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False Negatives Driving Ebola Monrovia and LagosTransmission
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Author:  niman [ Tue Aug 05, 2014 10:42 pm ]
Post subject:  False Negatives Driving Ebola Monrovia and LagosTransmission

Media reports on Ebola infections in doctors and missionaries appear to be driven by false negatives. Initial symptoms of Ebola can mimic Malaria, which is not infectious. Ebola is detected in blood, but initial testing can produce false negatives because a positive requires relatively high viral loads. The PPE's being used for suspected Ebola cases is very cumbersome to put on and take off and are also very hot. Thus, such PPE's are not used while treating non-infectious patients, such as those who are thought to have malaria because Ebola tests are negative.

The large number of HCWs and missionaries in Monrovia and Lagos appear to be driven by these false negatives.

Author:  niman [ Tue Aug 05, 2014 10:58 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

Problems in Monrovia appear to be linked to American Patrick Sawyer's sister, Princess Sawyer. She was a contact of Dr Sam Mutooro Muhumuza who treated patients in Monrovia. When he developed symptoms, she insisted that he did not have Ebola and she then cared for him at his home.

He was subsequently Ebola confirmed and died.

Author:  niman [ Tue Aug 05, 2014 11:08 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

When Princess Sawyer developed symptoms, including heavy bleeding, she was brought to the hospital by her fiancee, who said she was having a miscarriage. She then received a D&C which did not stop the bleeding. She was treated by Dr Patrick Nshamdze, St. Joseph Catholic Hospital Chief Administrator.

He subsequently developed symptoms, but tested negative. He later tested positive and died August 2, leading to the closure of the hospital.

Author:  niman [ Tue Aug 05, 2014 11:15 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia & Lagos Transmiss

When Princess Sawyer was assigned to an isolation ward, her brother, naturalized American Patrick Sawyer, intervened. He insisted that his sister did not have Ebola. He changed her clothes and wheeled her to a private room. His shoes were drenched in his sister's blood. He paid $500 cash to ensure that his sister was in a private room and not in isolation.

His sister subsequently was Ebola confirmed and she died.

Author:  niman [ Tue Aug 05, 2014 11:27 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

Naturalized American, Patrick Sawyer, was a consultant for the Liberian Department of Finance. He flew to Lagos, Nigeria for a conference. He took one pane to Accra, Ghana and another plane to Lome, Togo and Lagos, Nigeria. He developed symptoms (vomiting and diarrhea) in flight.

When he went to hospital he denied contact with any Ebola cases and was diagnosed with Malaria. He subsequently was diagnosed with Ebola and died. A female doctor who treated him has been Ebola confirmed and 8 additional HCW contacts are symptomatic and quarantined. 6 more HCWs (close contacts) are being closely watched and are not yet symptomatic.

Author:  niman [ Tue Aug 05, 2014 11:39 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

Dr Patrick Nshamdze, St. Joseph Catholic Hospital Chief Administrator had been infected by Princess Sawyer, but he initially tested negative. Subsequently Brother Miguel Pajares, a missionary at the hospital developed symptoms and was Ebola confirmed.

Although weak, he is scheduled to be Medvac'ed out of Monrovia to Spain after 60,000 signatures were gathered at change.org to petition Spain to re-patriot him to Madrid.

3-6 additional missionaries are infected and in the hospital, which has been closed.

Author:  niman [ Fri Aug 08, 2014 6:09 pm ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

There was panic in Victoria Island today after a suspected Ebola patient was found to be admitted at the Nigerian National Petroleum Corporation, NNPC clinic on Muri Okunola.

The patient was said to have first been admitted at First Consultant Medical Centre around the same time Liberian Patrick Sawyer was being treated at the clinic. Men suited in white safety clothing and an ambulance were seen at the hospital around one 1pm today.

Though there’s no definite confirmation that the patient is infected with Ebola, the Management of NNPC Clinic this evening announced the indefinite shutdown of the clinic.

