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2016 ; 62
(10
): 1272-6
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Confronting Ebola as a Sexually Transmitted Infection
#MMPMID26936667
Fischer WA 2nd
; Wohl DA
Clin Infect Dis
2016[May]; 62
(10
): 1272-6
PMID26936667
show ga
The unprecedented Ebola outbreak that devastated West Africa evolved within
months from a regional outbreak to a global public health emergency. While the
rate of confirmed cases declined dramatically, sporadic clusters of Ebola virus
disease (EVD) continue well beyond the double incubation period of 42 days used
to declare a nation Ebola-free. At the same time, evidence that the virus
persists in genital fluids and can be sexually transmitted, along with the
potential for lingering virus in other body compartments to permit recrudescence
of EVD, has shaken our thinking of what it takes to achieve lasting control of an
Ebola epidemic. A comprehensive response to the threat of persistence and sexual
transmission of Ebola is required and should build on accessible longitudinal
medical care of survivors and accurate genital fluid testing for Ebola. Control
of this and future Ebola outbreaks will depend on our ability to recognize and
respond to this persistence of the virus in those who survive.
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