Using Ebola survivors’ blood as remedy may carry risks — experts
WASHINGTON (AFP) — Two American doctors sickened by Ebola have been given blood transfusions from survivors, a technique the World Health Organization advocates but that experts say carries some risks.
The idea behind the approach is that someone who fought off Ebola is stocked with antibodies against the virus, and these protective antibodies can be transferred from one person to another.
Ebola has killed more than 2,400 people, about half of those infected in the latest outbreak sweeping the West African nations of Sierra Leone, Liberia, Guinea and Nigeria.
There are no drugs on the market to cure or treat Ebola, no vaccines to prevent it. While trials are under way to accelerate therapies to people in need, medical experts have turned to the idea of using survivors’ blood as a remedy.
The therapy was initially developed decades ago for the treatment of rabies, and can be delivered by the blood or blood products of humans or even animals.
Christian missionary doctor Rick Sacra, 51, has received two blood plasma transfusions from Kent Brantly, 33, another US doctor who made a full recovery from Ebola last month, the Nebraska Medical Centre said Thursday.
The notion of using blood transfusions from survivors may seem like a quick and low-cost option for the West Africa outbreak.
Indeed, some 200 experts convened by the WHO earlier this month agreed that blood therapies and convalescent serums can be used to fight Ebola immediately.
But in practice, there are risks, according to Francois Bricaire, former head of infectious and tropical diseases at the Pitie Salpetriere Hospital in Paris.
“You have to make sure the serum is safe to use first, to avoid spreading HIV or hepatitis,” he said.
“It’s a common technology in developed countries, but difficult to put in practice in Africa,” he added.
“In the midst of an epidemic, the major preoccupation is not to check everything.”
Klausner agreed, saying that without adequate measures, doctors could be putting patients at risk of diseases such as AIDS and syphilis, or bad reactions to the transfusion.
“My concerns in any use of whole blood, serum or antibody therapy would be the safety of the product and the conditions of transfusion or injection,” Klausner said.
“Depending on the setting whole blood therapy could be fraught will all sorts of concerns and complications like transfusion reactions, transmission of other blood borne pathogens and would have to be conducted under rigorous medical supervision to be safe.”