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PostPosted: Mon Aug 04, 2014 9:31 am 
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Nigeria says doctor who treated Ebola victim has contracted virus
AFPBy AFP | AFP – 1 hour 48 minutes ago
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AFP/AFP - A man reads a newspaper featuring a front page story on the death of Liberian diplomat Patrick Sawyer (pictured with his wife Decontee) who died of the Ebloa virus in Lagos on July 30, 2014
Nigerian authorities said Monday that a doctor in Lagos who treated a Liberian victim of Ebola has contracted the virus, the second confirmed case in sub-Saharan Africa's largest city.
"This new case is one of the doctors who attended to the Liberian Ebola patient who died," said Health Minister Onyebuchi Chukwu.
The minister told journalists that 70 other people believed to have come into contact with the Liberian are being monitored, eight of whom have been placed in quarantine at a facility in Lagos.
Patrick Sawyer, who worked for Liberia's finance ministry, contracted the virus from his sister before travelling to Lagos for a meeting of west African officials.
He landed in Lagos on July 20 from Monrovia after switching planes in Togo's capital Lome.
He was visibly sick upon arrival and taken directly to the First Consultants hospital in the upmarket Lagos neighbourhood of Ikoyi. He died in quarantine on July 25.
The hospital was closed indefinitely last week.
The second confirmed case in Nigeria is the latest in the deadliest-ever Ebola outbreak, which has infected 1,440 people and left 826 dead. The other cases are spread across Guinea, Liberia and Sierra Leone.

https://uk.news.yahoo.com/nigeria-says- ... ml#gx1vfwu

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PostPosted: Mon Aug 04, 2014 9:37 am 
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Centers for Disease Control
ATLANTA (CNN) -
A Nigerian doctor has been diagnosed with Ebola, nearly three weeks after a Liberian-American man with Ebola died after traveling to Lagos, Nigerian officials said Monday.
.
Meanwhile, the United States is planning to send 50 health experts to West Africa to help contain the outbreak of the virus that has left hundreds of people dead in three countries.

At least 729 people have died in Liberia, Sierra Leone and Guinea so far this year as a result of the deadly virus, according to the World Health Organization.

"This is the biggest and most complex Ebola outbreak in history," Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention, said in a statement.

"It will take many months, and it won't be easy, but Ebola can be stopped. We know what needs to be done. CDC is surging our response, sending 50 additional disease control experts to the region in the next 30 days."

Frieden said the 50 experts from the CDC will work to combat the outbreak and help implement stronger systems to fight the disease.

The Ebola virus causes viral hemorrhagic fever, which affects multiple organ systems in the body and is often accompanied by bleeding.

Early symptoms include sudden onset of fever, weakness, muscle pain, headaches and a sore throat. They later progress to vomiting, diarrhea, impaired kidney and liver function -- and sometimes internal and external bleeding.

Though the U.S. had not treated an Ebola patient until last week, the CDC has spearheaded efforts to prepare for the deadly virus.

It helped create an isolation unit at Emory University Hospital, which is being used to treat American doctor Kent Brantly, who contracted Ebola in Liberia and was evacuated to the facility in Atlanta over the weekend.

A second American patient, Nancy Writebol, is scheduled to arrive from Liberia on Tuesday. She will undergo treatment at the same unit.

Emory is one of four U.S. institutions capable of providing such treatment.

But in the nations hardest-hit and not as prepared, the reality is grim. Even in the best-case scenario, it could take three to six months to stem the epidemic in West Africa, Frieden said.

Ebola spreads through contact with organs and bodily fluids such as blood, saliva, urine and other secretions of infected people.

It has no cure, and the most common approach is to support organ functions and keep up bodily fluids such as blood and water long enough for the body to fight off the infection.

So far, the outbreak has been confined to West Africa. And it has affected health care providers as well.

Ebola claimed the life of a medical director at a hospital in Liberia's capital, Monrovia. Dr. Patrick Nshamdze tested positive July 29 after being sick for two weeks, and died Saturday.

In Sierra Leone, where government officials have asked citizens to stay away from work, the military has deployed at least 750 medical officials to 13 locations, military spokesman Col. Michael Samura said.

