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Ebola Cluster in Port Harcourt Nigeria
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Author:  niman [ Wed Aug 27, 2014 6:55 pm ]
Post subject:  Ebola Cluster in Port Harcourt Nigeria

Media reports describe an Ebola cluster in Port Harcourt, Nigeria involving a diplomat contact of Patrick Sawyer, a doctor who secretly treated him, and the doctor's wife.

Author:  niman [ Wed Aug 27, 2014 6:56 pm ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

A doctor, who secretly treated a diplomat who had contact with the index case, Liberian-American Patrick Sawyer, has died of Ebola in Nigeria.

The doctor, who has yet to be named, died on Friday. His wife has also taken ill and has been quarantined in Port Harcourt. Interestingly, the diplomat the doctor treated is still alive.

The diplomat, who was part of the team who met with Patrick Sawyer in Lagos, flew to Port Harcourt, Rivers State for treatment, evading Nigerian federal government surveillance for the disease. The late doctor then took him to a hotel for treatment.

As a result of this, 70 people have been quarantined. The doctor's hospital, Good Heart Hospital in Rivers State, has been shut down. The unnamed hotel, where the secret treatment took place, has also been shut down.

The Minister of Health and the Rivers State government are expected to make a statement on the incident tomorrow.

http://saharareporters.com/2014/08/27/b ... bA.twitter

Author:  niman [ Thu Aug 28, 2014 8:01 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

Ebola Could Eventually Afflict Over 20,000, W.H.O. Says
By NICK CUMMING-BRUCE and ALAN COWELLAUG. 28, 2014
Image
Officials handing out food in West Point, Liberia, a region hit hard by Ebola. The death toll from the disease has risen to 1,552 in four countries: Guinea, Liberia, Sierra Leone and Nigeria. Credit Abbas Dulleh/Associated Press

GENEVA — As the tally of deaths from the worst known outbreak of the Ebola virus continued its seemingly inexorable rise, the World Health Organization said on Thursday that the epidemic was still accelerating and could afflict more than 20,000 people — almost seven times the current number of reported cases — before it could be brought under control.

The dire forecast was made as the W.H.O. reported that the number of known cases and fatalities had risen once again. The organization also acknowledged that in areas of intense transmission “the actual number of cases may be two-to-four times higher than that currently reported.”

The outbreak “continues to accelerate,” the organization said.

According to the latest figures released by the W.H.O. on Thursday, the death toll has risen by more than 100, to 1,552 out of 3,069 cases in four countries: Guinea, Liberia, Sierra Leone and Nigeria, which had previously indicated that its outbreak was under control.

While the disease was first identified in March, “more than 40 percent of the total number of cases have occurred within the past 21 days,” the W.H.O. said. “However, most cases are concentrated in only a few localities.”

The W.H.O. also published a so-called road map on Thursday to guide the response of affected countries and the efforts of the international community in trying to contain the disease.

The road map assumed that a number of countries that are not now affected by the epidemic could become so, but also said that the procedures it set out would stop any new transmissions within eight weeks of the first case being identified.

In a sign of the difficulties facing governments seeking to contain the disease, the health authorities in Nigeria reported for the first time on Thursday that the disease had spread beyond Lagos, its commercial capital, to claim another death.

Nigeria does not share a land border with the other three countries in the grip of the outbreak.

The first sign of the virus’s spread to Nigeria came when Patrick Sawyer, a Liberian-American traveling from Liberia, flew to Lagos and died of the disease in the teeming city last month. Nigeria is Africa’s most populous nation but has recorded only 15 patients infected with Ebola, six of whom have now died.

The Nigerian health minister, Onyebuchi Chukwu, told reporters on Thursday that a man who had come into contact with Mr. Sawyer had evaded surveillance and traveled to Port Harcourt, the hub of Nigeria’s lucrative oil industry in the south of the country, where he infected a doctor who later died.

The man, who was not identified by name, recovered from the disease. The wife of the dead doctor also has Ebola symptoms, Mr. Chukwu said, according to The Associated Press. Additionally, 70 people in Port Harcourt, including funeral directors who embalmed the dead doctor, are now under surveillance.

In its statement on Thursday, the W.H.O. said the countries hit hardest by the epidemic — Guinea, Liberia, and Sierra Leone — were “struggling to control the escalating outbreak against a backdrop of severely compromised health systems, significant deficits in capacity, and rampant fear.”

“Clearly, a massively scaled and coordinated international response is needed to support affected and at-risk countries in intensifying response activities and strengthening national capacities,” it added, spelling out that particular attention to stopping the virus was needed in capital cities and major ports.

The organization’s road map came as Tom Frieden, director of the United States Centers for Disease Control and Prevention, warned that the epidemic could get worse before it gets better. Mr. Frieden called for quicker international help and cooperation to control its spread.

The latest figures do not include deaths from a separate Ebola outbreak in the Democratic Republic of Congo, which the authorities say is from a different strain of the virus.

Nick Cumming-Bruce reported from Geneva and Alan Cowell from London.
http://www.nytimes.com/2014/08/29/world ... .html?_r=0

Author:  niman [ Thu Aug 28, 2014 8:18 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

Nigeria confirms Ebola death in oil city of Port Harcourt
08/28/2014 08:50 GMT

ABUJA, August 28, 2014 (AFP) - Nigeria on Thursday said that a doctor had died from Ebola in the southeastern oil city of Port Harcourt in the first case of the deadly virus outside the financial hub, Lagos.

Health minister Onyebuchi Chukwu said the medic died on August 22 after treating a patient who had contact with a Liberian-American man, who brought the virus into Nigeria and died in a Lagos hospital on July 25.

