Problem

NEW YORK TIMES     by Sheri Fink                                                                     March 1, 2015

FREETOWN, Sierra Leone — It seemed as if the Ebola crisis was abating.

New cases were plummeting. The president lifted travel restrictions, and schools were to reopen. A local politician announced on the radio that two 21-day incubation cycles had passed with no new infections in his Freetown neighborhood. The country, many health officials said, was “on the road to zero.”

Then Ebola washed in from the sea.

A resident of Tamba Kula, a small fishing community in the Aberdeen district of Freetown, bathing at the shoreline as boats sit idle. Bryan Denton for The New York Times

Thomson Reuters Foundation by Misha Hussain                                                        Feb.27, 2015

In an internal document seen by the Thomson Reuters Foundation, the United Nations Development Programme (UNDP) raised concerns that HIV prevalence and drug resistance in the country could increase as a result.

"Hospitals have closed down because they have been overrun by Ebola patients and non-Ebola patients are too afraid to go to them for fear of catching the virus," said Hakan Bjorkman, who manages UNDP's AIDS programme.

"HIV prevention activities in schools and awareness raising for the general population has been suspended due to the restriction of movement, the closure of all education institutions and the overall ban on public gathering."

REUTERS                                                            Feb. 25, 2015

 MONROVIA --Musa Pabai left an Ebola treatment centre in Liberia in November, grateful to have survived a disease that has killed nearly 10,000 people across West Africa but fearing he still could pose grave danger the person closest to him.

People await medical treatment in the outpatient lounge of Redemption Hospital, formerly an Ebola holding center, on February 2, 2015 in Monrovia, Liberia. Most hospitals and clinics have re-opened, as the Ebola epidemic wanes.
Image by: John Moore / Getty Images.

By Valentine's Day, nearly three months later, the 23-year-old had not yet returned to Hannah, his girlfriend and mother of his young son.

"I don't want to be tempted by her ... It would be a problem," he said in the capital Monrovia, where he spent his self-imposed exile, afraid that he could still infect her through sexual contact despite his clean bill of health.

Research has shown traces of Ebola in semen of some survivors for at least 82 days after the onset of symptoms and in vaginal secretions for a much shorter period.