CausesBy Mayo Clinic staff
Ebola virus has been found in African monkeys, chimps and other nonhuman primates. A milder strain of Ebola has been discovered in monkeys and pigs in the Philippines. Marburg virus has been found in monkeys, chimps and fruit bats in Africa.
Transmission from animals to humans
The virus can be transmitted to humans by exposure to an infected animal's bodily fluids. Examples include:
- Blood. Butchering or eating infected animals can spread the viruses. Scientists who have operated on infected animals as part of their research have also contracted the virus.
- Waste products. Tourists in certain African caves and some underground mine workers have been infected with the Marburg virus, possibly through contact with the feces or urine of infected bats.
Transmission from person to person
Infected people typically don't become contagious until they develop symptoms. Family members are often infected as they care for sick relatives or prepare the dead for burial.
Medical personnel can be infected if they don't use protective gear such as surgical masks and latex gloves. Medical centers in Africa are often so poor that they must reuse needles and syringes. Some of the worst Ebola epidemics have occurred because contaminated injection equipment wasn't sterilized between uses.
There's no evidence that Ebola virus or Marburg virus can be spread via insect bites.
- Ebola hemorrhagic fever fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/Fact_Sheets/Ebola_Fact_Booklet.pdf. Accessed April 25, 2011.
- Marburg hemorrhagic fever fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/fact_sheets/fact_sheet_marburg_hemorrhagic_fever.pdf. Accessed April 25, 2011.
- Bray M. Epidemiology, pathogenesis and clinical manifestations of Ebola and Marburg hemorrhagic fever. http://www.uptodate.com/home/index.html. Accessed April 25, 2011.
- Peters CJ. Marburg and Ebola virus hemorrhagic fevers. In: Mandell JE, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniqId=230100505-57. Accessed April 25, 2011.
- Bray M. Diagnosis and treatment of Ebola and Marburg hemorrhagic fever. http://www.uptodate.com/home/index.html. Accessed April 25, 2011.