"Following the report of this death by the doctor's widow the next day, the case had been thoroughly investigated and laboratory analysis showed that this doctor died from EVD (Ebola Virus Disease)," he told reporters in Abuja.

ola-phz/dh
http://reliefweb.int/report/nigeria/nig ... t-harcourt

Author:  niman [ Thu Aug 28, 2014 8:20 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

Ebola: Doctor's Death Sparks Fear, 70 Persons Quarantined in Port Harcourt
28 Aug 2014
Paul Obi
The death of a doctor in Port Harcourt over Ebola Virus Disease (EVD) which was unknown to many has sparked fears across the country.


This came as 70 persons have already been quarantined in Port Harcourt, Rivers State.
Minister of Health, Prof. Onyebuchi Chukwu at a briefing in Abuja told journalists that the doctor who died in Port Harcourt had his blood sample tested positive after death. He also said that 70 persons have been placed under surveillance in Port Harcourt.


The minister explained that the wife of the doctor has also been quarantined alongside others believed to have had contact with the doctor and patient who he attended to.


Speaking of the patient, Chukwu said, "One of them is a primary contact of the index case (Mr. Patrick Sawyer). Even though presently he does not have EVD but further laboratory tests indicate that he had suffered EVD."


"This primary contact of Mr. Sawyer’s evaded our surveillance team in the last week of July 2014 and travelled out of Lagos to Port Harcourt where, as we now understand, he consulted with a doctor and was apparently treated for some symptoms. After four days, following a manhunt for him, he returned to Lagos by which time he was found to be without symptoms."


"This case would have been of no further interest since he had completed the 21 days of surveillance without any other issue, but for the fact that the doctor who treated him died last Friday, 22nd August, 2014."


The Minister disclosed that the total number of Ebola cases so far reported stands at 15, with 13 treated cases,


He said that number of those discharged is seven, while the number of deaths from those treated in Lagos is five, while the total number of those currently under treatment is one. He added that the person currently being treated is stable and improving clinically.
Details to follow
http://www.thisdaylive.com/articles/ebo ... rt/187574/?

Author:  alforddm [ Thu Aug 28, 2014 8:43 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

Quote:
"This primary contact of Mr. Sawyer’s evaded our surveillance team in the last week of July 2014 and travelled out of Lagos to Port Harcourt where, as we now understand, he consulted with a doctor and was apparently treated for some symptoms. After four days, following a manhunt for him, he returned to Lagos by which time he was found to be without symptoms."


????????????

So it's possible for someone to have a minor case of Ebola?

Author:  niman [ Thu Aug 28, 2014 9:13 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

Health Minister Confirms Ebola Death, Two Other Cases In Port Harcour
Posted on August 28, 2014 by hotnewsng
A highly placed official of the Rivers state Government has confirmed to PREMIUM TIMES that a suspected case of the Ebola Virus Disease has been detected in Port Harcourt, the Rivers state capital.

The official, who asked not to be named because he was not authorized to discuss the development with journalists, simply said, while adding that 70 people suspected to have had contact with the case have been tracked and quarantined,

Yes, there was a case of Ebola death. We are tracking everybody.

The official made the revelation following reports that a doctor in the Rivers state capital had died
from what appeared to be Ebola. The Rivers state Commissioner for Information, Ibim Semenitari, could not be reached for comments last night as she was said to be outside the country.

The unnamed doctor, according to Sahara Reporters, secretly treated a diplomat who had contact with Patrick Sawyer, the Liberian-American, who brought the virus to Nigeria. The doctor reportedly died on Friday, while his wife had also taken ill and now quarantined in Port Harcourt.
The diplomat treated by the doctor is still alive, the report said.

The diplomat is believed to be among those who met Mr. Sawyer on his arrival in Lagos. He then flew to Port Harcourt where he took ill. He was treated at an unnamed hotel in the Rivers state capital, an official said. The doctor’s hospital, Good Heart Hospital, as well as the hotel where he treated the diplomat, have been shut down, reports say.

This development, if confirmed will be a big blow to Nigeria’s effort to contain the deadly virus.
With only one case being treated in Lagos, the Minister of Health had declared Tuesday that Nigeria had succeeded in checkmating the spread of the virus in the country.

http://hotnewsng.wordpress.com/2014/08/ ... t-harcour/

Author:  niman [ Thu Aug 28, 2014 9:37 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

alforddm wrote:
Quote:
"This primary contact of Mr. Sawyer’s evaded our surveillance team in the last week of July 2014 and travelled out of Lagos to Port Harcourt where, as we now understand, he consulted with a doctor and was apparently treated for some symptoms. After four days, following a manhunt for him, he returned to Lagos by which time he was found to be without symptoms."


????????????

So it's possible for someone to have a minor case of Ebola?

Does / response applies to virtually all infectious diseases. Low dose = mild / asymptomatic case.

Author:  alforddm [ Thu Aug 28, 2014 10:46 am ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

So what might lead to a "Low dose"? How much contact with Mr. Sawyer did this diplomat have? Are we talking a handshake?

Doesn't this mean that there could be some people transmitting the disease without understanding/knowing they are infected? Could there possibly be an entire chain of "carriers" that only have mild symptoms? Or would a "mild" case require more contact to transmit? I'm assuming that a shorter symptomatic period means a shorter period where transmission is possible.

Author:  morning [ Thu Aug 28, 2014 12:26 pm ]
Post subject:  Re: Ebola Cluster in Port Harcourt Nigeria

It's more or less my recurring "obsession": higher viral load in sweat / skin tissue, xmission during pre-onset of symptoms. I know Dr. Niman will say people sweat since before Christ, but still :scratch:

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