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title: How Some People Surviving the Deadliest Ebola Outbreak in History
description: Two Americans who contracted Ebola in Liberia have been declared virus-free. Here&#x27;s how they survived
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author: Alexandra Sifferlin
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article:published_time: 2014-08-21T20:25:07.000Z
article:modified_time: 2026-08-04T08:00:51.157Z
article:section: Health
og:title: How Some People Are Surviving History&#x27;s Deadliest Ebola Outbreak
og:description: Two Americans who contracted Ebola in Liberia have been declared &#x27;virus-free&#x27;
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og:image:alt: Brantly who contracted the deadly virus Ebola, and wife Amber during a press conference at Emory University Hospital in Atlanta
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twitter:description: Two Americans who contracted Ebola in Liberia have been declared &#x27;virus-free&#x27;
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt7c7804f21ea0028f/6986a06913c79f7b1f1938c7/ebola4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# How Some People Are Surviving the Deadliest Ebola Outbreak in History

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<!-- video src="https://cdn.jwplayer.com/manifests/G194AmTC.m3u8" -->
## Video: Meet The CDC Doctors Fighting Ebola

[Watch (HLS stream): Meet The CDC Doctors Fighting Ebola](https://cdn.jwplayer.com/manifests/G194AmTC.m3u8) (2:32)

![Meet The CDC Doctors Fighting Ebola](https://cdn.jwplayer.com/v2/media/G194AmTC/poster.jpg?width=720)

_Published 2014-08-13. Meet The CDC Doctors Fighting Ebola_


by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Aug 21, 2014 8:25 PM UTC

![Kent Brantly, who contracted the deadly Ebola virus, stands with wife Amber during a press conference at Emory University Hospital in Atlanta, Aug. 21, 2014.](https://static.time.com/v3/assets/bltea6093859af6183b/blt7c7804f21ea0028f/6986a06913c79f7b1f1938c7/ebola4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Dr. Kent Brantly, who contracted the deadly Ebola virus, stands with wife Amber during a press conference at Emory University Hospital in Atlanta on Aug. 21, 2014

Dr. Kent Brantly, who contracted the deadly Ebola virus, stands with wife Amber during a press conference at Emory University Hospital in Atlanta on Aug. 21, 2014 Tami Chappell—Reuters

by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Aug 21, 2014 8:25 PM UTC

Ebola is a nasty virus, but contracting it isn’t always a death sentence.

The current outbreak is immense — the worst in recorded history — and aid organizations in West Africa are [stressing the need](http://time.com/3154326/1400-are-dead-from-ebola-and-we-need-help-says-doctors-without-borders-president/) for more people on the ground, not to mention additional supplies and space.

But in a rare instance of positive news on Thursday, it was announced that two Americans who became infected in Liberia and were evacuated to an Atlanta hospital for treatment had been [discharged](http://time.com/3153434/ebola-atlanta-americans-discharge/) and are now virus-free. One of them, Dr. Kent Brantly, appeared healthy while speaking at a press conference.

Ebola’s fatality rate in the current outbreak is slightly over 50% — with 2,473 cases and 1,350 [deaths](http://who.int/csr/don/2014%5F08%5F20%5Febola/en/) — and previous outbreaks have hovered up to 90%. So it may seem hard to understand how someone can survive the disease, which attacks people’s organs and thins blood vessels. But the physicians at Emory University Hospital, where the American patients were treated, [tell TIME](http://time.com/3096724/doctors-inside-emorys-ebola-unit-speak-out/) that even though Ebola’s death rates are frankly terrifying, it’s key to remember that those are in countries — Guinea, Liberia and Sierra Leone — with comparatively weak health care systems. Multiple patients are kept together in a single space and health care workers have neither enough protective equipment nor resources to provide the supportive care that patients need — like isolation, clean linens and replenished fluids and electrolytes.

Still, some people in the U.S. and elsewhere manage to survive the deadly disease.


There’s no cure or treatment for Ebola, but some drugs are being tested. That includes ZMapp, which Brantly and Nancy Writebol received in Liberia. But, their physicians say since they were the first human patients to get the drug, there’s no way to tell what impact it had.

Experimental drugs aside, what doctors _can_ provide Ebola patients is supportive care, like monitoring their heart rate, blood pressure and breathing, as well as replenishing fluids, which can help keep the body as stable as possible so it can fight the virus. (A lack of protective equipment and high demand make this type of care difficult in some of the hardest-hit areas of the outbreak.)

When a person is infected with a virus, their immune system starts to create antibodies to attack it. If the person is strong enough and their body sustains that strength long enough, their immune system can eventually neutralize and clear the virus on its own. Ebola can be detected through blood tests, the results of which only take a day or two to get back. The doctors at Emory said they were able to determine through both blood- and urine-diagnostic tests — and with the help of the Centers for Disease Control and Prevention — that the virus was no longer in the patients’ systems and that they were both symptomless for at least two or three days.


Now there are questions about whether they are carriers, or if they could relapse, or whether they are still infectious. The doctors have confidently said no to all those questions. “The general experience is that once they have survived — especially this far into the disease — they are not contagious, they don’t relapse and they don’t spread the virus to anyone else,” Dr. Bruce Ribner of Emory University Hospital said in the press conference. “We have no evidence of a carrier state for this disease … We anticipate \[they will have\] immunity to this virus.”

Thanks largely to the quality of care they received, Brantly and Writebol are alive, giving hope that the virus can be conquered in patients with pointed care. But that type of assistance isn’t always available in the areas where Ebola is spreading fastest. “Please, do not stop praying for the people of Liberia and West Africa,” Brantly said on Thursday, in a plea for the public not to forget those who won’t have a recovery similar to his.



## Transcript

This Ebola outbreak is unprecedented. This is definitely a marathon and not a sprint. The bugs have evolved. The outbreak has gotten bigger. We are only as strong as the weakest link, and we have learned from Ebola that West Africa was a very weak link. [ MUSIC ] There's small clinics, these are like one room places where sick people might go in their house with maybe an auxiliary nurse as some one who has a little bit of medical training, but defiantly not the same standards that we would have here in the US. We're facing 3 main threats. The first is the threat of new organisms. It was coming and spreading in different places.

The second is drug- resistant bacteria, and the third are intentionally created organisms. What we do in an outbreak response is continuously see how can we make it better. The exercises we've gone through both, re- evaluating our own protocols but also understanding what the public and governmental responses are has really helped us understand. How to take care of these patients in the larger context of our healthcare systems. And, those who are in the building, I would urge you to come down to either the ops team room, or the, When designing a unit that is designed to accept patients with serious communicable diseases, like Ebola, there are ways to design a unit so that it's function.

Functional. Any hospital that can isolate a patient in a single patient room with a bathroom and can follow our infection control recommendations is capable of safely caring for a patient with Ebola. And we've tried to encourage every single hospital in the country to have an antibiotic stewardship program to improve antibiotic prescribing practices. There is a concern about fatigue as we go on that, the CDC other groups have sort of ramping up now to try to surge resources into the area. What we're also realizing is, we need to be able to maintain that surge for many months to keep the pressure on to completely control the outbreak.

Time will tell in the next few weeks if we can start to see those numbers going in the right direction. Fewer new cases each day or each week. The single most important thing to understand about protecting Americans from Ebola is that can best be done by stopping it at the source in Africa. Its normal to be scared of something as deadly as Ebola and for the general public I really hope we can never let our fear undermine our compassion.

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