Health officials are screening incoming and outgoing passengers at the country's main international airport with a device that takes people's temperature from their eyes at a distance.

Anyone showing signs of fever is taken away to have their blood tested for Ebola.

http://www.news4jax.com/health/ebola-us ... a/27294530

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PostPosted: Mon Aug 04, 2014 9:46 am 
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Liberia orders Ebola victims' bodies to be cremated

Liberia's government has ordered that all bodies of people killed by the Ebola virus must be cremated.

The decision follows the refusal of some communities to allow the burial of Ebola victims on their land.

Meanwhile, Nigeria says it has a second Ebola case - that of one of the doctors who treated a man who died from Ebola after his arrival from Liberia.

This year's outbreak, the worst ever, has centred on Guinea, Liberia and Sierra Leone, killing 826 people.

It spreads by contact with infected blood and bodily fluids - and touching the body of someone who has died of Ebola is particularly dangerous.

Nigeria's Health Minister Onyebuchi Chukwu said that 70 other people are believed to have come into contact with the man who died on 25 July in Lagos, the AFP news agency reports.

The employee of the Liberian finance ministry had arrived in Lagos from Monrovia after changing planes in Togo's capital, Lome.

As part of efforts to help contain the outbreak, the US says is planning to send at least 50 public health experts within the next 30 days.

http://www.bbc.com/news/world-africa-28640745

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PostPosted: Mon Aug 04, 2014 9:52 am 
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Reuters
9:44 a.m. EDT, August 4, 2014

LAGOS— Lagos recorded its second case of Ebola on Monday in a doctor who treated U.S. victim Patrick Sawyer, Nigeria's health minister said.
Sawyer died in Lagos last month after arriving there by plane from Liberia.

Ebola has killed 826 people in West Africa since the outbreak began in February, mostly in Guinea, Liberia and Sierra Leone.

"As of today, one of the doctors that treated the late Mr. Sawyer has tested positive for the Ebola virus," Onyebuchi Chukwu said at a news conference. Of 70 people who were under surveillance, eight had been "quarantined at an isolation ward provided by the Lagos state government," he added.

Ebola is one of the world's deadliest diseases, with a mortality rate of up to 90 percent of cases. The disease starts with headaches and fever, and final-stage symptoms include external and internal bleeding, vomiting and diarrhea. There is no effective treatment and no vaccine to protect against it.

The latest outbreak began in the forests of remote eastern Guinea in February. Its arrival of one of the world's deadliest diseases in Nigeria, Africa's biggest economy and its most populous country, with 170 million people, has caused panic.

Lagos is Africa's biggest city, with 21 million people, and one of the world's most crowded, with poor healthcare infrastructure.

Since February, more than 700 people in West Africa have died from Ebola, a hemorrhagic virus with a death rate of up to 90 percent of those infected. The fatality rate in the current epidemic is about 60 percent.

http://www.sun-sentinel.com/news/nation ... 9091.story

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PostPosted: Mon Aug 04, 2014 9:53 am 
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A doctor in the Nigerian city of Lagos who treated a Liberian victim of Ebola has contracted the virus, the second confirmed case in sub-Saharan Africa's largest city, authorities said.

Health Minister Onyebuchi Chukwu, who confirmed the positive test, said on Monday that 70 other people believed to have come into contact with the Liberian were being monitored, with eight placed in quarantine including three who were "symptomatic."

The confirmed case "is one of the doctors who attended to the Liberian Ebola patient who died," Chukwu told journalists.

A quarantine unit has been set up in Lagos and blood tests from the three people displaying Ebola-like symptoms have been sent for testing, with results expected later on Monday, the minister said.

Patrick Sawyer, who worked for Liberia's finance ministry, contracted the virus from his sister before travelling to Lagos for a meeting of west African officials.

He landed in Lagos on July 20 from Monrovia after switching planes in Togo's capital Lome.

He was visibly sick upon arrival and taken directly to the First Consultants hospital in the upmarket Lagos neighbourhood of Ikoyi. He died in quarantine on July 25.

The hospital was closed indefinitely last week.

