Biharamulo – The World Health Organization (WHO), in collaboration with Tanzania’s Ministry of Health, is making significant strides in enhancing the nation’s response to the ongoing Marburg Virus Disease (MVD) outbreak. These efforts are not only focused on improving national preparedness but also on fostering regional cooperation with neighboring countries to prevent the further spread of this deadly disease.

WHO organized an intensive simulation exercise at the Katoke Marburg Treatment Unit in Biharamulo, Kagera region. The four-day exercise was designed to equip healthcare workers with the essential skills required to manage MVD and other viral hemorrhagic fevers (VHFs). During the training, participants concentrated on critical infection prevention and control (IPC) measures, including the proper use of personal protective equipment (PPE), waste management, and safe patient transport. The exercise also emphasized teamwork and effective communication—skills that are vital in high-risk zones during an outbreak.

A total of 68 health professionals from Kagera and three neighboring regions—Mwanza, Geita, and Kigoma—participated in the simulation. This exercise not only strengthened their preparedness but also provided an opportunity to identify gaps in the current response to the outbreak.

"The simulation exercise was an invaluable opportunity for us to enhance our preparedness and response to Marburg Virus Disease Dr. Mateso Mayunga Nkumiziwa stated “By practicing essential skills in a real-world setting, we’ve not only gained practical knowledge but also strengthened our teamwork and communication. We are ready to face the challenges of future outbreaks with confidence and effectiveness.”

In addition to this, WHO addressed the issue of sexual exploitation, abuse, and harassment (PSEAH) in the outbreak response. A capacity-building session was held for 47 Marburg virus responders and community health workers in Biharamulo. These frontline workers, who are crucial to case management and community engagement, were trained on identifying and preventing sexual exploitation and abuse. The session highlighted the importance of maintaining ethical standards, safeguarding vulnerable populations, and ensuring that all interventions are conducted in a safe and respectful manner.

Mary Kessi, PSEAH focal point at WHO, emphasized the significance of these efforts, stating, "This training aligns with WHO’s broader commitment to ensuring that humanitarian efforts are carried out with integrity and accountability."

Furthermore, WHO facilitated cross-border meetings between Tanzania and its neighboring countries, Burundi and Uganda, to strengthen disease surveillance and control. Held in Kabanga and Mtukula, these meetings brought together key stakeholders from both countries, including health ministries, WHO, UNICEF, and the African CDC. Over 137 participants engaged in discussions aimed at coordinating responses, sharing knowledge, and enhancing surveillance systems to prevent cross-border transmission of MVD and other public health threats.

Dr. Dick Chamla, WHO’s Incident Manager for Marburg, praised the regional cooperation, saying, "In 2024, outbreaks accounted for two-thirds of the 158 emergencies reported in Africa. It is more important than ever that we join forces to strengthen our ability to detect, prevent, and control the spread of diseases."

These efforts are part of a broader strategy to bolster Tanzania’s health system and enhance its capacity to respond to health emergencies. Through simulations, PSEAH training, and cross-border collaboration, Tanzania and its neighboring countries are taking proactive steps to ensure they are better prepared for future outbreaks.

WHO’s continued support remains pivotal in helping countries build resilient, responsive health systems capable of withstanding emerging health threats and protecting vulnerable communities.