After mpox outbreak, Africa is under the threat of yet another virus outbreak, this is the Marburg virus outbreak in Rwanda. So far, six people have died from the outbreak, confirmed the health minister. Most victims were the healthcare workers in the hospital's intensive care unit. As per reports, 20 cases have been identified since the outbreak was confirmed on Friday.

What Is Marbug Virus?

With the fatality rate of 8% it is the same virus family as Ebola. The main carrier is from fruit bats which spreads to humans then through the contact of bodily fluids of infected individuals, it spreads to others.

Common Signs And Symptoms

The common signs and symptoms of the Marburg virus include fever, pain, diarrhoea, vomiting and in the case of extreme blood loss, death too can happen.

So far, there is no specific treatment or vaccine for the virus. However, treatments like drugs and immune therapy are being developed as per the World Health Organisation (WHO).

Call Of Action

Rwanda says that it has intensified its contact tracing, surveillance and testing to contain the spread. It has also tracked about 300 people who had come into contact with individuals affected by the Marburg virus.

The health minister has urged people to stay vigilant and avoid any physical contact and to wash their hands with clean water, soap or sanitiser and report any suspected case.

As of now, most of the cases have spread to the capital in Kigali. In light of this, the US Embassy in the city has advised its employees to work remotely for the next week.

This is the first time Rwanda has confirmed for Marburg cases, before this, in 2023, Tanzania confirmed the outbreak, whereas three people had died of this in Uganda in 2017.

History Of Marburg

As per WHO, this virus kills half of the people it infects. In the previous outbreaks, it has killed between 24% to 88% of the patients.

The virus was first detected in 1976 after 31 people were infected, out of which 7 died in simultaneous outbreak in Marburg and Frankfurt in Germany, and Belgrade in Serbia.

The source was traced to African green monkeys who were imported from Uganda. However, other animals too are linked to the virus spread, including bats.

In the past, the virus outbreaks have happened in countries like Equatorial Guinea, Ghana, the Democratic Republic of the Congo, Kenya, South Africa, Uganda, and Zimbabwe. In 2005, this virus killed 300 people in Angola.

However, for the rest of the world, only two people have died from the virus in the rest of the world, with one of them being in Europe, and the other in the US. These both have been on expeditions to caves in Uganda.

Johnson & Johnson is about to end what can be described as one of the most controversial lawsuits in the pharmaceutical industry. The pharma giant has agreed to pay $5.5 billion to settle tens of thousands of cases alleging that its baby powder and other talc products can cause ovarian cancer.

The settlement covers around 76,000 lawsuits pending across U.S. federal and state courts. It will be final after it gets approved by 95% of eligible claimants. If finalized, a few payments are expected to begin in 2027, with additional payouts extending into 2028.

Johnson & Johnson To Settle Talc-Cancer Lawsuit

According to Reuters, the settlement covers 99.75% of the remaining ovarian cancer claims against Johnson & Johnson.

The company has previously resolved most lawsuits involving mesothelioma, another cancer linked to alleged asbestos in its talc products.

The agreement comes after years of courtroom battles, manipulative bankruptcy strategies, and mixed trial verdicts.

It also follows a recent ruling by a U.S. federal judge questioning whether plaintiffs' expert witnesses had provided the court with sufficient scientific evidence that links talc use directly to ovarian cancer, a development that strengthened J&J's legal position ahead of negotiations.

Also read: US Man Says ChatGPT's Medical Advice Nearly Killed Him: How Safe Is AI for Health Questions?

Johnson & Johnson Continues To Plead 'Not Guilty'

Despite agreeing to the massive settlement, Johnson & Johnson continues to deny that its talc products caused cancer.

Erik Haas, the pharma company's Vice President of Litigation, said the claims were "meritless" and that the company chose to settle to obtain closure after years of litigation.

The company has consistently maintained that its talc products are safe, asbestos-free, and that the settlement does not constitute admission of any wrongdoing.

