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

[Gert van der Hoek]

Re: Nigeria - Ebola: 21 cases, 7 fatalities as of August 31, 2014 (WHO report September 04, 2014)

Nigeria currently has only one Ebola patient ? Health Minister

Posted On 08 Sep 2014

Nigeria?s Minister for Health, Prof. Onyebuchi Chukwu has said only one Ebola patient is now under treatment in the country.

The minister said this on Monday during a press conference.

According to him, ?Last Ebola patient in Nigeria at the moment is wife of late Port Harcourt doctor. She is recovering and will be discharged this week after tests?

?Another Ebola patient in Nigeria has been successfully managed and discharged. She is sister of late Port Harcourt doctor and was treated in the city.?

?Total number of deaths is still 7 while there are now 10 survivors of EVD in Nigeria so far.?


?19th case of EVD in Nigeria is fiance of a primary contact of Sawyer in Lagos who has made full recovery?

?Total number of contacts of EVD currently under surveillance in Lagos has reduced to 27″

?Total of 339 contacts previously on surveillance released after completing 21 days of observation?

?Port Harcourt has total of 477 currently under surveillance, 5 have been discharged after completing 21 days observation?

?Minister of Health again dispels rumours of Ebola cases in many states including Kebbi, Kaduna, Lagos, FCT, Oyo, Ebonyi, Delta, and Sokoto?

?Nigeria current EVD status Sept 8 Total confirmed cases 19 ? 7 dead, 11 survivors, 1 under treatment in Lagos. No more Ebola patient in Port Harcourt?

?Wife of late Port Harcourt doctor on treatment in isolation ward in Lagos no longer has EVD symptoms, undergoing series of tests preparatory to discharge?

?Today makes 50 days since Ebola was imported into Nigeria through Lagos, and 38 days since it was introduced into Port Harcourt, Health Minister, Prof Chukwu says.

http://africanspotlight.com/2014/09/08/nigeria-%E2%80%8Bcurrently-%E2%80%8Bha%E2%80%8Bs-one-ebola-patient-health-minister/

[Ronan Kelly]

Re: Nigeria - Ebola: 21 cases, 7 fatalities as of August 31, 2014 (WHO report September 04, 2014)

UPDATE 1-Ebola toll tops 2,000, cases near 4,000 - World Health Organization
Fri Sep 5, 2014 5:03pm GMT Print | Single Page [-] Text [+]
...
The death toll in Guinea, Liberia and Sierra Leone totalled 2,097 as at Sept 5, out of 3,944 cases, a WHO document said.

A further eight people have died in Nigeria, out of 23 cases, and 1 confirmed case in Senegal. That puts the death toll at a total of 2,105 and the number of patients so far at 3,968.
...

http://af.reuters.com/article/nigeriaNews/idAFL5N0R63YX20140905

[Pathfinder]

Re: Nigeria - Ebola: 21 cases, 7 fatalities as of August 31, 2014 (WHO report September 04, 2014)

Hattip Sharon Sanders

Ebola virus disease outbreak ? west Africa
<!-- Default DIV wrapper for all story meta data -->
Disease outbreak news

4 September 2014
...
As of 31 August 2014, 3685 (probable, confirmed and suspected) cases and 1841 deaths have been reported in the current outbreak of Ebola virus disease by the Ministries of Health of Guinea, Liberia and Sierra Leone.

In Nigeria, there have been 21 cases and 7 deaths.

In Senegal, one case has been confirmed and there have been no Ebola deaths or further suspected cases.
...
Initial case(s) and localized transmission as at 31 August 2014

<!--begin table -->
<TABLE class=borderOn><THEAD><TR><TD>Country </TD><TD>Case definition</TD><TD>Total</TD><TD>Total deaths</TD><TD>Case fatality rate (%)</TD></TR></THEAD><TBODY><TR><TD>Nigeria </TD><TD>Confirmed </TD><TD>16</TD><TD>6</TD><TD>37.5</TD></TR><TR><TD></TD><TD>Probable </TD><TD>1</TD><TD>1</TD><TD>100</TD></TR><TR><TD></TD><TD>Suspected </TD><TD>4</TD><TD>0</TD><TD>0</TD></TR><TR><TD></TD><TD>All </TD><TD>21</TD><TD>7</TD><TD>33.3</TD></TR></TBODY></TABLE>

