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Peer reviewedOpen accessEbolaHemorrhagic FeverCOVID-19

Ebola Virus Infection Associated with Transmission from Survivors

Emerging Infectious Diseases·

Saskia Den Boon, Barbara J. Marston, Tolbert G. Nyenswah, Amara Jambai, Moumie Barry, Sakoba Keita, Kara Durski, Schabbethai S. Senesie, Devin Perkins, Anita Shah, Hugh H. Green, Esther L. Hamblion, Margaret Lamunu, Alex Gasasira, Nuha O. Mahmoud, Mamadou H. Djingarey, Oliver Morgan, Ian Crozier, Christopher Dye

DOI
10.3201/eid2502.181011
PMID
30500321
PMCID
PMC6346469
OpenAlex
W2902821328
Study type
Journal article
Publisher
Centers for Disease Control and Prevention (CDC)
Article type
journal-article
Integrity
current

Why this research matters now

The findings underscore the continued importance of Ebola survivor services, sustained surveillance, and response capacity in regions previously affected by widespread transmission.

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Structured evidence summary

Research question

The study examines whether transmission of Ebola virus (EBOV) following the 2014–2016 West Africa outbreak could be attributed to viral persistence in survivors, and characterizes the strength and route of evidence for such events.

Study design

A retrospective identification of possible viral persistence-derived transmission events (VPDTe) from the 2014–2016 West Africa outbreak, applying predefined classification criteria to assess the strength of evidence for source, recipient, and route of transmission.

Population and setting

Survivors of Ebola virus disease and subsequent cases arising after the West Africa outbreak during 2014–2016, with geographic context spanning Guinea, Liberia, and Sierra Leone.

Main findings

Thirteen possible VPDTe events were identified. Eight had a recipient case identified, with a possible source case identified in five of these. Five events did not allow confident identification of a recipient or chain of transmission. Five events met criteria for sexual (male-to-female) transmission, and one VPDTe event produced at least four generations of cases, while transmission was limited after the other events.

Public-health relevance

The findings underscore the continued importance of Ebola survivor services, sustained surveillance, and response capacity in regions previously affected by widespread transmission.

Important limitations

No explicit limitations are stated in the abstract. This summary is limited to the supplied single-article abstract and metadata and requires the original paper for decision-grade interpretation.

GIDS interpretation

The article is discoverable through GIDS via classifiers linking it to hemorrhagic fever/Ebola, the affected West African countries, and topics including outbreak investigation, surveillance, and transmission dynamics, supporting retrieval in context-specific searches.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 15 auditable classifier relationships to diseases, places, topics, and study design.

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