The management said its a pre-emptive step and also said they have reported the issue to the Federal Ministry of Health as well as officials of the Lagos State Ministry of Health. More pics after the cut

http://gist.ng/2014/08/nnpc-shuts-clini ... um=twitter

Author:  niman [ Tue Aug 12, 2014 11:28 am ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

niman wrote:
There was panic in Victoria Island today after a suspected Ebola patient was found to be admitted at the Nigerian National Petroleum Corporation, NNPC clinic on Muri Okunola.

The patient was said to have first been admitted at First Consultant Medical Centre around the same time Liberian Patrick Sawyer was being treated at the clinic. Men suited in white safety clothing and an ambulance were seen at the hospital around one 1pm today.

Though there’s no definite confirmation that the patient is infected with Ebola, the Management of NNPC Clinic this evening announced the indefinite shutdown of the clinic.

The management said its a pre-emptive step and also said they have reported the issue to the Federal Ministry of Health as well as officials of the Lagos State Ministry of Health. More pics after the cut

http://gist.ng/2014/08/nnpc-shuts-clini ... um=twitter

The above patient appears to the pregnant patient infected by the Ebola confirmed nurse who treated Patrick Sawyer.

Author:  niman [ Tue Aug 12, 2014 11:34 am ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

niman wrote:
niman wrote:
There was panic in Victoria Island today after a suspected Ebola patient was found to be admitted at the Nigerian National Petroleum Corporation, NNPC clinic on Muri Okunola.

The patient was said to have first been admitted at First Consultant Medical Centre around the same time Liberian Patrick Sawyer was being treated at the clinic. Men suited in white safety clothing and an ambulance were seen at the hospital around one 1pm today.

Though there’s no definite confirmation that the patient is infected with Ebola, the Management of NNPC Clinic this evening announced the indefinite shutdown of the clinic.

The management said its a pre-emptive step and also said they have reported the issue to the Federal Ministry of Health as well as officials of the Lagos State Ministry of Health. More pics after the cut

http://gist.ng/2014/08/nnpc-shuts-clini ... um=twitter

The above patient appears to the pregnant patient infected by the Ebola confirmed nurse who treated Patrick Sawyer.

President Jonathan’s label of Sawyer as a mad man comes on the heels of the revelation Obi Justina Ejelonu, one of the Nigerian health care workers, who was on duty at the First Consultant Hospital in Obalende, Lagos when Sawyer was brought in, who explained some irrational behavior by Sawyer pointing to why the virus is spreading among nurses and doctors who came to Sawyer’s aid.

Obi Justina is said to be clinging on with her life after becoming infected with Ebola although she had initially posted a message on her Facebook page a boast that she had limited contact with Sawyer and was grateful to God to be alive.

Obi Justina wrote: “I never contacted his fluids. I checked his vitals, helped him with his food (he was too weak)….. I basically touched where his hands touched and that’s the only contact. Not directly with his fluids. At a stage, he yanked off his infusion and we had blood everywhere on his bed….. But the ward maids took care of that and changed his linens with great precaution.”

http://frontpageafricaonline.com/index. ... to-nigeria

Author:  niman [ Tue Aug 12, 2014 11:38 am ]
Post subject:  Re: False Negatives Driving Ebola Monrovia and LagosTransmis

niman wrote:
Media reports on Ebola infections in doctors and missionaries appear to be driven by false negatives. Initial symptoms of Ebola can mimic Malaria, which is not infectious. Ebola is detected in blood, but initial testing can produce false negatives because a positive requires relatively high viral loads. The PPE's being used for suspected Ebola cases is very cumbersome to put on and take off and are also very hot. Thus, such PPE's are not used while treating non-infectious patients, such as those who are thought to have malaria because Ebola tests are negative.

The large number of HCWs and missionaries in Monrovia and Lagos appear to be driven by these false negatives.

The man was on NO watch list. I approved his travel. He emailed us several weeks earlier that his sister had died from the disease and that he had asked that his blood be taken for testing. That test result did not come back positive.

http://frontpageafricaonline.com/index. ... to-nigeria

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