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.

Russia has told the World Health Organization (WHO) that no cases of plague have been recorded in Irkutsk, the Siberian city that has sparked international headlines after a laboratory worker from an anti-plague research institute died after suspected exposure to pneumonic plague infection.

The WHO said Russian authorities responded on October 6 to its request for information under the International Health Regulations (IHR), saying the woman’s illness had initially appeared to be a typical acute respiratory viral infection.

Russia also reported that no plague case had been recorded in Irkutsk, either in the woman or among her contacts.

However, the exact cause of the woman’s death still remains unclear.

Russia Says No Plague Cases In Irkutsk

The WHO recently said, “WHO is aware of media reports that a laboratory worker in Irkutsk oblast, in the Russian Federation, died of suspected pneumonic plague, and that nearly 200 of her contacts were under medical observation and being tested."

“On 3 October, WHO asked the Russian authorities under the International Health Regulations (IHR) for any further information they had, so we could assess the risk.”

The WHO said Russia reported that “no case of plague has been recorded in Irkutsk, either in her or in anyone else.”

Adding further, the health body said, "They informed WHO that an epidemiological investigation had been conducted, preventive and control measures implemented, and identified contacts placed under medical observation and tested. They reported that no high-threat pathogens had been detected among the contacts and that medical observation of all identified contacts had been completed."

But the agency is still seeking an answer on what caused the fatal pneumonia as the lab worker's death still remains a mystery.

It said, “WHO has remained in contact with the Russian health authorities and has offered technical support. WHO has requested further information to clarify the cause of the severe pneumonia, the pathogen that prompted the public health measures, and media reports of a second employee with pneumonia of undetermined cause.”

Also read: Russia Plague Scare: What Black Death and Anthrax Outbreaks Teach Us About Lab Safety

Lab Worker's Death Still Remains Unexplained

The 28-year-old woman, identified by Russian media as Darya Shipilova, worked at the Irkutsk Anti-Plague Research Institute of Siberia and the Far East. She died on October 2 after developing severe pneumonia of "unknown origin", according to Russian authorities.

Her death sparked precautionary measures including quarantine. According to reports, around 200 people who had contact with her placed under medical observation. Russian health authorities said testing of those contacts found no dangerous infectious-disease pathogens. Some contacts reportedly tested positive for COVID-19 or rhinovirus.

Reports circulating on social media claimed she may have been infected after a laboratory accident involving Yersinia pestis, the bacterium that causes plague. Russian authorities have rejected the laboratory-accident theory, and there is currently no independent evidence confirming that such an incident occurred.

Also read: Russia Plague Scare: Is Pneumonic Plague Deadlier Than Bubonic & Septicemic Plague?

What Could Confirm Plague?

Javier Pizarro-Cerda, head of the Yersinia Research Unit at the Institut Pasteur in Paris, told CNBC that he was “very surprised” by the reported death because laboratories handling plague generally use strict protective measures.

“You work with a full body suit. You work with masks. You work with gloves. So even if you break a tube, normally you should be protected,” he said.

Pizarro-Cerda also said Russia has a plague vaccine, although he described its protection as low and transient compared with standards elsewhere.

Pizarro-Cerda said plague testing can be performed rapidly and that an autopsy should provide evidence if the woman had pulmonary plague.

The laboratory worker reportedly died on October 2, giving authorities several days to conduct diagnostic tests. Still, there is no confirmation that pneumonic plague caused her death or that a laboratory accident occurred.

Key questions remain whether Yersinia pestis was detected, whether there was evidence of laboratory exposure, and whether genetic testing can establish the source of any infection.

The suspected plague is still being investigated. The concern stems partly from the nature of the institute where Shipilova worked. The facility studies dangerous pathogens, including plague, in a region where the disease occurs naturally among wild animals.

Pneumonic plague is the most severe form of plague because it affects the lungs and can spread between people through respiratory droplets. Plague is treatable with antibiotics when diagnosed and treated promptly.

The WHO has assessed the public-health risk as moderate-to-low for Irkutsk, low for Russia overall and very low for the WHO European region.

Aspirin has long been studied for its role in colorectal cancer prevention. But a new trial suggests that when aspirin is started may be of more importance compared to whether it is used at all.

In the latest study, researchers discovered that aspirin did not prevent cancer recurrence or improve survival in people whose colorectal cancer had already spread to the liver.

The study, published in The Lancet Gastroenterology & Hepatology, is based on 428 patients who were treated for colorectal cancer liver metastases at 14 hospitals across Norway, Sweden and Denmark. Participants were randomly assigned to receive either 160 mg of aspirin or a placebo every day for up to three years.

Aspirin Did Not Help After Cancer Had Spread

After treatment for their liver metastases, patients taking aspirin did not have better results than others who took placebo.

In fact, after three years, 76% of people in the aspirin group were alive compared to 85% in the placebo group. Researchers say that the overall survival was a secondary outcome. They also said that the trial was not designed to provide a definitive answer about that measure.

Serious adverse events were also more common with aspirin, occurring in 8% of the aspirin group compared with 2% of the placebo group. Reported complications included heart attacks, nosebleeds, duodenal ulcers and cerebral haemorrhage.

“Although aspirin has been shown to reduce recurrence rates in patients who have undergone surgery for a primary tumour in the colon or rectum, its effects still need to be evaluated in the specific patient group for which it is intended, in this case patients with colorectal cancer that has spread to the liver. We found no clear benefit in this group, while serious adverse events were more common,” said Ernesto Sparrelid, adjunct professor at Karolinska Institutet.

Also read: Why Someone Days Away From Death May Start To See Loved Ones: End-Of-Life Doctor & Neurologist Explain

Aspirin Works In Earlier-Stage Cancer

The new findings contrast with results from the ALASCCA trial, which found that low-dose aspirin reduced colorectal cancer recurrence in patients whose tumours had alterations in genes related to PI3K.