...

http://www.who.int/csr/don/2014_09_04_ebola/en/

[Gert van der Hoek]

Re: Nigeria - Ebola: 17 cases, 6 fatalities as of August 26, 2014 (WHO report August 28, 2014)

Nigeria monitoring 400 contacts of doctor who died of Ebola


Source: Reuters - Thu, 4 Sep 2014 12:03 GMT

Author: Reuters

* Sense of "hopelessness" in Nigeria, health official says

* Nigeria quarantining high-risk contacts of late doctor

* Doctor hid his exposure and infection, putting others at risk

* WHO opens two-day talks on experimental drugs, vaccines

By Stephanie Nebehay

GENEVA, Sept 4 (Reuters) - Nigerian authorities are monitoring nearly 400 people for signs of Ebola after they came in contact with a Port Harcourt doctor who died of the disease but hid the fact that he had been exposed, a senior Nigerian health official said on Thursday.

[Gert van der Hoek]

Re: Nigeria - Ebola: 17 cases, 6 fatalities as of August 26, 2014 (WHO report August 28, 2014)

Ebola: 4th case surfaces in Port Harcourt, 18 now confirmed in Nigeria


Posted On 03 Sep 2014

The number of confirmed Ebola cases in Nigeria has risen to 18, after a fourth case surfaced in Port Harcourt, home to Africa’s biggest oil and gas industry, the health minister said on Wednesday.

The Ebola outbreak in Africa’s most populous country began on July 20 when a Liberian man with the disease collapsed at Lagos airport, spreading the virus to the hospital staff who treated him.

A man who had travelled with him then skipped quarantine and travelled to Port Harcourt, bringing the disease there. A doctor died in the oil city last week. Health Minister Onyebuchi Chukwu said a patient he had treated had also now died.

A total of 255 people were under surveillance in Port Harcourt, while 41 were in Lagos.

African Spotlight

[Gert van der Hoek]

Re: Nigeria - Ebola: 17 cases, 6 fatalities as of August 26, 2014 (WHO report August 28, 2014)

WHO

Ebola situation in Port Harcourt, Nigeria

Situation assessment - 3 September 2014

The Minister of Health of Port Harcourt, Nigeria, has now reported 3 (4?) confirmed cases of Ebola virus disease in Port Harcourt, the country’s oil hub. Additional suspected cases are being investigated.


Background on the Port Harcourt index case

Ebola virus was imported into Nigeria via an infected air traveller, who entered Lagos on 20 July and died 5 days later. One close contact of the Lagos case fled the city, where he was under quarantine, to seek treatment in Port Harcourt.

The close contact was treated, from 1 to 3 August, at a Port Harcourt hotel, by what would turn out to be the city’s index case. This case was a male physician who developed symptoms of weakness and fever on 11 August and died of Ebola on 22 August. His infection was confirmed on 27 August by the virology laboratory at Lagos University Teaching Hospital.

The male physician in Port Harcourt is therefore indirectly linked to Nigeria’s first case.

The case history of the index case in Port Harcourt is important, as it reveals multiple high-risk opportunities for transmission of the virus to others.

After onset of symptoms, on 11 August, and until 13 August, the physician continued to treat patients at his private clinic, and operated on at least two. On 13 August, his symptoms worsened; he stayed at home and was hospitalized on 16 August.

Prior to hospitalization, the physician had numerous contacts with the community, as relatives and friends visited his home to celebrate the birth of a baby.

Once hospitalized, he again had numerous contacts with the community, as members of his church visited to perform a healing ritual said to involve the laying on of hands. During his 6 day period of hospitalization, he was attended by the majority of the hospital’s health care staff.

On 21 August, he was taken to an ultrasound clinic, where 2 physicians performed an abdominal scan. He died the next day.

The additional 2 (3 ?) confirmed cases are his wife, also a doctor, and a patient at the same hospital where he was treated. Additional staff at the hospital are undergoing tests.

