Situation Report

Non-invasive contact with Ebola survivors 6 weeks after the virus has been cleared poses little risk for healthcare workers, though contact with semen, ocular humor, and cerebrospinal fluid requires Ebola-appropriate precautions, according to a study yesterday in The Lancet Infectious Diseases.

A cross-sectional cohort study evaluated 555 specimens from 112 Ebola survivors without fever seeking follow-up care at a clinic in Freetown, Sierra Leone, from Apr 2 to Jun 16, 2015. Almost one third of survivors (34, or 30%) were under the age of 16, and 50 (40%) were male.

Samples were obtained from the armpit (103 specimens), blood (93), conjunctiva (92), forehead (54), mouth (105), rectum (17), semen (1), urine (69), and vagina (21). The median time from Ebola treatment unit discharge to specimen collection was 142 days.

Some of the final cases of Ebola in Sierra Leone were transmitted via unconventional routes, such as semen and breastmilk, according to the largest analysis to date of the tail-end of the epidemic.

An international team of researchers has produced a detailed picture of the latter stages of the outbreak in Sierra Leone, using real-time sequencing of Ebola virus genomes carried out in a temporary laboratory in the country.

Dr. Denise Jamieson - Medical Officer, Centers for Disease Control and Prevention

obgynnews.com/news - by Michele G. Sullivan - May 16, 2016

WASHINGTON – The Centers for Disease Control and Prevention is recommending blood or urine testing for all pregnant women with possible Zika exposure through travel or because they live in an endemic area, regardless of whether they are symptomatic, Dr. Denise J. Jamieson said at the annual meeting of the American College of Obstetricians and Gynecologists.

Couples interested in conceiving who live in or have traveled to areas of active transmission should be alert for any signs of infection, no matter how slight; if they notice any, they should be tested for exposure before attempting conception, Dr. Jamieson, a medical officer with the CDC’s division of reproductive medicine, said in a video interview.

Unfortunately, she said at an update on the Zika situation, labs that process Zika blood and urine samples are backed up, and test results are being “unacceptably delayed.”

Pauline Cafferkey opens her bathroom cabinet and reaches for a tub of tablets.

“So this is where I keep medications,” she explains in a quiet, matter-of-fact voice, before taking me through the roster of drugs she takes daily, to keep epileptic seizures, spinal swelling, nerve pain and generalised body aches at bay.