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Nigeria - Ebola: 20 cases, 8 fatalities (WHO Ebola Roadmap Response, September 24, 2014)

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  • #16
    Re: Nigeria - Ebola: Liberian man in Lagos being tested dies

    According to this French article "the patient, aged 40, arrived from Monrovia via Lome, Togo, in the Nigerian economic capital Sunday and was hospitalized due to severe vomiting and diarrhea."
    ...
    http://www.leparisien.fr/flash-actua....google.com%2F
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #17
      Re: Nigeria - Ebola: Liberian man in Lagos being tested dies

      If confirmed as Ebola, this man would clearly have been infectious during his travels. I wonder if he disembarked at Togo i.e if there was a flight change? If so there may be additional contacts to trace, both within the airport and the preceding flight itself.

      Comment


      • #18
        Re: Nigeria - Ebola: Liberian man in Lagos being tested dies

        Nigeria confirms Ebola case in megacity of Lagos
        By Felix Onuah and Tom Miles

        ABUJA/GENEVA Fri Jul 25, 2014 3:25pm EDT

        (Reuters) - A Liberian man who died in Nigeria's commercial capital Lagos on Friday tested positive for the deadly Ebola virus, Health Minister Onyebuchi Chukwu said.

        Patrick Sawyer, a consultant for the Liberian finance ministry in his 40s, collapsed on Sunday after flying into Lagos, a city of 21 million people, and was taken from the airport and put in isolation in a local hospital. Nigeria confirmed earlier on Friday that he had died in quarantine.

        "His blood sample was taken to the advance laboratory at the Lagos university teaching hospital, which confirmed the diagnosis of the Ebola virus disease in the patient," Chukwu told a press conference on Friday. "This result was corroborated by other laboratories outside Nigeria."

        However, at a separate press conference held by the Lagos state government at the same time, the city's health commissioner, Jide Idris, said that they were only "assuming that it was Ebola" because they were "waiting for a confirmative test to double check" from a laboratory in Dakar.

        Paul Garwood, spokesman for the World Health Organization (WHO) in Geneva, said the U.N. health agency was also still waiting for test results.

        "We're still waiting for laboratory-confirmed results as to whether he died of Ebola or not," he said.

        It could not be immediately determined why there was a contradiction in the comments from central government and city officials.

        If confirmed, the man would be the first case on record of one of the world's deadliest diseases in Nigeria, Africa's biggest economy and with 170 million people, its most populous country. Ebola has killed 660 people across Guinea, Liberia and Sierra Leone since it was first diagnosed in February.

        Sawyer was quarantined on arrival and had not entered the city, a Nigerian official told Reuters.

        "While he was quarantined he passed away. Everyone who has had contact with him has been quarantined," the official said.

        Liberia's finance minister Amara Konneh said Sawyer was a consultant for the country's finance ministry.

        "Our understanding is that the cause of death was Ebola," Konneh told Reuters.

        ...


        http://www.reuters.com/article/2014/...0FU1LE20140725

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        • #19
          Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

          Source: http://www.businessweek.com/news/201...megacity-lagos


          Ebola Kills Liberian in Nigeria’s First Case in Megacity Lagos
          By Yinka Ibukun and Elisha Bala-Gbogbo July 25, 2014

          The Ebola virus claimed its first victim in Nigeria as a Liberian man died from the hemorrhagic fever in Lagos, the country’s commercial capital and sub-Saharan Africa’s largest city.

          Local laboratory results showed the victim tested positive for Ebola, Lagos state Health Commissioner Jide Idris told reporters in the city yesterday. Separate results from a World Health Organization facility in Senegal’s capital, Dakar, have yet to arrive, he said. A list is being compiled of all the people who had contact with the patient, he said.

          “We’re assuming it’s Ebola until further notice,” Idris said. “The public should not panic. We’re trying as much as possible to take the measures that will contain the spread.” ...

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          • #20
            Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

            Panic as Ebola patient dies in Lagos

            ...


            Addressing newsmen in Alausa on Friday, the state Commissioner for Health, Dr. Jide Idris, who was joined by his Information and Strategy counterpart, Mr. Aderemi Ibirogba, the Special Adviser to the Governor on Public Health, Dr. Yewande Adeshina, and the Special Adviser on Information and Strategy, Mr. Raji Lateef, confirmed that Sawyer, before his death, tested positive to Ebola virus in the test conducted in the country.

            According to him, “The patient we heard died over night and ever since then we have tried as much as possible to contain it, we need to sanitise, we need to treat the body properly, we need to dispose of the body properly and those are the things we are working out right now. These are the processes we need to follow and we are following, and we are doing this in conjunction with the Federal Ministry of Health staff.

