Imported case of Marburg Hemorrhagic Fever, in the Netherlands

Aura Timen, Marion P.G. Koopmans, Ann C.T.M. Vossen, Gerard J.J. Van Doornum, Stephan Günther, Franchette Van Den Berkmortel, Kees M. Verduin, Sabine Dittrich, Petra Emmerich, Albert D.M.E. Osterhaus, Jaap T. Van Dissel, Roel A. Coutinho

Research output: Chapter/Conference proceedingChapterAcademic

Abstract

On July 10, 2008, Marburg hemorrhagic fever (MHF) was confirmed in a Dutch patient who had vacationed recently in Uganda. Exposure most likely occurred in the Python Cave (Maramagambo Forest), which harbors bat species that elsewhere in Africa have been found positive for Marburg virus (MARV). A multidisciplinary response team was convened to perform a structured risk assessment, perform risk classification of contacts, issue guidelines for follow-up, provide information, and monitor the crisis response. In total, 130 contacts were identified (66 classified as high risk and 64 as low risk) and monitored for 21 days after their last possible exposure. The case raised questions specific to international travel, postexposure prophylaxis for MARV, and laboratory testing of contacts with fever. We present lessons learned and results of the follow-up serosurvey of contacts and focus on factors that prevented overreaction during an event with a high public health impact.

Original languageEnglish
Title of host publicationHospitality and Health
Subtitle of host publicationIssues and Developments
EditorsJaime A. Seba
Chapter22
Pages193-198
Number of pages6
ISBN (Electronic)9781466560000
Publication statusPublished - 1 Jan 2011

Bibliographical note

Publisher Copyright: © 2012 by Apple Academic Press, Inc.

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