Monitoring

Mothers recovered from Ebola virus disease are advised to avoid breastfeeding. The US Centers for Disease Control and Prevention has determined there is insufficient evidence on when it is safe to resume breastfeeding.[53] Although this has not been studied in Marburg virus disease, the same recommendation likely applies. 

Ebola virus has been recovered from the semen of male Ebola virus disease survivors several months after convalescence.[67] Marburg virus transmission via semen has been reported for up to 7 weeks post recovery, although there is potential that virus could be present for longer.[2] Although there is a lack of evidence in Marburg virus disease, men should be advised to abstain from sex or practice safer sex for 12 months, or until their semen has tested negative for Marburg virus twice.[2]

There is high potential for long-term sequelae of Marburg virus disease, which was shown in survivors of both Ebola and Marburg virus disease outbreaks. Survivors should be monitored for psychological distress, headaches, musculoskeletal pain, hearing loss, and visual/ocular and meningitic symptoms.[9][61][62][68]

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