NAVLE Primates

Marburg Virus Disease in Primates – NAVLE Study Guide

Marburg virus disease (MVD) is a highly fatal viral hemorrhagic fever affecting humans and nonhuman primates.

Overview and Clinical Importance

Marburg virus disease (MVD) is a highly fatal viral hemorrhagic fever affecting humans and nonhuman primates. Caused by Marburg virus (MARV) and Ravn virus (RAVV), both members of the family Filoviridae, this disease is a significant zoonotic threat with case fatality rates ranging from 24% to 90%. Marburg virus was first identified in 1967 during simultaneous outbreaks in Marburg and Frankfurt, Germany, and Belgrade, Yugoslavia, following exposure to infected African green monkeys imported from Uganda for polio vaccine production.

For veterinarians, understanding MVD is critical for biosafety when working with imported primates, recognizing clinical presentations in zoological collections, and preventing zoonotic transmission. This disease is classified as a Category A bioterrorism agent and requires BSL-4 containment.

Transmission Route Details and Clinical Significance
Bat-to-Primate Direct contact with infected bat secretions (saliva, urine, feces) in caves or mines. Inhalation of aerosolized bat excreta is suspected but not definitively proven.
Primate-to-Human Direct contact with blood, tissues, or cell cultures from infected nonhuman primates. Historical: 1967 outbreak via African green monkey tissue and primary cell cultures. Modern risk: zoological collections, research facilities.
Human-to-Human Direct contact through broken skin or mucous membranes with blood, secretions, organs, or bodily fluids. Contaminated surfaces and fomites. Healthcare workers at high risk without proper PPE. NOT highly contagious via aerosol during natural outbreaks.
Experimental Aerosol exposure in laboratory settings produces 100% lethal infections in nonhuman primates. Intramuscular, intraperitoneal, subcutaneous, intranasal, and intracerebral routes all result in fatal disease.

Etiology and Viral Classification

Virus Characteristics

Family: Filoviridae

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