The second confirmed case in Nigeria is the latest in the deadliest-ever Ebola outbreak, which has infected 1,440 people and left 826 dead. The other cases are spread across Guinea, Liberia and Sierra Leone.

http://www.aljazeera.com/news/africa/20 ... 44139.html

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PostPosted: Mon Aug 04, 2014 10:31 am 
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Nigeria Confirms Second Ebola Case
Doctor Tests Positive for Virus After Treating Victim

By GBENGA AKINGBULE in Abuja, Nigeria and DREW HINSHAW in Accra, Ghana
Aug. 4, 2014 10:08 a.m. ET
Nigerian health authorities on Monday said they had confirmed a second case of Ebola in Africa's most populous nation and quarantined eight additional people, all of whom helped treat a Liberian-American who died of the disease in Lagos last month.

"One of the doctors who attended to the American-Liberian victim has tested positive for Ebola virus," Health Minister Onyebuchi Chukwu told reporters in Abuja, Nigeria's capital. "He is being treated at an isolated facility."

Mr. Chukwe said eight more health workers have been quarantined and that 62 other people who came into contact with the deceased Liberian-American, Patrick Sawyer, are being monitored for signs of illness.

Mr. Sawyer, a consultant at the Liberian Finance Ministry, was ill by the time he arrived in Lagos from Liberia's capital last month. He told hospital workers he thought he was suffering from Malaria for two days before doctors confirmed he had Ebola. He died there on July 25.

Nigerian officials moved swiftly to identify and monitor everyone who came into contact with him at the airport and the hospital where he died, but news one of those doctors contracted the disease raises fresh fears that the disease could take root in Lagos, Africa's most populous city.

Mr. Chukwe said Monday that officials would try to isolate the disease even if it pops up outside of Lagos.

"Emergency centers have been set up in all states to tackle any Ebola outbreak if reported," he said.

The Ebola outbreak that began in February is the worst on record, with more than 1,300 people infected and 700 people killed in Guinea, Sierra Leone and Liberia as well as Nigeria.

An American doctor who contracted the disease after working at a treatment center in Liberia was flown to an Atlanta hospital last week to receive top-flight treatment in isolation. Officials plan to bring a second American infected at the same center to the same Atlanta hospital this week.

The outbreak prompted the presidents of Liberia and Sierra Leone to stay home this week rather than attend a historic summit between about 50 African leaders and U.S. President Barack Obama in Washington, D.C.

Write to DREW HINSHAW at drew.hinshaw@wsj.com

http://online.wsj.com/articles/nigeria- ... 1407161279

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PostPosted: Mon Aug 04, 2014 12:20 pm 
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Nigeria: Doctor That Treated Ebola Victim Tests Positive in Lagos, Emergency Meeting Holds Next Week

By Judd Leonard Okafor
A doctor who attended to Liberian American Patrick Sawyer before his death from Ebola fever in a Lagos hospital has been diagnosed with the virus, the federal health ministry has confirmed.

Three other workers have been quarantined after showing symptoms likely to be from Ebola, though confirmatory tests are still expected.

The doctor, yet unnamed, is the first domestic case of Ebola in Nigeria, and the second case ever after Sawyer died from the diseases while in hospital.

He was diagnosed positive for Ebola at the weekend, hours after testing for two medical personnel who had direct contact with Sawyer came negative.

"Today, we have the first of those health personnel who have now become Ebola-positive, and being treated as such," health minister Onyebuchi Chukwu announced in Abuja.

"Others who participated in the treatment, who are also symptomatic have had their samples taken, and hopefully by the end of the day, we should have the results of their tests."

The three are among eight people quarantined after having direct contact with Sawyer. Some 70 other people--up from 69 last week--with lesser degrees of contact are on surveillance.

False positive

Until Friday, tests on Sawyer's doctors and others with indirect contact with him still were negative.

"But by weekend, there were others who also participated in attending to the patient. These other newer [ones] who have not had symptoms developed symptoms over the weekend," Chukwu said at the regular Ebola briefing in Abuja.

The doctor's identity will remained undisclosed until officials counsel his family and relatives.

Officials are also yet to confirm whether a body flown from Liberia for burial in Anambra was a victim of the Ebola.

Concern that it was Ebola related caused panic in Anambra last week, prompting authorities to shut down the hospital whose mortuary was used and ordering tests.

