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Frequently Asked Questions Marburg Hemorrhagic Fever 1. What is Marburg Hemorrhagic Fever? Marburg hemorrhagic fever is a rare, severe type of hemorrhagic fever which affects both humans and non-human primates. 2. How do you get Marburg Hemorrhagic Fever? Marburg hemorrhagic fever can be transmitted from animal to person or from person to person by close contact or coming in contact with equipment or objects contaminated with infectious blood or tissue. 3. How quickly can I get sick after being exposed? Marburg Hemorrhagic fever has an incubation period of 5 – 10 days. 4. What are the signs and symptoms? The onset of the disease is sudden and is marked by fever, chills, headache, and myalgia. Around the fifth day after the onset of symptoms, a maculopapular rash, most prominent on the trunk (chest, back, stomach), may occur. Nausea, vomiting, chest pain, a sore throat, abdominal pain, and diarrhea then may appear. Symptoms become increasingly severe and may include jaundice, inflammation of the pancreas, severe weight loss, delirium, shock, liver failure, and multi-organ dysfunction. 5. How is Marburg hemorrhagic fever diagnosed? Because many of the signs and symptoms of Marburg hemorrhagic fever are similar to those of other infectious diseases, such as malaria or typhoid fever, diagnosis of the disease can be difficult, especially if only a single case is involved. 6. Can a person exposed to Marburg hemorrhagic fever avoid getting sick? No. There is currently no treatment available to keep someone who has been exposed to Marburg hemorrhagic fever from getting sick. Only preventive measures are currently in use. 7. Is the disease fatal? Yes. Marburg hemorrhagic fever is a very serious condition. Anyone suspected of being exposed to the disease should seek medical attention immediately. 8. How is Marburg hemorrhagic fever treated? A specific treatment for this disease is unknown. However, supportive hospital therapy should be utilized. This includes balancing the patient’s fluids and electrolytes, maintaining their oxygen status and blood pressure, replacing lost blood and clotting factors and treating them for any complicating infections. 9. Are antibiotics available? No. 10. Are there complications after recovery? Recovery from Marburg hemorrhagic fever may be prolonged and accompanied by orchititis, recurrent hepatitis, transverse myelitis or uvetis. Other possible complications include inflammation of the testis, spinal cord, eye, parotid gland, or by prolonged hepatitis. 11. How do I reduce my risk of getting Marburg hemorrhagic fever? [INSERT CURRENT LOCAL INFORMATION] If a patient is either suspected or confirmed to have Marburg hemorrhagic fever, barrier nursing techniques should be used to prevent direct physical contact with the patient. These precautions include wearing of protective gowns, gloves, and masks; placing the infected individual in strict isolation; and sterilization or proper disposal of needles, equipment, and patient excretion. 12. What do I do if I have been exposed or someone I know has been exposed to Marburg hemorrhagic fever? [INSERT CURRENT LOCAL INFORMATION] Get immediate medical attention Notify Authorities 13. Is there a vaccine available? No. Currently there is no vaccine available.