Concerns rise over sexually transmitted ebola in Sierra Leone because of low condom use

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Even after an individual is certified as survivor of the ebola disease, medical experts say the virus can remain in the semen of a man for at least three months. During this period, survivors are strongly advised to either abstain from sex or to use condoms. According to 2011-2015 National HIV Prevention Strategy just 30% of Sierra Leoneans use condoms.  The outbreak of ebola had further reduced condom use country as early as July last year. Dr. Sarian Kamara the Deputy Minister of Health reported in October that they had found a 100% reduction in the number of condoms collected from the Ministry.

“In the period between May and June this year 2,400 males went for condoms, but in July nobody went for a single condom”, she said.

This before the ebola epidemic peaked and spread nationwide. Reports gathered from the Northern Province suggests that male ebola survivors are infecting their spouses with the virus through sex. The Coordinator of the Port Loko District Ebola Response Centre, Raymond Kabia said, the rate of sexually transmitted ebola to women is alarming.

He described the behavior of some of the survivors as “worrisome and a threat that has the tendency to reverse the gains made so far in breaking the chain of transmission in the district”.

The Medical Officer of Port Loko District, Dr. Adikalie Kamara agreed, added that over one hundred patients have been discharged and certified ebola free and have resettled with their communities. “Therefore the recent trend of infection gives reason to worry”, he said.

Dr. Kamara said that there were two women currently receiving treatment at one of the centers in the district  who had infected by their husbands.

“We provide the male survivors with condoms and advice the suckling mothers not to breastfeed their children but unfortunately when they resettle they do otherwise and we can’t monitor them”, Dr. Kamara lamented.

In Bombali district, also in the North, the Coordinator of the District Ebola Response Centre, Doctor Emmanuel Conteh confirmed they have had similar incidences but said “two of the male survivors who infected their wives were arrested and detained”.

He added that they are planning on a massive engagement with the survivors in the district and are recommending that an isolation centre is provided where they will be kept till the stipulated ninety days period.

“We are working relentlessly to attain zero new infection rate, we don’t want our efforts to go in vain, we can’t risk it”, he asserted.

Responding to these concerns, President Koroma who was visiting the two districts as part of his social mobilization drive said, he was impressed with the efforts of both districts; especially on the enforcement of the bye-laws which are helping to stabilize the transmission.

The President emphasized that women and children in the communities need to be protected. He warned male survivors to refrain from infecting their spouses and advised the women against breastfeeding until it is safe to do so.

President Koroma went on to state that survivors should act responsibly and stop infecting others. “This is an issue that we need to be clear on, if your life has been saved you should not be going around threatening the lives of others in the community”, he warned.

The President also informed that government will be looking into the issue of isolation and will be coming out with a statement soon reiterating that “those who can’t wait till after the stipulated ninety days period and are going around infecting others will be held responsible”.

There are 2091 ebola survivors across the country. Stories of how some of them contracted the virus are scary and pathetic- most of them got infected when caring for others. But whilst some of them are being celebrated as heroes and heroines; others fight stigmatization and rejection in their communities. If the rate of sexually transmitted ebola continues to rise among survivors this might cause some set back in re-integrating survivors.

A front line health worker who spoke to this writer on the grounds of anonymity claimed that not enough attention was being paid to ebola survivors across the country. “Standard operating procedures are not being followed whilst these patients are discharged, these are young people who are sexually active which is why we should be very worried with the current trend; it may continue to happen until the appropriate actions are taken”, he lamented.

The President of the Sierra Leone Association of Ebola Survivors, Yusuf Kabbah described the situation as very unfortunate and must be discouraged from happening further. He said the association was formed to help in reaching out to their colleagues across the country and let them understand that they still have a responsibility to keep others safe in their communities.

“We want to help; we can understand ourselves better because we went through the same suffering. We lost our loved ones through Ebola and that’s a sad chapter that no one should be allowed to go through”, Kabbah said

He  went further to say that they were now working with the Ministry of Social Welfare, Gender and Children’s Affairs who have shown willingness to give them the support they need to engage other survivors across the country.

“There are a lot of Ebola survivors in the country, they need to be consoled and explained to why they should abstain from sex and breastfeeding until after three months; we are better placed to do so”, he concluded.

Submitted by: Amadu Lamrana Bah

Edited by: Vickie Remoe