Emergency meeting

Health commissioners across the country are expected to gather as early as next week in an emergency meeting at the behest of the federal health ministry, Chukwu.

The meeting will update state health officials on Ebola and other haemorrhagic fevers as Lassa fever.

http://allafrica.com/stories/201408042774.html

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PostPosted: Mon Aug 04, 2014 3:09 pm 
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Breaking: 4 Nigerians test positive to Ebola symptoms, medical doctor confirmed to have contracted disease

By News Express on 04/08/2014

Nigeria’s Health Minister, Prof. Onyebuchi Chukwu, today confirmed a second case of Ebola in the country, less than two weeks after Liberian-American Patrick Sawyer died in a Lagos hospital days after arriving in Nigeria from Liberia.

Prof. Chukwu, who spoke in Abuja during the inauguration of a treatment research group for Ebola in Nigeria, said that test samples are pending for three other people who had shown symptoms of Ebola, and that authorities are trying to trace and quarantine others. The confirmed second case in Nigeria is a doctor who had helped treat Mr. Sawyer, who died July 25 on his way to Calabar for an international conference.

“Three others who participated in that treatment who are currently symptomatic have had their samples taken and hopefully by the end of today we should have the results of their own test,” Chukwu said.

According to the Minister, 70 people are now placed under surveillance while eight people would be quarantined on Monday for developing symptoms of the disease.

Apart from taking those steps, the government has also set up a treatment research group, that will carry out treatment research, receive and verify treatment claims as well as advise government on issues relating to Ebola virus in Nigeria.

The group which is co-chaired by Professor Shingu Gamaliel and Professor Innocent Ujah also has Maurice Iwu, a Professor of Pharmacognosy and officials from the Centre for Disease Control as members.

The minister advised the public to be wary of treatment claims including the use of bitter-cola as most treatment findings are still in their laboratory stages.

There is currently no known cure for Ebola virus in the world, but medical experts say efforts are on to find a remedy to the disease that has claimed over seven hundred since its out-break this year.

The emergence of a second case raises serious concerns about the infection control practices in Nigeria, and also raise the specter that more cases could emerge. It can take up to 21 days after exposure to the virus for symptoms to appear. They include fever, sore throat, muscle pains and headaches. Often nausea, vomiting and diarrhea follow, along with severe internal and external bleeding in advanced stages of the disease.

Source News Express

Posted 04/08/2014 4:09:40 PM
http://www.newsexpressngr.com/news/detail.php?news=6887

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PostPosted: Mon Aug 04, 2014 3:13 pm 
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Three of these cases are in Nigeria and include two new probable cases — one is a health-care worker and one is a Nigerian who travelled to Guinea — and a suspected case in a nurse.

Nigeria
New Confirmed Probable Suspect Totals
Cases
1 0 3 1 4

http://www.who.int/csr/don/2014_08_04_ebola/en/

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PostPosted: Mon Aug 04, 2014 3:39 pm 
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http://frontpageafricaonline.com/index. ... ge-strange
Quote:
Sawyer’s Final Hours In Lagos: ‘Indiscipline’, Rage, Strange
Rodney D. Sieh, rodney.sieh@frontpageafricaonline.com
31 July 2014

Former Finance Ministry Consultant who died from Ebola had an ‘Indiscipline’ Encounter with Nurses after being told he had Ebola; He denied making contact with any suspected case and ran amok when Medical Authorities at the First Consultants Hospital in Lagos tried to contain him; A last-ditch Evacuation effort was blocked by ECOWAS and the Nigerian government, FrontPageAfrica has learned

Lagos, Nigeria - Barely 24 hours before his death, Patrick Sawyer had a rather strange - and in the words of medical and diplomatic sources here, “Indiscipline” encounter with nurses and health workers at First Consultants Hospital in Obalende, one of the most crowded parts of Lagos, a population of some 21 million inhabitants, FrontPageAfrica has learned.

Looking to get to the bottom of Sawyer’s strange ailment on the Asky Airline flight, which Sawyer transferred on in Togo, hospital officials say, he was tested for both malaria and HIV AIDS. However, when both tests came back negative, he was then asked whether he had made contact with any person with the Ebola Virus, to which Sawyer denied. Sawyer’s sister, Princess had died of the deadly virus on Monday, July 7, 2014 at the Catholic Hospital in Monrovia. On Friday, July 25, 2014, 18 days later, Sawyer died in Lagos.

