Going home – Survivors of Ebola are discharged from an Ebola Treatment Centre

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In June 2019, two survivors of Ebola are discharged from the International Medical Corps (IMC) Ebola Treatment Centre in Mangina, Democratic Republic of the Congo. With timely effective treatment and support, they beat the virus and join a growing group of survivors that have a critical role to play in fighting the disease.

In the DRC, the Ministry of Health, WHO and partners are ensuring that all survivors are offered enrollment in a comprehensive programme of follow-up care. The programme provides clinical, biological, and psychosocial support. Each survivor is provided with follow-up visits every month over a period of six months and then every three months for a year.

Learn more about WHO and partners response to Ebola here:

https://www.who.int/emergencies/diseases/ebola/drc-2019

Comments

Momma Bear says:

The virus has also been detected in semen at concentrations greatly exceeding that found in the blood at peak infection. The data suggests that this occurs in the absence of any symptoms of disease. In addition, sexual transmission of Ebola virus from male survivors has been reported up to 18 months following their recovery.

These observations are important to public health. Firstly, long-term persistence of Ebola virus could lead to the initiation of new chains of disease transmission long after outbreaks have ended. Secondly, the presence of high concentrations of virus in the semen in the absence of disease symptoms means that male survivors could carry and transmit the virus without knowing they’re still infected.

But the fact that only semen is being used in these studies presents a problem. This means that the perseverance of the virus is only being traced in males. This means that little is known about persistence of the virus in women. This urgently needs attention because Ebola virus has been detected in female survivors up to 15 months following recovery, and there are recorded cases of female to male transmission.

Unanswered questions

There is a strong need for greater understanding of Ebola virus infections, including:

When Ebola virus is transmitted to reproductive tissues during illness.

Momma Bear says:

It has been established that the Ebola virus can be detected in semen long after it is cleared from other organs and tissues. For example, a recent study showed that the virus could be detected in 50 per cent of male survivors 115 days after recovery and may linger for up to three years.

Momma Bear says:

one area that requires further study is Ebola virus’ persistence in the reproductive systems of otherwise healthy survivors. Understanding how Ebola disease outbreaks are exacerbated by sexual transmission is important to stop new chains of transmission and to prevent the disease from spreading to new geographic regions.

Multiple reports strongly suggest that re-emergence of Ebola disease is linked to persistent infections and sexual transmission from survivors. What this means is that people who have survived infection by Ebola virus — and who no longer show any symptoms of the disease — can continue to carry the virus and pass on the infection months after they have recovered.

Momma Bear says:

There is no known risk of becoming infected with Ebola virus through casual contact with a survivor. However, the virus can remain in certain bodily fluids and continue to spread to others after a person has recovered from the infection

Momma Bear says:

The virus has also been detected in semen at concentrations greatly exceeding that found in the blood at peak infection. … In addition, sexual transmission of Ebola virus from male survivorshas been reported up to 18 months following their recovery. These observations are important to public health.

Momma Bear says:

Why are you not telling people can pass virus through sex for at least two years after
when they themselves symptom free.
Big problem.

عبدالله abd.allah says:

ضمن حروب الاستعمار القديم (وانا اقصد بريطانيا تحديدا) كانوا يتبعون اسلوب حربي لتقليل سكان الدول التي يحتلونها واذكر مافعوة في وطني حينها(حضرموت) حيث نشر ادواتهم فكرة (ان بذور الشمار مفيدة جدا للرجال والنساء جنسيا) ولكني اعرف ان هذة البذور هي احد اهم اسباب عدم انجاب الاطفال لدى النساء وللاسف حتى اليوم تستمر هذة الظاهرة (فتزايد مواليد المحافظات اليمنية كلها ماعدا محافظة حضرموت رغم مساحتها الشاسعة)

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