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. 2018 Jun 18;218(Suppl 5):S287–S291. doi: 10.1093/infdis/jiy280

Table 1.

Summary of the Episodes of EVD Re-Emergence From Persistently Infected Survivors

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.