Lagos – The World Health
Organisation (WHO) has issued an interim advice on the possibility of
Ebola Virus of being sexually transmitted.
The WHO had directed all
Ebola survivors and their sexual partners to receive counselling to
guard against possible transmission of the disease.
This is contained in a statement made available by
WHO to newsmen in Lagos on Saturday.
It indicated that the sexual transmission of the
Ebola Virus was yet to be established.
“The sexual transmission of the Ebola Virus from
males to females is a strong possibility, but has not yet been proven;
less probable, but theoretically possible.
“Studies have shown that Ebola virus can be
isolated from semen up to 82 days after symptom onset.
“A recent case investigation identified genetic
material (RNA) from the virus by nucleic acid amplification tests
(such as RT-PCR) 199 days after symptom onset.
“This is well beyond the period of virus detecting
ability in the blood of survivors and long after recovery from illness.
“The detection of virus genetic material many
months after symptom onset is assumed to reflect the continuing, or at
least very recent, presence of live and
potentially transmissible Ebola virus.’’
“More surveillance data and research are needed on
the risks of sexual transmission and particularly on the prevalence
of viable and transmissible virus in semen over time, WHO said.
WHO recommends that, in the interim, all Ebola
survivors and their sexual partners should receive counselling.
It added that this is to ensure safe sexual practices
until their semen has twice tested negative; and survivors should
be provided with condoms.
“Ebola survivors and their sexual partners should
either abstain from all types of sex or observe safe sex through correct
and consistent condom use until their semen has twice tested negative.
“Having tested negative, survivors can safely
resume normal sexual practices without fear of Ebola virus transmission,’’
the statement added.
According to WHO, male Ebola survivors should be
offered semen testing at three months after onset of disease.
It said that for those who tested positive, semen
testing should be every month thereafter until their semen tests negative
for virus twice by RT-PCR, with an interval of one week between tests.
“If an Ebola survivor’s semen
has not been tested, he should continue to practice safe sex for at
least six months after the onset of symptoms.
“This interval may be adjusted as additional
information becomes available on the prevalence of Ebola virus in the
semen of survivors over time, it added.
The statement also noted that until such time when
their semen has twice tested negative for Ebola, survivors should
practice good hand washing with soap and water and other personal
hygiene.
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