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Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

Thank you for the replies. My apologies if my questions read as "panic inducing" as that was not my intent.

Wouldn't home isolation involve educating family members on transmission modes, sanitary practices and some sort of protocol to be followed should any suspected symptoms develop? I understand these are substandard medical systems but those small steps would be plain old common sense given the potential ramifications.

The report of these new cases, while under medical supervision, is just puzzling to me.

Hopefully they will release more information once they investigate fully.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

TMI said:
Thank you for the replies. My apologies if my questions read as "panic inducing" as that was not my intent.Wouldn't home isolation involve educating family members on transmission modes, sanitary practices and some sort of protocol to be followed should any suspected symptoms develop? I understand these are substandard medical systems but those small steps would be plain old common sense given the potential ramifications.

The report of these new cases, while under medical supervision, is just puzzling to me.

Hopefully they will release more information once they investigate fully.
Click to expand...

All questions are good, I am sorry to make you think you elicited "panic inducing" thoughts.

Our brains fill in the 'unknowns' and when there are no clear answers, the thoughts can be fear provoking. I meant more to recognize many scary scenarios exist out there and the one presented will hopefully be more realistic and plausible.

The medical oversight the individuals in quarantine may have had could have been a phone call to verify temperatures in the morning and evening.

The typical spouse contact is certainly different than US routines - added to denial that it would ever happen to them or refusing to accept the possibility it may ... Maybe the very, very early symptoms (typically not documented) are just not dramatic enough to say "Stay away! I've got Ebola!" Multiple reasons the spouse may have been exposed at the earliest, infectious onset of symptoms/signs.

I think about influenza and the early symptoms - before you cough, before the really high fever sets in ... there is this little tickle in the naso-pharynx - never see that symptom mentioned in the professional journals.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

I believe this clears the rest of the suspected cases reported so far. The actual report contains a mention of one probable case, with no explanation (and more puzzling, the CFR of 35.7% reported is consistent with a total case count of only the 14 confirmed cases, not 15 total).

http://reliefweb.int/report/nigeria...ituation-report-sitrep-no-22-21st-august-2014

Of the four suspected cases that were reported on 20Aug, two have been confirmed positive and therefore represent new cases. Two were negative and have therefore been discharged home.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

Younger Sister Of Late Dr. Adadevoh Admitted To Hospital For Ebola Virus Disease

SaharaReporters has learned today that Amy Ngozi Adadevoh, younger sister of the late Dr. Ameyo Stella Adadevoh, has reportedly tested positive for the Ebola virus.

Miss Adadevoh had previously been a suspected case, a suspicion confirmed today by blood test. She has been moved to isolation at the Ebola treatment center in Lagos. She joins two other patients there undergoing evaluation and treatment.

http://saharareporters.com/2014/08/...dadevoh-admitted-hospital-ebola-virus-disease
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

I thought I read that the two secondary cases were spouses of health care workers, one a female, one a male. Is this yet a third secondary case or was the younger sister married to a deceased health care worker who was a male nurse?
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

This would be a 3rd secondary case, for a total of 15. But apparently, some of the cases might have been discarded:

http://www.vanguardngr.com/2014/08/ebola-confirmed-cases-now-13-fg/?

Ebola: Confirmed cases now 13 ? FG

on August 26, 2014 / in News 12:20 am / Comments

By Sola Ogundipe, Chioma Obinna, Emmanuel Elebeke, Caleb Ayansina & Gabriel Olawale
THE Federal Government has stated that the official number of confirmed cases of Ebola Virus Disease, EVD, including the index (first) case in the country is 13 and not 14 as earlier announced, even as one more Ebola patient under treatment has recovered and is almost ready for discharge.

Giving an explanation for the reduction in cases, Minister of Health, Prof.
Onyebuchi Chukwu stated in Abuja, yesterday, that the 14th Ebola case initially announced as positive had eventually turned out to be false.

Chukwu, who reacted while giving an update on EVD in Nigeria, affirmed that ?the total number of deaths due to EVD (including the index case) remains five, while the total number of those treated and discharged is also five.

?Total number of EVD patients currently under treatment in the isolation ward is now three.


[snip]

--------

(There have not been official numbers for Nigeria, either out of the Nigerian authorities, or the WHO, for several days. My best guess, before discarding any cases, is that they are at 15 confirmed, 0 probable, and 0 suspect, with 5 deaths and at least 6 discharges among confirmed cases. - alert)
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

And now we get an article returning to the count of 13, claiming five deaths, seven discharges, and one still ill:

http://www.thestar.com.my/News/Worl...s-far-contained-Ebola-one-case-left-to-treat/

-------

The more I look at the chart in my above post, perhaps they have messed something up? That appears to be 19 confirmed and one probable, with 6 deaths, something reported nowhere else. But if the numbers listed for the other countries are correct, the total case count would be about 3500, not the 2500 or so previously reported. Something doesn't add up...