Given these multiple high-risk exposure opportunities, the outbreak of Ebola virus disease in Port Harcourt has the potential to grow larger and spread faster than the one in Lagos.

The response

Nigerian health workers and WHO epidemiologists are monitoring more than 200 contacts. Of these, around 60 are considered to have had high-risk or very high-risk exposure.

The highest-risk exposures occurred in family members and in health care workers and patients at the facility where the index case was hospitalized. Church members who visited the index case while he was hospitalized are also considered at high risk.

The government, supported by WHO, UNICEF, and MSF (Doctors without Borders), has introduced a number of emergency measures. More will be introduced later this week.

An Ebola Emergency Operations Centre has been activated, with support from the US Centers for Disease Control and Prevention. A mobile laboratory, with RT-PCR diagnostic capacity, is set up and functional.

A 26-bed isolation facility for the management of Ebola cases is in place, with plans for possible expansion. WHO has 15 technical experts on the ground.

Twenty-one contact-tracing teams are at work; they have good training, provided by WHO, and adequate transportation, thanks to government support. Two decontamination teams are equipped and operational, as is a burial team.

Port Harcourt is the capital of Rivers State. WHO, together with the Rivers State Port Health Service, has assessed public health measures at airport gates and other points of entry. Screening is under way at domestic and international airport gates.

Social mobilization efforts have been stepped up, initially targeting key community and religious leaders.

However, civil unrest, security issues, and public fear of Ebola create serious problems that could hamper response operations. Military escorts are needed for movements into the isolation and treatment centre.

WHO

[Ronan Kelly]

Re: Nigeria - Ebola: 17 cases, 6 fatalities as of August 26, 2014 (WHO report August 28, 2014)

Nigeria records another Ebola case in Port Harcourt

By Our Reporter / September 1, 2014 / 0 Comments


Nigeria has a third confirmed case of Ebola disease in the oil hub of Port Harcourt, bringing the country?s total confirmed infections to 16, with around 200 people under surveillance, the health minister said on Monday.
...
But one of Sawyer?s contacts in Lagos avoided quarantine and travelled east to Port Harcourt.
He has since recovered from the disease, but he infected the doctor who treated him, who then himself died of Ebola. A third case in the oil city was a female patient in the same hospital as the doctor and caught the disease from him.
...

- See more at: http://nigerianpilot.com/nigeria-rec....0eg82Ybl.dpuf

[Gert van der Hoek]

Re: Nigeria - Ebola: 17 cases, 6 fatalities as of August 26, 2014 (WHO report August 28, 2014)

Ebola: Three new suspected cases in Port Harcourt

SEPTEMBER 1, 2014

Three people have been taken to the Ebola Virus Disease quarantine centre at Oduoha, Emohua Local Government Area of Rivers State.

The State Commissioner for Health, Sampson Parker, made this known on Sunday just as the Federal Government said another emergency meeting of the National Council of Health over the EVD would hold in Abuja today. The last meeting took place on August 11, 2014.

Parker, who addressed journalists, said those quarantined were a doctor, a pharmacist and a woman who came into contact with Dr. Iyke Enemuo, who died of the virus in Port Harcourt on August 22.

The pharmacist and the doctor are members of staff of Sam Steel Hospital while the nurse worked at the Good Heart Hospital where Enemuo died...

More: Punch

[Shiloh]

Re: Nigeria - Ebola: 16 cases, 5 fatalities as of August 20, 2014 (WHO report August 22, 2014)

Source: http://www.who.int/csr/don/2014_08_28_ebola/en/


Confirmed Probable Suspect Totals
Nigeria
Cases 13 1 3 17
Deaths 5 1 0 6

[alert]

And we get an official report:

http://reliefweb.int/report/nigeria/ebola-virus-disease-nigeria-daily-situation-report-sitrep-no-25-25th-august-2014

That's 13 confirmed, 1 probable case, and 1 suspect. 15 suspects have been discarded so far.