The Center for Disease Control (CDC) recommends that the average incubation period for suspected cases or someone who has made contact with an Ebola patient is eight to ten days from exposure to onset of symptoms. The range is from two to 21 days. “That's why we recommend that contacts of an infected person go on a fever watch for 21 days,” says Stephan Monroe, deputy director of CDC's National Center for Emerging Zoonotic and Infectious Diseases, at a briefing Monday.

‘Against Medical Advice’

Since the first report surfaced in March, there have been more than 1,201 cases reported and unfortunately 672 deaths in Guinea, Liberia and Sierra Leone, the CDC says. “This is the largest Ebola outbreak in history and the first in West Africa. It’s a rapidly changing situation and we expect there will be more cases in these countries in the coming weeks and months. The response to this outbreak will be more of a marathon than a sprint.”

Back in Lagos, authorities at the First Consultants Hospital in Obalende decided that despite Sawyer’s denial, they would test him for Ebola, due to the fact that he had just arrived from Liberia, where there has been an outbreak of the disease with more than 100 deaths.

The hospital issued a statement this week stating that Sawyer was quarantined immediately after he was discovered to have been infected with the deadly virus. In addition, a barrier nursing was implemented around Sawyer and the Lagos State Ministry of Health was immediately notified. Hospital authorities also requested the Federal Ministry of Health for additional laboratory test based on its suspicion of Ebola.

FrontPageAfrica has now learned that upon being told he had Ebola, Mr. Sawyer went into a rage, denying and objecting to the opinion of the medical experts. “He was so adamant and difficult that he took the tubes from his body and took off his pants and urinated on the health workers, forcing them to flee.

The hospital would later report that it resisted immense pressure to let out Sawyer from its hospital against the insistence from some higher-ups and conference organizers that he had a key role to play at the ECOWAS convention in Calabar, the Cross River State capital. In fact, FrontPageAfrica has been informed that officials in Monrovia were in negotiations with ECOWAS to have Sawyer flown back to Liberia.

A text message in possession of FrontPageAfrica from the ECOWAS Ambassador in Liberia, responding to a senior GoL official reads: Your Excellency, the disease control department of the Federal Ministry of Health just contacted me through the hospital now, insisting that Mr. Sawyer be evacuated for now. Pls advise urgently.”

LUTH Lab positive on Ebola

First Consultants said that it then went further to reach senior officials in the Office of the Secretary of Health of the USA who assisted it with contacts at the Centre for Disease Control and W.H.O Regional Laboratory Centre in Senegal. According to the hospital, the initial results from LUTH laboratory showed a signal of possible Ebola virus, but required confirmation.

The First Consultants statement noted that it was able to obtain confirmation of Ebola virus disease, (Zaire strain) after working with the state, federal and international agencies. Sawyer was pronounced dead at 6:50 AM Nigeria time, on July 25 and all agencies were properly notified.

Once the case was officially confirmed, the hospital was temporarily shut down and in-house patients immediately evacuated. Sawyer’s body was subsequently cremated under W.H.O guidelines and witnessed by all appropriate agencies, according to the hospital statement. “In keeping with W.H.O guidelines, the hospital is shut down briefly as full decontamination exercise is currently in progress. The re-opening of the hospital will also be in accordance with its guidelines”, the hospital said.

In the aftermath of Sawyer’s death, both federal and state authorities in Lagos have instituted measures to curb the spread of the disease and quarantining all those who came in contact with Sawyer.

In total, Sawyer reportedly came in direct contact with 59 persons, 44 of whom were at the hospital he was taken to when he fell ill, according to the Lagos State government. The Lagos state government clarified in a statement Monday that Ms. Obi-Nnadozie, Nigeria’s Ambassador to Liberia was not among the 15 people at the airport who had had direct contact with Mr. Sawyer before his death as was initially believed.

Ashes Returned to Liberia

However, it has been reported that Sawyer came in contact with three ECOWAS officials – a driver, a liaison officer and a protocol officer. Also in the list are two nursing staff and five airport handlers.

