MMWR. Morbidity and mortality weekly report · 2015
Possible sexual transmission of Ebola virus - Liberia, 2015.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Christie Athalia, Davies-Wayne Gloria J, Cordier-Lassalle Thierry, Blackley David J, Laney A Scott, Williams Desmond E, Shinde Shivam A, Badio Moses, Lo Terrence, Mate Suzanne E, Ladner Jason T, Wiley Michael R, Kugelman Jeffrey R, Palacios Gustavo, Holbrook Michael R, Janosko Krisztina B, de Wit Emmie, van Doremalen Neeltje, Munster Vincent J, Pettitt James, Schoepp Randal J, Verhenne Leen, Evlampidou Iro, Kollie Karsor K, Sieh Sonpon B, Gasasira Alex, Bolay Fatorma, Kateh Francis N, Nyenswah Tolbert G, De Cock Kevin M, Centers for Disease Control and Prevention (CDC)
Аннотация
On March 20, 2015, 30 days after the most recent confirmed Ebola Virus Disease (Ebola) patient in Liberia was isolated, Ebola was laboratory confirmed in a woman in Monrovia. The investigation identified only one epidemiologic link to Ebola: unprotected vaginal intercourse with a survivor. Published reports from previous outbreaks have demonstrated Ebola survivors can continue to harbor virus in immunologically privileged sites for a period of time after convalescence. Ebola virus has been isolated from semen as long as 82 days after symptom onset and viral RNA has been detected in semen up to 101 days after symptom onset. One instance of possible sexual transmission of Ebola has been reported, although the accompanying evidence was inconclusive. In addition, possible sexual transmission of Marburg virus, a filovirus related to Ebola, was documented in 1968. This report describes the investigation by the Government of Liberia and international response partners of the source of Liberia's latest Ebola case and discusses the public health implications of possible sexual transmission of Ebola virus. Based on information gathered in this investigation, CDC now recommends that contact with semen from male Ebola survivors be avoided until more information regarding the duration and infectiousness of viral shedding in body fluids is known. If male survivors have sex (oral, vaginal, or anal), a condom should be used correctly and consistently every time.