Table 1.
Flare-up | Country | Date of Confirmation of Index Case | Size of Cluster | Days After Ebola-Free Declaration | Months From ETU Release (Recovery) of Survivor | Most Suspected Body Fluid | Route of Transmission | Virus Isolation | Reference |
---|---|---|---|---|---|---|---|---|---|
1 | Liberia | March 20, 2015 | 1 | N/A | 5 | Semen | Sex | Unsuccessful | [11] |
2 | Liberia | June 29, 2015 | 7 | 51 | 10c | Unidentified | Possibly sex | N/A | [30] |
3 | Guinea | August 25, 2015 | 1 | N/A | Unknown | Breast milk | Mother-to-child | Unattempted | [15] |
4aa | Sierra Leone | August 29, 2015 | 6 (total) | N/A | 1.5 | Semen | Sex | Unknown | [5] |
4ba | Sierra Leone | September 3, 2015 | Semen | Close contact with body fluids | [5] | ||||
5 | Guinea | October 13, 2015 | 1 | N/A | 11.5 | Semen | Close contact with body fluids | Unattempted | [31] |
6 | Liberia | November 22, 2015 | 3 | 80 | Unknown | Unidentified | Unidentified | Unknown | [32, 33] |
7 | Sierra Leone | January 14, 2016 | 2 | 68 | 14c | Unidentified | Unidentified | N/A | [34] |
8b | Guinea (Liberia) | March 16, 2016 (April 1, 2016) |
10 3 |
78 (78) | 17 | Semen | Sex | Unattempted | [35] |
Abbreviations: EBOV, Ebola virus; ETU, Ebola treatment unit; EVD, EBOV disease; N/A, not applicable.
aThis flare-up is subdivided into 2 because the same survivor is likely to have simultaneously infected 2 relatives (ie, 2 index cases).
bLiberia is in brackets because EVD reappearance in the country was not due to EBOV transmission from persistently infected survivor but EVD cases from the Guinean cluster moving to Liberia.
cThe persistently infected survivor could not be identified: the number of months refers to the time between the dates of EBOV confirmation of the sample with closest EBOV sequence and the sample of the index case.