Dodoma : In light of a recent Marburg Virus Disease (MVD) outbreak in neighbouring Rwanda, Tanzania has ramped up its efforts to prepare for potential outbreaks of the deadly virus. To evaluate and improve the country’s preparedness, the World Health Organization (WHO) in collaboration with the Ministry of Health and other partners, organized a tabletop simulation exercise to test the National Multi-Hazard Emergency Response Plan and the National MVD Contingency Plan.
The exercise saw the participation of 40 individuals from various sectors involved in emergency response at the national, regional, and district levels. The simulation assessed the functionality, comprehensiveness, and practical applicability of Tanzania’s existing response mechanisms to a Marburg virus outbreak.
Tanzania experienced its first outbreak of Marburg virus disease (MVD) in March 2023, which was swiftly and timely managed. It was declared over on May 31, 2023, after eight confirmed cases and one probable case were reported. The One Health Catalyst Officer at World Health Organization, Ms Pelagia Muchuruza indicated, “This tabletop exercise is a vital step in strengthening Tanzania’s preparedness for Marburg Virus Disease. Through prior experience in managing deadly outbreaks collaborative efforts and rigorous testing of response plans, we ensure that the country is equipped with the necessary tools and coordination mechanisms to respond swiftly and effectively to any potential outbreak including Marburg. WHO remains committed to supporting Tanzania in its efforts to safeguard public health and protect communities.”
The exercise revealed important insights into the country’s current preparedness. Participants reviewed the 2024 National Multi-Hazard Emergency Response Plan and the National MVD Contingency Plan, identifying both strengths and gaps in the country’s ability to respond effectively. Key gaps included the need to involve additional sectors such as Points of Entry, Trade, and Wildlife in the response framework. The exercise also highlighted the importance of improving the dissemination of critical response documents through more widespread training and simulation exercises.
Flora Mkongwi, a participant from Dodoma Referral Regional Hospital, shared her thoughts on the exercise: “This tabletop simulation has been an eye-opener. It has given us the chance to see how these key documents translate into action during a real outbreak. By practicing our roles and identifying gaps, we are better prepared to protect our communities in the event of a Marburg Virus Disease outbreak.”
Tanzania’s readiness assessment in October 2024 had indicated a 58% preparedness level for coordinating a response to an outbreak, with a particular focus on improving the implementation of the Incident Management System (IMS). The simulation exercise underscored the importance of having well-tested operational documents, such as Standard Operating Procedures (SOPs), response plans, and communication protocols, to ensure a streamlined and effective response in times of crisis.
The results of the simulation exercise, including best practices and areas for improvement, will be shared with stakeholders across the country to strengthen Tanzania’s overall health response system. This initiative is part of ongoing efforts to enhance operational readiness and ensure that Tanzania is prepared to effectively manage any potential MVD outbreaks in the future.
As the country continues to build its capacity for responding to highly infectious disease outbreaks, the collaboration and knowledge-sharing fostered through such simulation exercises play a crucial role in ensuring that Tanzania’s health system is equipped to protect its population during public health emergencies.
