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.

After nearly two months, Uganda has announced that it has successfully contained its latest Ebola outbreak. Authorities say that prompt and aggressive surveillance, rapid treatment, contact tracing, and active cross-border coordination helped stop the spread. The government has now sought the removal of international travel restrictions that were put in place imposed during the outbreak.

Ebola Outbreak In Uganda Contained

The Ugandan Ministry of Health recently said all confirmed Ebola patients have either recovered or completed treatment, while every identified contact has been traced and monitored.

Authorities have also strengthened screening and preventive measures along the border with the Democratic Republic of the Congo (DRC), where a much larger Ebola outbreak continues to remain a global concern.

According to the latest figures, the country recorded 20 confirmed Ebola cases, including two deaths. 16 people have recovered from the disease.

The last confirmed infection was reported on June 21. The Health Ministry said that no new cases have been detected and reported since then. Most infections in Uganda were linked to travel from the DRC, while a only a few resulted from local transmission.

Officials argue that the outbreak has been effectively controlled through rapid isolation of patients, extensive contact tracing, quarantine of exposed individuals and supportive medical care.

After no new cases were reported, Ugandan authorities have begun discussions with countries to lift the Ebola-related travel restrictions.

Also read: Uganda On Alert Over Suspected Marburg Virus Outbreak

Ebola Outbreak In The DRC Continues To Remain A Concern

In Congo, the situation is still grim. The capital of Ituri province remains at the heart of the Ebola outbreak. According to latest data, the country has recorded at least 1,561 confirmed cases, including 506 deaths and 254 people recovered. More than 10,000 contacts are being monitored.

Dr. Anne Ancia, WHO’s representative to the DRC said, “True scale has not yet been fully established. We would like to say it is stabilising, but frankly, we cannot say it yet.”

Amid the challenges, a few encouraging developments include the progress made on testing after daily capacity was increased from 30 tests in Kinshasa to more than 2,000 as 10 decentralised laboratories were established in the affected provinces on priority.

Another piece of good news is the start of a clinical trial on July 2, which can help identify and narrow down treatment options for Ebola, as currently there is no approved, proven path of treatment and cure for the Bundibugyo strain.

The trial will examine two promising therapies - a monoclonal antibody, MBP134, and the antiviral remdesivir.

About Bundibugyo Ebola Virus

The Bundibugyo virus was first identified in Uganda in 2007 and has caused only a few outbreaks since then. As infections have been relatively uncommon compared to the Zaire strain, researchers have had limited opportunities to develop vaccines, treatments and diagnostic tests.

Due to this, healthcare workers have been compelled to rely primarily on rapid isolation of patients, intensive supportive care, contact tracing, and strict infection prevention measures to slow transmission.

Currently, Eastern DRC is the hotspot for the Bundibugyo Ebola outbreak, where conflict, population displacement, skepticism, and insecurity have made it difficult for health workers to reach affected locations.

A team of US scientists has developed a new HIV vaccine that trains the immune system to overcome the virus's defenses, producing the strongest HIV-fighting antibody response ever reported in non-human primates.

The vaccine, developed by researchers from La Jolla Institute for Immunology (LJI), Scripps Research, and IAVI, is the first to generate a high number of broadly neutralizing antibodies against HIV in primates. Human trials have now begun.

“This feels like a huge success,” said LJI Professor and Chief Scientific Officer Shane Crotty.

“We constructed a successful vaccine from the ground up, which required a deep understanding of the immune system.” The findings are published in the journal Nature.

How Does The New Vaccine Work?

The vaccine is designed to guide the body's B cells—the immune cells responsible for making antibodies. Normally, B cells begin in a naïve state and gradually mature after encountering a virus. As they mature, they continuously refine the antibodies they produce, improving their ability to recognize and neutralize the virus.

Instead of waiting for this process to happen naturally, the new vaccine directs B cells through each stage of development.

Also read: US Hospital Performs World's First HIV-to-HIV Lung Transplant, Offering Fresh Hope for HIV Patients

The approach includes:

• A priming vaccine that activates naïve B cells.
• A series of booster shots that guide these cells toward producing broadly neutralizing antibodies capable of recognizing many HIV strains.

“This series of vaccinations will guide, or ‘walk’, a B cell from its naive state to its broadly neutralizing state,” said LJI Instructor Patrick Madden.

The scientists called this strategy germline targeting because it targets B cells before they begin their normal maturation process.

Strong Results in Animal Studies

To evaluate the vaccine, researchers tested it in rhesus macaques. The results showed:

• Around 44% of vaccinated animals produced broadly neutralizing antibodies against HIV.
• The antibody levels were unusually high compared with previous vaccine studies.
• The antibodies closely resembled those found in the small number of people who naturally develop broad protection against HIV.

“We succeeded in taking ultra-rare antibody responses and turning them into common responses by the end of the vaccination process,” Crotty said.

The researchers did not test whether the antibodies could completely prevent HIV infection. However, finding these antibodies circulating in the bloodstream suggests they could potentially recognize and block the virus.

Human Trials Underway

Read More: HIV No Longer Barrier To Organ Transplants, Say Delhi Doctors After Successful Kidney Surgery

The researchers are now working to improve the vaccine further, including refining the booster schedule to increase the number of individuals who develop broadly neutralizing antibodies.

