Ebola survivors clinic opens in Monrovia

Ebola survivors clinic opens in Monrovia

The line around Redemption Hospital in Monrovia was already stretching around the street corner when Dr Moses Soka arrived. The Ebola Survivors’ Clinic had only been open a week, but word had spread and patients were beginning to come in numbers, patients of all ages and from across the city.

This is a new chapter in the Ebola story for Dr Moses. At the height of the epidemic, Dr Moses, a young Liberian doctor, took on one of the toughest jobs in the country. He was made the clinical director of the Ministry of Defence Ebola treatment centre (ETC) in Monrovia, where he worked through the darkest days of the epidemic.

Eventually patient numbers began to dwindle and the tide turned toward zero cases. However, it became apparent that the effects of Ebola do not end when the infection is cleared.

Staff of the Ebola Survivors Clinic at work, Redemption Hospital in Monrovia Staff of the Ebola Survivors Clinic at work, Redemption Hospital in Monrovia WHO/C. Bailey
“But once cured,” Dr Moses explained, “patients began to develop symptoms, such as joint pain, dizziness, blurred vision, lack of ability to concentrate; sometimes so bad patients have difficulty returning to work.”

According to WHO statistics, Liberia may have as many as 5000 Ebola survivors. Currently, there are 4 such survivors’ clinics in Monrovia, with more opening in the next few weeks around Liberia. Gradually, the entire country will be covered.

The end goal is to integrate survivor care into the Ministry of Health essential package of services as part of restoring and expanding basic health services, with WHO providing technical and logistic support, including validation of guidelines and supporting clinics with basic drugs and supplies.

At the Redemption Survivors’ clinic, patients receive treatment for these symptoms as well as training and advice on how to keep vigilant by maintaining proper hand hygiene and other practices of ensuring that Ebola, if it is the environment, does not get transmitted.

Alex Gasasira, the WHO Representative in Liberia, explains further. “Beyond treatment of the symptoms, there are many things we simply do not understand about what happens to these patients after they are cured. These clinics not only provide support for the patients, but provide valuable research data to help us determine the cause and best course of treatment.”

In addition to addressing these symptoms more generally, the Ebola Survivors Clinic in Redemption is also hosting its Men’s Health Screening Program where free semen testing for Ebola virus is offered to willing male survivors who are sexually active, as well as sexual health counselling and condom distribution.

The goal is to enable them to make informed choices about their sexual health and be able to protect their partners from possible sexual transmission of Ebola. This work is also critical for research to see precisely how long remnants of the virus may survive in semen and in the eyes, as viral sanctuaries. It is thought that transmission of the virus by survivors is a very rare event but it is important to understand how long the virus persists and to ensure that survivors practise safe sex.

“Judging by the small number of cases we are aware of, it is probably not easy to transmit, but we hope to have more evidence soon to give more concrete guidance. In the meantime, we are advising patients to continue to practise safe sex for the time being until we know more,” explained Dr Moses. The previous guidance was to abstain from sex or to practice safe sex for 90 days after being declared Ebola-free. (Source WHO)

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