Dr. Jide Idris, the Lagos State Health Commissioner, told a news conference this week that 20 per cent of those that came in contact with the deceased had been physically screened. “The private hospital (First Consultants Medical Centre) was demobilized and primary source of infection eliminated. The patient has been cremated and the ash will be transferred to the Liberian government whenever the need arises. Decontamination process in all affected areas has commenced,” Dr. Idris said.

In the aftermath of Sawyer’s death, diplomatic, ECOWAS and medical authorities here are baffled over Sawyer’s deception, especially armed with new information that his sister, Princess had died of the deadly virus and his denial. Finance Ministry sources in Monrovia are in quiet murmur over what they feel was a letdown by Sawyer for not being forthcoming with his peers he worked with.

The ministry has since been temporarily shut down and those who came in contact with Sawyer are on a 21-day forced incubation monitoring process. "All senior officials coming in direct or indirect contact with Mr. Sawyer has been placed on the prescribed 21 days of observatory surveillance," the ministry said in a statement this week.

FrontPageAfrica has now learnt that Sawyer exhibited similar indiscipline behavior during his sister’s stay at the Catholic Hospital in Monrovia where she was taken because he noticed she was bleeding profusely and was later found to be a victim of Ebola.

‘Indiscipline’ Sawyer, EJS Says

Sawyer was seen with blood on his clothing after his sister’s death and had earlier demanded that she be placed in a private room. President Ellen Johnson-Sirleaf cited indiscipline and disrespect as a key reason why Sawyer contracted the Ebola virus. She said his failure to heed medical advice put the lives of other residents across the nation’s border at risk.

A disease which now claimed more than a hundred Liberians has now forced the Sirleaf-lead government to shut down the borders, schools and a host of other measures to ensure that the disease does not get out of hand, including a US$5 million initial contribution to begin the immediate implementation of this plan. “Our immediate strategy is to contain the spread, care for the afflicted with the goal of “No New Cases”,” Sirleaf told the nation in an address Wednesday. FrontPageAfrica has learned that the Ministry of Health is requesting US$20 million to combat the disease.

In addition, the President has mandated that all non-essential staff, to be determined by the Minister or Head of Agency, are to be placed on a 30-day compulsory leave and Friday, August 1, is declared a non-working day and is to be used for the disinfection and chlorination of all public facilities.

“All borders that are to remain opened are to be directly supervised and controlled by the Bureau of Immigration and Naturalization whose duties it shall be, working with the assigned health authorities, to ensure strict adherence to announce preventive measures including preliminary testing for fever. Without exceptions, all schools are ordered closed pending further directive from the Ministry of Education. All markets at border areas including Foya, Bo Waterside, and Ganta are hereby ordered closed until further notice.

But despite the measures put in place by Liberia, the effect of Sawyer’s ‘indiscipline has already taken a toll. ASKY, the Pan-African airline ASKY on which Sawyer flew, has suspended all flights to and from Monrovia and Sierra Leone as has other regional carriers, Arik Air and Gambia Bird dealing a huge blow to commercial aviation.

Linger Questions Over Behavior

Back in Monrovia, Samaritan Purse, the U.S. missionary group helping to treat Ebola patients is scaling down, announcing Wednesday, plans to evacuate nonessential personnel given the five-month-old outbreak is worsening as the fate of two Americans infected with the Ebola hang in the balance on hope and prayers.

For Sawyer, questions are lingering over his behavior, both at the Catholic Hospital in Monrovia and the First Consultants in Lagos and what led him to behave the way he did. More importantly diplomatic observers here are puzzled over his demise: The timing and behavior. A few persons who spoke to Sawyer, including FrontPageAfrica reported that he sounded fine hours before his death. It is unclear what pushed him to the wall and why?

As for the other eight members of the delegation that flew to Lagos, along with Sawyer, diplomatic sources in Lagos confirmed to FrontPageAfrica Wednesday that they were all checked and told to report to the Ministry of Health in Monrovia upon their arrival. It is unclear how close they were to Sawyer or whether authorities in Monrovia have begun monitoring them as the clock ticks on the recommended 21-day incubation period.


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