“It was incredible to get those results, but of course we'd like to see a response in 100 percent of the animals,” Madden said.

According to the researchers, the antibodies produced in the vaccinated animals closely matched the broadly neutralizing antibodies seen in the rare people who naturally develop them.

“We believe this vaccine approach is even more likely to succeed in humans, because of the immunogenetics,” Crotty said.

Global Burden Of HIV

According to the World Health Organization, globally, 40.8 million [37.0–45.6 million] people were living with HIV at the end of 2024. Out of these, 1.3 million individuals newly acquired the virus, and 630,000 people died from AIDS-related illnesses.

To date, there is no vaccine available that will prevent HIV infection. Developing an HIV vaccine has remained one of the biggest challenges in medicine because the virus is exceptionally good at evading the immune system.

“The worldwide diversity of HIV mutations is extraordinary. Even the diversity within one individual person living with HIV is dramatic,” Madden said.

Endometriosis, a painful condition that affects around 1 in 10 women of reproductive age in the UK, takes an average of more than nine years to diagnose. That could soon change.

Based on the National Institute for Health and Care Excellence's (NICE) draft guidance, the NHS will roll out two non-invasive tests — the saliva-based Endotest and the gut sensor-based EndoSure — to help speed up the diagnosis of endometriosis in England and Wales.

NICE's draft early use healthtech guidance recommends the use of EndoSure and Endotest in the NHS during a three-year evidence generation period while additional data is collected on how well they work.

“The tests can be used to diagnose endometriosis in primary care, where current diagnostic accuracy can be limited by the availability of other tests and variation in expertise,” NICE said.

“A diagnosis of endometriosis can for some women take the best part of a decade, with the UK average standing at 9 years and 4 months, and rising to 11 years for those from ethnically diverse communities. That delay means living with chronic pelvic pain that affects daily life, relationships and work," said Dr. Anastasia Chalkidou, HealthTech Programme Director at NICE.

“The new technologies offer a less invasive, faster approach to receiving a diagnosis that does not rely on ultrasound operator expertise, potentially enabling earlier decision-making and reducing the need for unnecessary invasive investigations,” Chalkidou added.

Also read: Emma Barnett: It Took 21 Years To Diagnose My Endometriosis

What Is Endometriosis?

According to the World Health Organization (WHO), endometriosis is a disease in which tissue similar to the lining of the uterus grows outside the uterus. It can cause severe pelvic pain and make it difficult to conceive.

The condition can begin with a person's first menstrual period and last until menopause. It most commonly affects the ovaries, fallopian tubes and intestines, with pelvic pain and menstrual irregularities among the most common symptoms.

Diagnosis currently relies on ultrasound scans, MRI or laparoscopy, in which a camera is inserted through a small incision in the abdomen. Yet despite these diagnostic tools, women in England and Wales often wait as long as a decade for a diagnosis.

Those eventually diagnosed with endometriosis have reported that delays contribute to increased suffering, prolonged ill health and disease progression that can become more difficult to treat.

How Do EndoSure And Endotest Work?

READ: This Is Endometriosis, A Short Film On Debilitating Health Condition Wins BAFTA Award 2026, Know More

Endotest analyses a saliva sample to identify tiny biological markers called microRNAs that can indicate whether endometriosis is likely to be present. The sample is sent to a laboratory for analysis, and the results are returned to the treating healthcare professional to help guide diagnosis and care.

EndoSure is a non-invasive test that detects endometriosis by measuring electrical signals in the gut using sensor pads placed on the abdomen. Patients fast for six to eight hours before the test and drink water until full during the 45-minute procedure to help the device accurately record gut activity. Results are available immediately after the test.

“These technologies have the potential to change that by giving primary care professionals better non-invasive tools to identify endometriosis earlier, allowing earlier and better treatment,” Chalkidou said.

“Our draft guidance reflects our commitment to getting promising innovations to patients quickly, while making sure the evidence to support their wider use is built in a rigorous way.”

Who Can Use the Tests?

Both tests are intended to be used alongside standard clinical practice to support diagnosis, referral and management. They are not standalone diagnostic tests.

They should only be used in women in whom endometriosis is still suspected despite a normal clinical examination and either negative or inconclusive imaging results, or where imaging is unsuitable or unacceptable. The tests must be used by a healthcare professional.

Early economic modelling suggests both technologies could be cost-effective. During the evidence generation period, they will be funded through core NHS funding. The companies are responsible for organizing the evidence generation activities, and NICE will review progress annually.

A third test, DotEndo, needed more research before it could get the green light, Nice said.

Experts Welcome The Move

Endometriosis UK welcomed NICE's announcement, calling it "a major step forward in reducing disease impact and supporting those with endometriosis to live well with the disease."

The charity also said the rollout should be accompanied by better education for GPs and Practice Nurses to ensure prompt access to testing, earlier recognition of symptoms, and improved understanding of endometriosis, adenomyosis and other menstrual health conditions.

Dr Gail Busby, consultant gynecologist at Manchester University NHS Foundation Trust, called the tests "game-changer because they give us answers much earlier, without the need for invasive surgery, and that means we can start the right treatment sooner".