The law firms representing thousands of women reportedly welcomed the agreement, describing it as a long-awaited resolution after nearly a decade of tedious litigation.

According to Reuters, attorneys representing the claimants said the settlement delivers meaningful compensation to affected women and their families after years of legal ambiguity.

Also read: Novo Nordisk Sues Eli Lilly Over Weight-Loss Drug Ads: Should GLP-1 Users Be Concerned?

J&J Talc-Cancer Lawsuit: About The Controversial Case

The lawsuits became one of the largest mass tort cases. The case combined complex scientific questions with allegations that the company knew of possible health risks but failed to warn the consumers and continued to sell the products.

The case dates back more than a decade, when women who had regularly used Johnson's Baby Powder for feminine hygiene began filing lawsuits alleging that it had increased their risk of ovarian cancer.

Another group of lawsuits alleged that certain talc products contained asbestos, a known carcinogen that could cause mesothelioma.

Johnson & Johnson has repeatedly denied that its talc products contain asbestos or caused cancer.

The first major jury verdict awarded $72 million to the family of Jacqueline Fox, who died from ovarian cancer after decades of talc use. Although the verdict was later overturned, it sparked thousands of similar lawsuits.

A California jury awarded $417 million to Eva Echeverria, who claimed long-term use of Baby Powder caused her ovarian cancer.

One of the largest verdicts came when 22 women were awarded $4.69 billion (later reduced on appeal to $2.1 billion) after a Missouri jury found J&J liable for failing to warn consumers about asbestos in their talc products.

Some studies found a link between genital talc use and ovarian cancer, whereas others found insufficient evidence. This disagreement remains the highlight of the courtroom battles even today with no definite discovery.

The US Food and Drug Administration (FDA) has approved SimpleScreen CRC, a new blood-based screening test for colorectal cancer (CRC), the second-leading cause of cancer-related death in America.

Developed by Freenome, the test is intended for adults aged 45 and older who are at average risk for CRC. It detects cancer-associated signals from cell-free DNA (cfDNA) in the blood. However, the company said it is not a replacement for diagnostic or surveillance colonoscopy in high-risk individuals.

"A blood-based test provides another way to reach unscreened patients, and bringing more people into the screening fold leads to earlier detection and better outcomes," said Aasma Shaukat, Professor of Medicine at NYU Grossman School of Medicine.

How Does the SimpleScreen CRC Test Work?

The test is indicated for adults aged 45 years and older who are at average risk for CRC and have been referred by a healthcare provider for screening. A positive result suggests the possible presence of colorectal cancer or advanced precancerous lesions and should be followed by a colonoscopy.

A study, which enrolled over 48,000 adults across more than 200 sites, demonstrated that the test has:

• 81.1% sensitivity for detecting colorectal cancer.
• 13.7% sensitivity for detecting advanced precancerous lesions (APLs), including 30.7% for APLs with high-grade dysplasia.
• 90.4% specificity for advanced colorectal neoplasia.

Abbott will exclusively commercialize SimpleScreen CRC in the US.

Also read: India's National Hepatitis Program Screens Over 210.6 Million, Treats 612,000 Patients

Why Is Colorectal Cancer Screening Important?

Colorectal cancer is highly preventable and treatable when detected early through screening. Up to 60 million Americans remain overdue for recommended screening, highlighting the need for more convenient screening options.

Although up to 90% of colorectal cancer deaths are preventable, the disease is still expected to claim more than 55,000 lives in the US this year. Regular screening remains key to early detection and improved outcomes.

What Is Colorectal Cancer?

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Also called colon cancer, colorectal cancer is among the most common cancers globally, yet it often goes unnoticed because its symptoms can be subtle.

"It's a cancer that can creep in quietly, and by the time it's diagnosed, it may already be at an advanced stage," said Dr. Sajjan Rajpurohit, Medical Oncologist at BLK-Max Super Speciality Hospital. "Early detection is the most powerful tool in improving survival rates."

