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.Centers for Disease Control and Prevention. Care of a neonate born to a mother who is confirmed to have Ebola, is a person under investigation, or has been exposed to Ebola. May 2018 [internet publication].
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.Centers for Disease Control and Prevention. Ebola (Ebola virus disease): transmission. Jan 2021 [internet publication].
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.World Health Organization. Marburg virus disease. Aug 2021 [internet publication].
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.World Health Organization. Marburg virus disease. Aug 2021 [internet publication].
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.Mehedi M, Groseth A, Feldmann H, et al. Clinical aspects of Marburg hemorrhagic fever. Future Virol. 2011 Sep;6(9):1091-1106.
Scott JT, Sesay FR, Massaquoi TA, et al. Post-Ebola syndrome, Sierra Leone. Emerg Infect Dis. 2016 Apr;22(4):641-6.
Mattia JG, Vandy MJ, Chang JC, et al. Early clinical sequelae of Ebola virus disease in Sierra Leone: a cross-sectional study. Lancet Infect Dis. 2016 Mar;16(3):331-8.
Fowler R, Mishra S, Chan AK. The crucial importance of long-term follow-up for Ebola virus survivors. Lancet Infect Dis. 2016 Sep;16(9):987-9.