupled with longer dry spells, it creates a cycle that’s hard to manage.”

Higher temperatures are also exacerbating the situation.

“Evaporation is critical to the salt production process, but extreme heat pushes salinity levels beyond what the ecosystem can handle,” Yahya says. “The microorganisms that play a key role in salt crystallization struggle to survive in such conditions.”

For many coastal communities, the implications are severe. “This is not just an environmental issue,” says Ali.

The challenges extend beyond weather. The reliance on manual labor to carry seawater to the ponds, clear mud, and harvest salt leaves many women exhausted and prone to injuries. The physical toll is compounded by the economic pressure to produce enough salt to sustain their families.

Finding Solutions

Amid challenges, Pemba’s salt farmers find strength in unity. Through local women’s associations, they adopt innovations to protect their work and improve production. One such breakthrough has been the introduction of solar drying covers–transparent sheets that shield ponds from sudden downpours while concentrating heat to speed up evaporation. “Before, if the rain came, we lost everything,” says Heri, demonstrating how she spreads the covers over her pond. “Now, we can save our salt, even during the wet season.”

The association also promotes knowledge-sharing among the women. Techniques to harden soil, efficiently distribute seawater, and package salt for market are taught collectively.

“Working alone, I would have given up,” says Ali. “But together, we find solutions. If one of us learns something new, she teaches the rest of us.”

Empowerment Through Enterprise

The women’s collective efforts improve livelihoods. Salt once sold in unmarked bags at local markets now reaches buyers in shops across Tanzania.

“I used to sell just enough to buy rice for the day,” says Ali. “Now I sell in bulk, and I’ve now saved Tanzanian shillings 455,000 (USD 187.)”

With the additional income, Ali has been able to feed her family and send children to school. “My daughter tells me she wants to be like me,” she says. “But maybe with a little less sunburn.”

The success has begun shifting perceptions in their community. Men who once dismissed salt farming as “boring work” now recognize its value, and some even assist with heavier tasks.

“We’re not just salt farmers anymore,” says Rashid. “We’re businesswomen.”

Hope Amid Challenges

Despite their progress, barriers remain. Access to financing is limited, and tools like solar covers and pumps are still too expensive for many women. Climate change continues to push them to innovate faster.

“We need more support,” says Ali. “Better tools, more training, and access to loans,”

Still, the women soldier on. Ali drags the day’s harvest into piles while pausing to wipe her brow.

“I hope the situation will improve and we will succeed even more,” she says.

Note: This feature is published with the support of Open Society Foundations.

Follow @IPSNewsUNBureau

Source: allafrica.com

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‘No Marburg Confirmed In Tanzania’, But Mpox Remains ‘Public Health Emergency’

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‘No Marburg Confirmed In Tanzania’, But Mpox Remains ‘Public Health Emergency’

Monrovia — The Director General of the African Centers for Disease Control, Jean Kaseya, has said the center stands ready to support Tanzania and other countries in the region where suspected cases of the infectious Marburg Virus Disease have been identified. The World Health Organization earlier this week issued an alert warning of a possible outbreak in the country, although the Tanzanian Health Ministry has said tests conducted on available samples did not show the existence of Marburg in the East African nation.

“As of the 15 of January 2025, laboratory results from all suspected individuals were negative for Marburg Virus,” Tanzanian Health Minister Jenista Mhagama said in a statement. This would have marked the country’s second experience with the highly infectious disease that recently killed over a dozen people in neighboring Rwanda. Tanzania previously reported an outbreak of Marburg in 2023 in the  Kegara region, said to have been the epicenter of the new suspected cases.

At the Africa CDC online briefing on Thursday, Kaseya also said another infectious disease, Mpox, “remains a public health concern”. He said that while in December 2024, the disease had afflicted 20 countries, a new country – Sierra Leone – has been added to the number after recent outbreak there. Sierra Leonean health authorities said on January 10 that two cases of Mpox had been confirmed in the country and dozens of contacts are being traced.

With thousands of confirmed cases of Mpox across Africa and more than 1000 people having died of the disease  – mainly in Central Africa – Kaseya emphasized the need to increase testing, a theme he’s heralded before. The Africa CDC boss said over the next few months the continental health watchdog will deploy additional epidemiologists and community health workers to areas considered hot spots of infectious diseases in the region.

Source: allafrica.com

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