Early Symptoms People Ignore

Colon cancer often develops with subtle symptoms that are easy to overlook.

Common early signs include:

• Persistent changes in bowel movements, such as chronic constipation or diarrhea.
• Blood in the stool, whether bright red or dark.
• Unexplained weight loss.
• Abdominal cramps or bloating that may be mistaken for common digestive issues.

The number of confirmed Ebola cases in the Democratic Republic of Congo (DRC) has reached 3,200, including a death toll of 1,405, according to the latest official data.

Caused by the rare Bundibugyo strain, the outbreak is the third-largest on record.

Amid the worsening outbreak, researchers have reached an important scientific milestone in vaccination. The first human volunteer has received an experimental vaccine targeting the Bundibugyo strain of Ebola, marking the world's first Phase I clinical trial, the University of Oxford said.

The vaccine, known as ChAdOx1 BDBV, uses the same viral vector platform that was employed for the Oxford-AstraZeneca COVID-19 vaccine.

Professor Katrina Pollock, chief investigator at the Oxford Vaccine Group, described the launch as "an important milestone" in the effort to develop protection against a virus for which no licensed vaccine currently exists.

"We welcome the start of the phase 1 clinical trial of an investigational vaccine against Ebola Bundibugyo virus disease — an important step to assess the safety and immune responses generated by the vaccine," said Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization (WHO) said in a post on social media platform X.

What Is The Chadox1 BDBV Vaccine? How Does It Work?

Also read: Ebola Bundibugyo Strain: All You Should Know About The Rare Virus

ChAdOx1 BDBV, developed in collaboration with Serum Institute of India (SII), is designed specifically to protect against the Bundibugyo strain of Ebola.

It is reportedly the first of four Bundibugyo Ebola vaccine candidates currently under development to enter human clinical trials.

The vaccine uses a genetically modified chimpanzee adenovirus (ChAdOx1)—a harmless virus that normally causes the common cold in chimpanzees—as a delivery vehicle.

Scientists have inserted genetic material from the Ebola Bundibugyo virus into this harmless virus. Once injected in humans, the modified virus trains the immune system to recognize the Ebola virus and produce protective antibodies and fight the infection.

The vaccine has already shown promising results in mice and macaque monkeys and is being manufactured to clinical standards by the SII, which has already produced and stockpiled around 620,000 doses. Based on preclinical data, the UK's MHRA approved the vaccine to proceed to human trials.

Read More: Ebola Outbreak: The Unique Symptoms Seen In Patients Infected With Bundibugyo

ChAdOx1 BDBV Vaccine: Phase 1 human trial

The Oxford researchers will recruit 50 healthy adults aged 18 to 55 years in the UK for the Phase 1 trial.

Scientists are also working with partners in Uganda to prepare future clinical trials in Africa. Participants will be monitored for one year, although researchers expect to know much sooner whether the vaccine generates the desired immune response and whether any unexpected side effects occur.

Can A Single-dose Vaccine Work?

Researchers are also exploring preventive vaccination strategies for healthcare workers and people who have been in close contact with infected patients.

One such approach is ring vaccination, in which individuals surrounding a confirmed Ebola case are vaccinated or given preventive treatment to stop further spread.

The goal is to develop a single-dose vaccine, similar to the licensed vaccine against the Ebola Zaire strain. Scientists believe that both antibodies and T cells—immune cells that recognize and destroy infected cells—will play an important role in protection, although long-term immunity against the Bundibugyo strain is not yet fully understood.

"Pre-clinical models for these pathogens have already shown that a single-dose vaccine can protect animals. So, we are optimistic that a one-shot vaccine is achievable," Prof Teresa Lambe, Head of Vaccine Immunology, Oxford Vaccine Group, Pandemic Sciences Institute, University of Oxford, told The Indian Express.