            “There is a protocol, we are talking with the hospital involved and the staff. After dealing with the body we have to deal with the hospital, to sanitize the hospital. More importantly too, there is the need for us to do contact tracing. We are doing that with the World Health Organisation; we are going to trace all the contacts that the man came in with and the plane he came on.

            “Since we have got the manifest, we are going to trace all of them. Each one of them is going to be questioned; there is protocol for questioning and the contacts are going to be followed in the next 21 days to see if any of them developed any symptoms. This is what we are in the process of doing.”

            With respect to the borders, he said there are people manning the borders, seaports and airports in Lagos, saying the state government was in contact with the Federal Government officials in charge of the borders.

            He said: “First and foremost, we need to dispose of the body properly; there are issues involving diplomatic relationship and we need to get consent from Liberia, which the Ministers of Health and External Affairs are dealing with right now. But we have to preserve the body, sanitise the hospital and ensure that the virus that killed the adult does not spread.”

            Idris urged Lagosians not to panic, saying that treatment centres would be set up in the state to deal with any possible spread of the disease.

            ...

            http://dailyindependentnig.com/2014/...nt-dies-lagos/

            Comment


            • #21
              Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

              This article mentions that the flight was from Sierra Leone?

              Translation Google

              Ebola went through Lomé: Togo takes precautions

              Written by TOGO BREAKING NEWS
              Publish in Health Saturday, July 26, 2014 6:17 p.m.

              So far, Togo has not recorded a case of Ebola. But the Ministry of Health and Crisis Cell establishment since several months for the management of the disease in Togo are activated for contingencies.
              ...
              Here is the statement from the Ministry of Health

              Since January 2014, the Ebola fever, a highly contagious and highly fatal viral disease prevails in the sub-region of West Africa including Guinea Conakry, Sierra Leone and Liberia.

              On 20 July 2014, a suspected patient from Sierra Leone and transiting through the international airport Gnassingbe Eyadema in Lome, reportedly died in Lagos, Nigeria on July 25, 2014.

              Faced with this situation, the Crisis management of the disease Ebola informs the population of the following. Technical measures and close monitoring of daily passengers arrived in Lomé from the same flight are taken to deal with any eventuality. The various crises cells are activated to deal with any situations.

              In addition, the Ministry of Health informs the population and especially the passengers who took the same flight from Sierra Leone on 20 July 2014 to watch for the following signs: sudden fever due to one or more of the following signs: diarrhea containing blood, black stools, urine with blood, sputum with traces of blood, vomiting with blood, blood flowing from the nose or presence of blood in any part of the body.

              In case of these signs, call the 111 or go to consultation in the health center or the nearest public hospital and inform health personnel of your country of origin.

              Moreover, the public is invited to observe the following measures: Wash hands several times a day with soap and water, avoid handling the effects of unprotected people with pre signs mentioned, avoid touching unprotected anyone suffering from high fever and bleeding, avoid handling or eating the meat of live and dead wild animals (agouti, Bat, monkey, ras, etc.).

              NB: Your health and that of your loved ones depend on how fast your reaction toward the appearance of signs described above.

              Done at Lomé July 26, 2014

              The Ministry of Health

              http://www.togobreakingnews.com/nouv...ecautions.html
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #22
                Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                Nigeria Death Shows Ebola Can Spread by Air Travel

                ABUJA, Nigeria — Jul 26, 2014, 3:31 PM ET

                By HEATHER MURDOCK Associated Press
                ...
                The fact that the traveler from Liberia could board an international flight also raised new fears that other passengers could take the disease beyond Africa due to weak inspection of passengers and the fact Ebola's symptoms are similar to other diseases.
                ...
                Patrick Sawyer, a consultant for the Liberian Ministry of Finance arrived in Nigeria on Tuesday and was immediately detained by health authorities suspecting he might have Ebola, Plyler said.
                ...
                Sawyer reportedly did not show Ebola symptoms when he boarded the plane, Plyler said, but by the time he arrived in Nigeria he was vomiting and had diarrhea. There has not been another recently recorded case of Ebola spreading through air travel, he added.

                Nearly 50 other passengers on the flight are being monitored for signs of Ebola but are not being kept in isolation, said an employee at Nigeria's Ministry of Health, who insisted on anonymity because he was not authorized to speak to the press.

                Sawyer's sister also died of Ebola in Liberia, according to Liberian officials, but he claimed to have had no contact with her...
                ...
                http://abcnews.go.com/Health/wireSto...death-24719171
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #23
                  Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                  If it is correct that Sawyer had no contact with his sister, then the probability is that he had contact with an intermediary who must have been carrying the virus, either on clothing or because they were themselves infected. Given that the sister died 3 weeks prior, it is more likely to be the latter, but this person cannot have been strongly symptomatic? I hope the mystery about how this man contracted his infection is solved quickly.

