Promoting safe sex and condom use among Ebola virus disease (EVD) survivors to mitigate risk of sexual transmission through clinic-based education and semen testing in 3 districts in Sierra Leone

Garland, Joseph; Myers, A. R.; Oxner, Asa; Headrick, E.; Tekuyama, K.; Gottesfeld, J.; Dierberg, Kerry; Calderon, Maritza; O’Neil, Kasey; Bangura, S.

doi:10.1016/j.ijid.2016.11.079

Cited by 1 publication

(1 citation statement)

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“…Thus, although rare, sexual transmission of the virus can occur after 12 months post‐discharge and the inconsistent shedding of the virus makes it difficult to declare an EVD survivor completely free of the virus. Therefore, ongoing interventions to promote safe sex practice through education and semen testing among EVD survivors should continue for more than a year post‐ETC. discharge to prevent the occurrence of new infections.…”

Section: Discussionmentioning

confidence: 99%

Post‐Ebola psychosocial experiences and coping mechanisms among Ebola survivors: a systematic review

James

Wardle

Steel

et al. 2019

Tropical Med Int Health

144

135

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objective A myriad of physical and psychosocial sequelae have been reported among Ebola survivors from previous Ebola virus disease (EVD) outbreaks, including the most recent in West Africa. This review examines the various forms of psychological distress experienced by EVD survivors, family and community reactions to EVD survivors and EVD survivors' coping mechanisms. methods We conducted a literature search of original articles employing Medline (Ovid), PubMed, Web of Science, Scopus, CINAHL, EBSCO host academic search complete, PsycINFO (EBSCO) and Embase databases.results Our search identified 1890 articles of which 24 met our inclusion criteria. Various forms of psychological distress were prevalent among EVD survivors including depression, anxiety, anger, grief, guilt, flashbacks, sadness, worthlessness, substance addiction, suicidal tendencies and selfstigmatisation. Family and community responses to EVD survivors ranged from acceptance to rejection, isolation, stigmatisation and discrimination. EVD survivors' coping strategies included engagement with religious faith, EVD survivors associations and involvement in EVD prevention and control interventions.conclusion Psychological distress, including that resulting from family and community stigma and discrimination, appears common among EVD survivors. Community-based mental health and psychosocial interventions integrated within a broader package of care for EVD survivors that also recognises the physical health challenges are required. Well-designed longitudinal studies can provide clear insights on the nature and trajectory of the psychosocial issues currently experienced by EVD survivors.

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Section: Discussionmentioning

confidence: 99%