Abstract

Thousands of persons have survived Ebola virus disease. Almost all survivors describe symptoms that persist or develop after hospital discharge. A cross-sectional survey of the symptoms of all survivors from the Ebola treatment unit (ETU) at 34th Regimental Military Hospital, Freetown, Sierra Leone (MH34), was conducted after discharge at their initial follow-up appointment within 3 weeks after their second negative PCR result. From its opening on December 1, 2014, through March 31, 2015, the MH34 ETU treated 84 persons (8-70 years of age) with PCR-confirmed Ebola virus disease, of whom 44 survived. Survivors reported musculoskeletal pain (70%), headache (48%), and ocular problems (14%). Those who reported headache had had lower admission cycle threshold Ebola PCR than did those who did not (p<0.03). This complete survivor cohort from 1 ETU enables analysis of the proportion of symptoms of post-Ebola syndrome. The Ebola epidemic is waning, but the effects of the disease will remain.

Highlights

  • Thousands of persons have survived Ebola virus disease

  • Resources to care for survivors, including basic equipment, were scarce, each survivor was seen by a physician who made contemporaneous structured notes, which afforded an opportunity to document post-Ebola syndrome during these first weeks

  • We report the symptoms described by all Ebola virus disease (EVD) survivors from 1 Ebola treatment unit (ETU) in the initial weeks after discharge

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Summary

Introduction

Thousands of persons have survived Ebola virus disease. A cross-sectional survey of the symptoms of all survivors from the Ebola treatment unit (ETU) at 34th Regimental Military Hospital, Freetown, Sierra Leone (MH34), was conducted after discharge at their initial follow-up appointment within 3 weeks after their second negative PCR result. Those who reported headache had had lower admission cycle threshold Ebola PCR than did those who did not (p

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