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SCIENCEFriday 16 October 2015

Study: Ebola in male survivors can survive up to 9 months 

MARIA CHENG                    In this undated colorized transmission electron micrograph file image made available by the  WHO and others recom-
AP Medical Writer             CDC shows an Ebola virus virion. 						         Associated Press                              mend that male survivors
LONDON (AP) — Doctors                                                                                                       of the lethal disease ab-
have found that Ebola         transmission of Ebola from    of them male.                  ing the virus, “we would         stain from sex or use con-
can linger in some male       men to women is “a strong     The journal also published     have seen a number of            doms for at least three
survivors for up to nine      possibility” even though the  details of an Ebola case in    cases by now,” given the         months after their recov-
months but aren’t sure if     disease is mainly spread by   March in Liberia, where a      thousands of male Ebola          ery. After that, they should
that means they might still   direct contact with other     male survivor spread Ebola     survivors in West Africa.        be tested every month un-
be infectious, according to   bodily fluids like blood.     to a woman via unprotect-      People with Ebola are be-        til they have two consecu-
new research.                 To date, Ebola has killed     ed sex five months after he    lieved to be most infectious     tive negative tests.
In a study of 93 men in Si-   more than 11,000 people       became infected.               when they are the sickest.       WHO says it’s unknown
erra Leone, scientists found  in West Africa in the out-    In an accompanying com-        Sprecher said the results        how long Ebola survives in
the Ebola virus in semen      break that was first identi-  mentary, Dr. Armand Spre-      suggest that surveillance        vaginal fluid, and says it’s
samples from about half       fied last year and now ap-    cher of Doctors Without        needs to last longer than        less probable that a wom-
of them. The risk seemed      pears to be winding down.     Borders said if sexual trans-  now recommended once             an who has survived Ebola
to decline over time. Ebola   There’s also about 17,000     mission of Ebola was a sig-    an outbreak is thought to        could spread it to a man
was detected in all nine      Ebola survivors, about half   nificant means of spread-      be over in an area.              through sex.
men tested at two to three                                                                                                  Broutet said it was unclear
months after their illness                                                                                                  whether the men whose
began but in only 11 of the                                                                                                 samples tested positive
43 survivors tested at seven                                                                                                for Ebola had any long-
to nine months.                                                                                                             term side effects and if so,
Researchers aren’t sure                                                                                                     whether the virus might be
why Ebola remains in se-                                                                                                    responsible. Many survivors
men as opposed to other                                                                                                     suffer from chronic prob-
bodily fluids and don’t                                                                                                     lems including vision loss
know if the lingering virus                                                                                                 and joint pain.
might sicken others.                                                                                                        Dr. Francis Moses, a district
“We think there is a poten-                                                                                                 medical officer in northern
tial risk of exposure but we                                                                                                Sierra Leone, said it was dif-
cannot determine that with                                                                                                  ficult convincing male Ebo-
100 percent certainty right                                                                                                 la survivors to use condoms
now,” said Dr. Nathalie                                                                                                     or abstain from sex.
Broutet, an expert in sexu-                                                                                                 “The abstinence thing isn’t
ally transmitted diseases at                                                                                                working,” he said, not-
the World Health Organiza-                                                                                                  ing there are a number
tion and one of the study’s                                                                                                 of pregnant women in his
authors. The paper was                                                                                                      district whose partners are
published online Wednes-                                                                                                    Ebola survivors.
day in the New England                                                                                                      Moses said the fact that
Journal of Medicine.                                                                                                        thousands of Ebola survi-
WHO said previous stud-                                                                                                     vors are living in West Af-
ies showed the virus could                                                                                                  rica means scientists need
survive in semen for about                                                                                                  to figure out whether sex is
three months, though it                                                                                                     a significant risk to the re-
noted one case where                                                                                                        emergence of the disease.
it remained for about six                                                                                                   “If we don’t find a way of
months. The U.N. health                                                                                                     addressing this, we will nev-
agency has said the sexual                                                                                                  er stop Ebola,” he said.q
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