I assume the doctor's sister is the suspect case, as the probable case is reported to have died. It is not clear who this person was. Perhaps they are the 14th case originally reported as confirmed? (Update: The probable case is a new fatality in an HCW in Port Harcourt.)

This report reinforces my suspicion that the UNOG report added the 6 deaths (including the probable case) to the 13 confirmed and one probable to get a false total of 19 confirmed and one probable.

pdf: http://reliefweb.int/sites/reliefweb...%20%285%29.pdf

[Shiloh]

Re: Nigeria - Ebola: 16 cases, 5 fatalities as of August 20, 2014 (WHO report August 22, 2014)

Source: http://www.vanguardngr.com/2014/08/e...ee-discharged/

Ejelonu?s fiance certified Ebola free, discharged
on August 25, 2014 / in News 12:41 am /
By Sola Ogundipe & Chioma Obinna

Dennis, the widow of the late Justina Ejelonu, the nurse who attended to the index (first) Patrick Sawyer at the First Consultants Medical Centre, Lagos, and later died of the Ebola Virus Disease contracted during the encounter, has been discharged from the Ebola control and treatment centre in Lagos.

The late nurse?s spouse, who had been under observation as one of the suspected cases, was discharged after testing negative to Ebola following series of tests conducted on him to certify his status.

A source at the treatment centre, told Vanguard that Dennis was discharged, weekend after he was certified Ebola free.

He is the sixth person to be discharged from the Ebola Isolation Centre in Yaba, Lagos...

[Ronan Kelly]

Re: Nigeria - Ebola: 15 cases, 4 fatalities as of August 18, 2014 (WHO report August 20, 2014)

Ebola virus disease update - west Africa

Disease outbreak news
22 August 2014

Epidemiology and surveillance

Between 19 and 20 August 2014, a total of 142 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 77 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone.

Health sector response

Questions have been received in WHO Headquarters about the original proposed budget for the response and the new draft budget, which is being reviewed by partners. The increase in needed resources is based on improved data and understanding of the situation on the ground in the affected countries. The new estimation of costs is derived using a unit-cost model, built for the most intense transmission areas and reflects the average operational costs based on the current situation in the affected countries. The major assumptions for the cost estimates will be announced towards the end of next week.

WHO continues to receive reports of rumoured or suspected cases from countries around the world and systematic verification of these cases is ongoing. Countries are encouraged to continue engaging in active surveillance and preparedness activities. As of today, no new cases have been confirmed outside of Guinea, Liberia, Nigeria, or Sierra Leone.

WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at:

IHR Emergency Committee on Ebola outbreak in west Africa
Disease update

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 20 August 2014

http://www.who.int/csr/don/2014_08_22_ebola/en/

[tetano]

Re: Nigeria - Ebola: 15 cases, 4 fatalities as of August 18, 2014 (WHO report August 20, 2014)

Ebola spreads in Nigeria with 2 new cases
August 22, 2014
Associated Press
Save |

ABUJA, Nigeria (AP) ? Two alarming new cases of Ebola have emerged in Nigeria, widening the circle of people sickened beyond the immediate group of caregivers who treated a dying airline passenger in one of Africa's largest cities.

The two new cases were infected by their spouses, both medical workers who had direct contact with Liberian-American Patrick Sawyer, who flew into Nigeria from Liberia and Togo and infected 11 others before he died in July. The male and female caregivers also then died of Ebola, Health Minister Onyebuchi Chukwu said Friday.

Nigerian officials initially claimed the risk of exposure to others was minimal because Sawyer was whisked into isolation after arriving at the airport. But Lagos state health commissioner Jide Idris later acknowledged that Sawyer was not immediately quarantined when he arrived, because doctors didn't suspect Ebola at that point.


