TY - JOUR AU - Den Boon, Saskia AU - Marston, Barbara AU - Nyenswah, Tolbert AU - Jambai, Amara AU - Barry, Moumie AU - Keita, Sakoba AU - Durski, Kara AU - Senesie, Schabbethai AU - Perkins, Devin AU - Shah, Anita AU - Green, Hugh AU - Hamblion, Esther AU - Lamunu, Margaret AU - Gasasira, Alex AU - Mahmoud, Nuha AU - Djingarey, Mamadou AU - Morgan, Oliver AU - Crozier, Ian AU - Dye, Christopher T1 - Ebola Virus Infection Associated with Transmission from Survivors T2 - Emerging Infectious Disease journal PY - 2019 VL - 25 IS - 2 SP - 240 SN - 1080-6059 AB - Ebola virus (EBOV) can persist in immunologically protected body sites in survivors of Ebola virus disease, creating the potential to initiate new chains of transmission. From the outbreak in West Africa during 2014–2016, we identified 13 possible events of viral persistence–derived transmission of EBOV (VPDTe) and applied predefined criteria to classify transmission events based on the strength of evidence for VPDTe and source and route of transmission. For 8 events, a recipient case was identified; possible source cases were identified for 5 of these 8. For 5 events, a recipient case or chain of transmission could not be confidently determined. Five events met our criteria for sexual transmission (male-to-female). One VPDTe event led to at least 4 generations of cases; transmission was limited after the other events. VPDTe has increased the importance of Ebola survivor services and sustained surveillance and response capacity in regions with previously widespread transmission. KW - Ebola virus disease KW - viruses KW - West Africa KW - sexual transmission KW - viral persistence KW - survivors KW - surveillance KW - response KW - Guinea KW - Liberia KW - Sierra Leone DO - 10.3201/eid2502.181011 UR - https://wwwnc.cdc.gov/eid/article/25/2/18-1011_article ER - End of Reference