In that trial, the three-year recurrence rate was 7.7% with aspirin versus 14.1% with placebo among patients with specific PIK3CA alterations.

This suggests that aspirin may not be a universal anti-cancer drug. Its benefit may largely depend on the biology of the tumour and how advanced the cancer stage is.

“The anticancer effects of aspirin may depend on the biological and clinical context,” said co-principal investigator Kjetil Taskén of the University of Oslo.

Another possible explanation is that aspirin's anti-inflammatory and anti-platelet effects may interfere with some of the biological processes involved in early tumour growth and recurrence. But once cancer has already spread, particularly to the liver, the biology becomes more complex.

“Aspirin is a well-established, inexpensive and widely available drug, and there is considerable interest in whether it can also reduce the risk of cancer recurrence,” said lead author Sheraz Yaqub of the University of Oslo. “Our findings demonstrate why such treatments must be tested in rigorous randomized trials before being adopted for new patient populations.”

Also read: Trump Says He ‘Psychologically’ Needs To Pop Aspirin Every Day: But Is It Actually Safe?

Trump’s Recent Comments About Aspirin

The findings come just days after President Donald Trump disclosed that he takes aspirin every day, adding that prefers a full-strength tablet.

At an October 3 rally in Ohio, Trump said, “I take an aspirin a day. I don't know if it works, but psychologically I need it.” He also said doctors had wanted him to switch to a lower dose, but that he preferred the larger tablet.

Trump's comments have reignited discussion about daily aspirin use, but they should not be interpreted as medical advice.

Aspirin may reduce clot formation, but it can also increase the risk of serious bleeding. The American Heart Association says routine daily aspirin is generally not recommended for healthy adults without cardiovascular disease unless advised by a healthcare professional.

And the new cancer findings add another reason not to assume that taking aspirin routinely will prevent cancer or improve outcomes after a diagnosis.

The suspected pneumonic plague case in Russia has revived memories of the Black Death and the 1979 Sverdlovsk anthrax outbreak.

While Russia has denied any plague outbreak, the death of a young laboratory worker and reports of nearly 200 people being placed under medical observation have raised questions about laboratory safety and what may have happened.

Moscow told the World Health Organization (WHO) that no plague cases have been detected in Irkutsk and that the deceased woman’s contacts tested negative for dangerous pathogens. COVID-19 and rhinovirus were detected in some people under observation.

Russia Says No Plague Cases Detected

Russian authorities told the WHO that there was “no case of this dangerous disease” in Irkutsk, WHO spokesperson Christian Lindmeier said at a Geneva briefing.

Russia also said contacts of the deceased tested negative for dangerous infectious pathogens.

The circumstances of the death have nevertheless raised questions about laboratory safety and possible pathogen exposure.

Also read: Russia Plague Scare: Could It Trigger A New Pandemic? Experts Explain

From Black Death to Pneumonic Plague

The Black Death swept across Eurasia and North Africa between 1346 and 1353, killing an estimated 30% to 60% of Europe’s population.

It was caused by Yersinia pestis, the same bacterium responsible for plague today. The pandemic was primarily associated with bubonic plague, although pneumonic plague also occurred.

Bubonic plague is mainly spread through infected flea bites, while pneumonic plague affects the lungs and can spread between people through respiratory droplets during close contact. Modern antibiotics can treat plague, particularly when given early.

The 1979 Sverdlovsk Anthrax Outbreak

The circumstances surrounding the Russian lab worker’s death have also revived memories of the anthrax outbreak in Sverdlovsk, then part of the Soviet Union, in April and May 1979.

Soviet authorities initially blamed contaminated meat, while US officials attributed the outbreak to anthrax spores accidentally released from a military microbiology facility.

The distribution of human and animal cases along a path extending from the facility was consistent with an airborne release.

The incident remains an important example of the consequences of an accidental biological-agent release.

Why Has the Russia Case Raised Questions?

Read More: Russia Plague Scare: Is Pneumonic Plague Deadlier Than Bubonic & Septicemic Plague?

The cause of the laboratory worker’s death and the circumstances of any possible exposure remain unclear.

The reported quarantine of nearly 200 people has also raised questions about the scale of the response.

Dr. Ashish Jha, former dean of Brown University’s School of Public Health, said the case had raised several “red flags.”

He questioned whether a laboratory worker handling plague would have been vaccinated or received antibiotics promptly after a suspected exposure, and why so many people were placed under quarantine.

Jha also pointed to Russia’s history of biological weapons research and expressed concern about the lack of information from Russian authorities.

There is currently no evidence, however, that the death was linked to a biological weapons programme or that a laboratory leak occurred.

How Safe Are Plague Laboratories?

Javier Pizarro-Cerda, head of the Yersinia Research Unit at the Institut Pasteur in Paris, told CNBC that he was “very surprised” by the reported death because laboratories handling plague generally use strict protective measures.

“You work with a full body suit. You work with masks. You work with gloves. So even if you break a tube, normally you should be protected,” he said.

Pizarro-Cerda also said Russia has a plague vaccine, although he described its protection as low and transient compared with standards elsewhere.

What Could Confirm Plague?

Pizarro-Cerda said plague testing can be performed rapidly and that an autopsy should provide evidence if the woman had pulmonary plague.

The laboratory worker reportedly died on October 2, giving authorities several days to conduct diagnostic tests.

Still, there is no confirmation that pneumonic plague caused her death or that a laboratory accident occurred.

Key questions remain whether Yersinia pestis was detected, whether there was evidence of laboratory exposure, and whether genetic testing can establish the source of any infection.