Perhaps they have added the number of deaths to the number of cases, not realizing that they are already included?
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

:confused: :confused: :confused:

http://reliefweb.int/report/nigeria/nigeria-has-only-one-ebola-patient-health-minister

Nigeria has only one Ebola patient: health minister

ABUJA, August 26, 2014 (AFP) - Nigeria said Tuesday that two more people had been released from isolation after recovering from Ebola, leaving only one living patient with the disease in the country.

According to the health ministry, Nigeria has recorded 13 confirmed cases of Ebola, including the Liberian-American Patrick Sawyer, who brought the virus to the economic capital Lagos on July 20 and died five days later.

In all five people have died of the disease in Nigeria.

Health Minister Onyebuchi Chukwu announced that an additional two patients had been discharged, bringing the number of those released to seven.

"Two of the treated patients, a male doctor and a female nurse were discharged yesterday evening, 25th August, 2014, having satisfied the criteria for discharge," he told reporters in Abuja.

The only patient in the country who currently has Ebola is the wife of a doctor who treated Sawyer, he added.

"She is stable but still on treatment at the isolation ward in Lagos," Chukwu said.

Dozens of people who were at risk of exposure are being monitored and the caseload could rise.

The World Health Organization said last week that it was encouraged by the situation in Nigeria, given that all of the confirmed cases came from a single chain of transmission.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

What happened to the younger sister of the deceased female doctor?
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

AnnaLisa said:
What happened to the younger sister of the deceased female doctor?
Click to expand...

The reporting is not clear. She certainly is not one of the 13 confirmed cases currently reported. She may have been one of as many as two cases initially confirmed and later discarded. (She was case #15 in my list when I had Nigeria at 15 confirmed cases.) Or she might still be listed as probable or suspected pending confirmation.

The total number of excluded suspect cases in Nigeria is at least 8.

Unless she has been formally discarded, I believe the next WHO report (when will we get it?) should be 13 confirmed and one probable or suspected case.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

This might be your answer:

https://www.premiumtimesng.com/feat...-case-left-minister.html#sthash.tZF2SyFN.dpbs

[snip]

All the 129 people who were under surveillance have completed the 21day observation incubation period and only one person was found to be symptomatic and is still being observed, he added.

----

So she's symptomatic, and in isolation, but no test results yet. And everyone else is beyond 21 days.

Update: There are conflicting reports on her test results; this article says she might be negative:

http://www.nigerianbulletin.com/threads/is-dr-adadevohs-sister-ebola-positive.89656/
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

Sadly, I think we need to take everything coming out of Nigeria with a rather large grain of salt.
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

Gemineye said:
Sadly, I think we need to take everything coming out of Nigeria with a rather large grain of salt.
Click to expand...

My opinion, and this is just my opinion, is that the problem lies in the local media, not in the containment efforts or the official releases. Things are being reported that may be complete fabrications, or that may be serious misunderstandings. Up until the last few days, I had been able to check my counts from reading the local media reports against official reports from ReliefWeb and the WHO. But there has not been data from either of those sources on Nigeria more recent than August 20th.

The UNOG report of 19 confirmed and one probable case today scared me quite a bit, but the official announcements today of 13 confirmed cases tend to make me think that was an error, perhaps caused by adding the number of deaths to the number of cases (19 = 14 +5 or 13 + 6).
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

So there were originally two reported secondary cases, a male and a female, both spouses of people who had direct contact with Sawyer.

http://www.cbsnews.com/news/ebola-spreads-in-nigeria-2-new-cases-unconnected-to-patrick-sawyer/

Now there is only one patient - a female spouse of a doctor who treated Sawyer.

http://reliefweb.int/report/nigeria/nigeria-has-only-one-ebola-patient-health-minister

A male spouse of a nurse who treated Sawyer was suspected of infection but tested negative and was released.

http://www.vanguardngr.com/2014/08/ejelonus-fiance-certified-ebola-free-discharged/


Does this mean that there was only one secondary infection?
 
Re: Nigeria - Ebola: Media reports - 1st confirmed secondary cases (two) confirmed - August 22, 2014

And we get an official report:

http://reliefweb.int/report/nigeria...ituation-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.
 
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