...

http://www.ironmountaindailynews.com/page/content.detail/id/572334/Ebola-spreads-in-Nigeria-with-2-new-cases.html?isap=1&nav=5024

[Ronan Kelly]

Re: Nigeria - Ebola: 15 cases, 4 fatalities as of August 18, 2014 (WHO report August 20, 2014)

AP NEWSALERT
Aug. 22, 2014 7:24 AM EDT


ABUJA, Nigeria (AP) ? Nigeria confirms first 2 Ebola cases beyond those who had direct contact with ill traveler .

http://bigstory.ap.org/article/ap-newsalert-742

[Pathfinder]

Re: Nigeria - Ebola: 15 cases, 4 fatalities as of August 16, 2014 (WHO report August 19, 2014)

Ebola virus disease update - west Africa

Disease outbreak news
20 August 2014
Epidemiology and surveillance

Between 17 and 18 August 2014, a total of 221 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 106 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone.
...
Disease update

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 18 August 2014

<!--begin table -->
<TABLE class=borderOn><THEAD><TR><TD class=RightAlign rowSpan=2></TD><TD class=CenterAlign rowSpan=2>New (1) </TD><TD class=CenterAlign rowSpan=2>Confirmed</TD><TD class=CenterAlign rowSpan=2>Probable</TD><TD class=CenterAlign rowSpan=2>Suspect</TD><TD class=CenterAlign rowSpan=2>Totals</TD></TR></THEAD><TBODY><TR></TR><TR><TD>Guinea</TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD></TR><TR><TD class=RightAlign>Cases</TD><TD class=CenterAlign>36</TD><TD class=CenterAlign>423</TD><TD class=CenterAlign>140</TD><TD class=CenterAlign>16</TD><TD class=CenterAlign>579</TD></TR><TR><TD class=RightAlign>Deaths</TD><TD class=CenterAlign>2</TD><TD class=CenterAlign>254</TD><TD class=CenterAlign>140</TD><TD class=CenterAlign>2</TD><TD class=CenterAlign>396</TD></TR><TR><TD>Liberia </TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD></TR><TR><TD class=RightAlign>Cases</TD><TD class=CenterAlign>126</TD><TD class=CenterAlign>242</TD><TD class=CenterAlign>502</TD><TD class=CenterAlign>228</TD><TD class=CenterAlign>972</TD></TR><TR><TD class=RightAlign>Deaths</TD><TD class=CenterAlign>95</TD><TD class=CenterAlign>212</TD><TD class=CenterAlign>239</TD><TD class=CenterAlign>125</TD><TD class=CenterAlign>576</TD></TR><TR><TD>Nigeria</TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD></TR><TR><TD class=RightAlign>Cases</TD><TD class=CenterAlign>0</TD><TD class=CenterAlign>12</TD><TD class=CenterAlign>0</TD><TD class=CenterAlign>3</TD><TD class=CenterAlign>15</TD></TR><TR><TD class=RightAlign>Deaths</TD><TD class=CenterAlign>0</TD><TD class=CenterAlign>4</TD><TD class=CenterAlign>0</TD><TD class=CenterAlign>0</TD><TD class=CenterAlign>4</TD></TR><TR><TD>Sierra Leone</TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD></TR><TR><TD class=RightAlign>Cases</TD><TD class=CenterAlign>59</TD><TD class=CenterAlign>783</TD><TD class=CenterAlign>52</TD><TD class=CenterAlign>72</TD><TD class=CenterAlign>907</TD></TR><TR><TD class=RightAlign>Deaths</TD><TD class=CenterAlign>9</TD><TD class=CenterAlign>335</TD><TD class=CenterAlign>34</TD><TD class=CenterAlign>5</TD><TD class=CenterAlign>374</TD></TR><TR><TD>Totals</TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD><TD class=CenterAlign></TD></TR><TR><TD class=RightAlign>Cases</TD><TD class=CenterAlign>221</TD><TD class=CenterAlign>1460</TD><TD class=CenterAlign>694</TD><TD class=CenterAlign>319</TD><TD class=CenterAlign>2473</TD></TR><TR><TD class=RightAlign>Deaths</TD><TD class=CenterAlign>106</TD><TD class=CenterAlign>805</TD><TD class=CenterAlign>413</TD><TD class=CenterAlign>132</TD><TD class=CenterAlign>1350</TD></TR><TR><TD colSpan=4>1. New cases were reported between 17 and 18 August 2014</TD></TR></TBODY></TABLE>

...

http://www.who.int/csr/don/2014_08_20_ebola/en/