                  Comment


                  • #24
                    Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                    With both this case and the physician in Sierra Leone, I am concerned that the transmission route could be changing such that transmission is more efficient.

                    Originally posted by Vibrant62 View Post
                    If it is correct that Sawyer had no contact with his sister, then the probability is that he had contact with an intermediary who must have been carrying the virus, either on clothing or because they were themselves infected. Given that the sister died 3 weeks prior, it is more likely to be the latter, but this person cannot have been strongly symptomatic? I hope the mystery about how this man contracted his infection is solved quickly.
                    "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

                    Comment


                    • #25
                      Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                      Arik Air suspends flight to Monrovia , Freetown over Ebola outbreak

                      By Mos Abaka
                      July 27, 2014 21:14:17pm GMT
                      ...
                      Spokesman of Arik Air, Mr Banji Ola said the suspension of flights effective July 28, 2014 is a pre cautionary measure aimed at safeguarding the lives of Nigerians.

                      The airline has therefore advised the Federal Government to immediately suspend all in bound flights into Nigeria from any of the Ebola affected countries.

                      In a statement, Arik Air said: "As a result of the first Ebola virus death officially confirmed in Lagos, involving a Liberian national who flew on a foreign (Non-Nigerian) regional based airline from Monrovia via Lome (Togo) into the city last week, Arik Air will be suspending operations into Monrovia (Liberia) and Freetown (Sierra Leone) effective July 28, 2014.

                      " The suspension will be in force until further notice. This decision is a pre-cautionary measure aimed at safeguarding the precious lives of Nigerians.
                      ...
                      http://www.worldstagegroup.com/world...16954&catid=27
                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

                      Comment


                      • #26
                        Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                        Some additional patient information here

                        http://allafrica.com/stories/2014072...=useful-column

                        Sawyer flew into Nigeria onboard Asky Airline to attend an ECOWAS conference in Calabar, Cross River State.
                        In a statement by the hospital's Chief Consultant/ Medical Director, Dr B.N. Ohiaeri and the Senior Consultant Physician and Endocrinologist, Dr. A.S. Adadevoh, it said the hospital was under pressure to release the victim.

                        According to the statement, "He was fully conscious and gave his clinical history and told us he was a senior diplomat from Liberia. We refused to let him out of the hospital in spite of intense pressure as we were told he was a senior ECOWAS official who had an important role to play at the ECOWAS convention in Calabar. The initial test result from the Lagos University Teaching Hospital laboratory indicated a signal of possible Ebola Virus Disease, but required confirmation.

                        "We then took the further step of reaching out to senior officials in the office of the Secretary of Health of the United States of America, who promptly assisted us with contacts at the Centre for Disease Control and World Health Organisation regional laboratory centre in Senegal. Jointly working with the state, Federal agencies and international agencies, we were able to obtain confirmation of Ebola Virus Disease (Zaire strain). The gentleman subsequently died on Friday at 6.50am (25th July, 2014)."
                        Meanwhile, a cross section of Lagos residents has urged the state and federal governments to spread their dragnet nationwide to ensure that all the co- passengers aboard the Asky aircraft that brought the victim to Nigeria are quickly located and screened for the virus.
                        This latter comment relates to the fact that passenger manifests are not always held in this region of Africa i.e contact tracing of fellow passengers is going to rely on passengers coming forward for screening.

                        Comment


                        • #27
                          Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                          http://www.independent.co.uk/news/wo...t-9630359.html

                          He managed to board the flight despite of having a high fever. Once on the plane he vomited, before dying in Nigeria.

                          Comment


                          • #28
                            Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                            From http://www.news.com.au/world/the-arr...-1227004137380

                            Nearly 50 other passengers on the flight are being monitored for signs of Ebola but are not being kept in isolation, said an employee at Nigeria’s Ministry of Health, who insisted on anonymity because he was not authorised to speak to the press.

                            Comment


                            • #29
                              Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                              They need to at least quarantene those who cleaned up the vomit on the airplane. I seriously doubt they had adequate protection and should be the most likely to have been infected.

                              "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

                              Comment


                              • #30
                                Re: Nigeria - Ebola: Liberian man in Lagos tested- dies- positive for ebola

                                Assuming nothing has changed with the virus (and that's a big assumption), it is not standard procedure to quarantine healthy contacts. Contacts are usually given 21 days of monitoring (taking temperature several times a day), and put in isolation only if they become unwell.

                                That's why, even in a large city, with proper action and cooperation, Ebola should be easier to contain than SARS was.

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