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PostPosted: Sat Aug 09, 2014 9:00 am 
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American Patrick Sawyer was admitted to First Consultant Hospital Obalande in Lagos Nigeria after he arrive from Monrovia, Liberia (with stops in Accra, Ghana and Lome, Togo). He had been Ebola infected by his sister, Princess Sawyer, but denied contact with Ebola cases. Consequently he was tested for Malaria and HIV and was not designated a suspect Ebola patient, leading to infection of a number of health care workers at the hospital.

Media reports are now citing patients who were at the hospital and have not developed symptoms, including a fatal case on Victoria Island, and a pregnant patient who had a check up at First Consultant Hospital Obalande.

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PostPosted: Sat Aug 09, 2014 9:05 am 
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A pregnant woman who went for her usual check up at the First Consultant Hospital Obalande – same hospital that Patrick Sawyer was admitted - tested positive of the virus on Friday.
She got infected after being treated by the same nurse, Obi Justina Ejelonu, who attended to the Liberian carrier, Patrick Sawyer.
Recall that two nurses came in direct contact with Mr. Sawyer and one of them died this week – the other nurse, Justina is still alive.
The pregnant woman has since been quarantined at the mainland hospital where there is an isolation emergency centre for Ebola virus victims.
- See more at: http://www.nigeriannewsinfo.com/pregnan ... aqMve.dpuf

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PostPosted: Sat Aug 09, 2014 9:06 am 
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Asymptomatic transmission? Game changer.


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PostPosted: Sat Aug 09, 2014 9:12 am 
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morning wrote:
Asymptomatic transmission? Game changer.

I am not sure that this is asymptomatic transmission. The HCWs did become symptomatic and were Ebola confirmed, but they may have been working with mild symptoms prior to the realization that Patrick Sawyer was infected. Details are just coming out on the transmission chains. Patrick Sawyer was symptomatic prior to leaving Liberia, so he was likely very contagious when he arrived and those in contact may have had a short incubation period.

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PostPosted: Sat Aug 09, 2014 9:14 am 
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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

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PostPosted: Sat Aug 09, 2014 9:36 am 
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One of the nurses, Obi Justina Ejelonu, that cared for Patrick Sawyer during his stay at First Consultant Hospital Obalende, has recounted her experience with him. She was previously working at Otunba Tunwase National Peadiatric Centre Ijebu Ode in Ogun state before relocating to Lagos to work at First Consultant Hospital Obalande months ago.

Last week she posted the message below on a Facebook group page that organises free medical services:
“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 dats d only contact. not directly wt his fluids.@a stage, he yanked off his infusion and we had blood everywhere on his bed…..but d ward maids took care of that and changed his linens with great precaution. Every patient is treated as high risk ….if it were airborne, by now wahala for dey. i still thank God.”
“Friends, up to our uniforms n all linens were burnt off. we r on surveillance n off work till 11th.
Our samples v long bn taken by WHO n so far we v been fine.
For me, kudos to my hospital managt cos we work proffessionally wt every patient considered risk cos that’s d training. had it been its a hospital where they manage ordinar gloves lik Govt hospital n some janjaweed private hosp..:lol….wahala for dey o.i must also thank Lagos Govt….infact! Even fed govt sef….all been supportive. im good n so r the others in d hosp…..”
According to the admin of the FB group, Justina went into quarantine after that post and has now tested positive to Ebola.
While Justina is receiving what care is available to sick patients, there is high possibility she might die, and they have now started a campaign to pressure the US Govt and Big Pharma to send the experimental drugs to Nigeria and the rest of West Africa where Ebola is ravaging.

http://www.kemifilani.com/2014/08/nurse ... trick.html

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PostPosted: Sat Aug 09, 2014 12:02 pm 
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Ebola: Family of dead Nigerian nurse on the run
August 8, 2014

The husband and children of the Nigerian nurse who died after getting infected with the Ebola virus are on the run, the health officials in the country have said.

Nigeria is the fourth West African country to be hit by the Ebola outbreak since it first emerged in March in Guinea. The virus entered the country when Patrick Sawyer, who was suffering from the disease arrived by plane late last month in Lagos.

Sawyer, who worked for the Liberian government in Monrovia and had a wife and three young daughters in Minnesota, was on a business flight to Nigeria when he fell ill.

The nurse, the only Nigerian fatality from the disease which has killed over 900 people in four West African countries, was exposed to the virus at a health facility Sawyer was taken before his death.

The nurse’s family were not the first to flee from quarantine. In Sierra Leone, health ministry data and officials, dozens of people confirmed by laboratory tests to have Ebola are now unaccounted for.

Industry watchers say the government more increase public awareness and sensitisation to educate the public.

Meanwhile, the World Health Organisation (WHO) is meeting with Nigerian Ebola Research Team on control and remedy of the disease.

A six-man research committee was inaugurated by the Federal Government on August 4, 2014 with a mandate to carry out research on the deadly contagious virus.

http://businessdayonline.com/2014/08/eb ... -ZBaPldWGd

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PostPosted: Sat Aug 09, 2014 12:53 pm 
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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

ABUJA (Reuters) - Nigeria's state oil company NNPC said on Friday it had shut down its own clinic in Lagos' commercial district of Victoria Island, after a suspected Ebola case was admitted there.

The patient who arrived there sick had previously visited the First Consultant Medical Centre, also now shut, where the country's first case of Ebola was recorded.

"In the meantime, all contacts with this case are being traced and adequate precautionary measures instituted to contain the possible spread of the disease," NNPC spokesman Ohi Alegbe said in an emailed statement.

He described it as a "pre-emptive step".
http://af.reuters.com/article/investing ... 7520140809

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PostPosted: Sat Aug 09, 2014 1:05 pm 
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The Lagos State Government has started compiling a comprehensive list of all persons who may have had contact with the female doctor infected with Ebola Virus Disease (EVD).

The doctor contracted the disease from the Liberian national, Mr. Patrick Sawyer, when she battled to save his life at the First Consultants Medical Centre, a Lagos-based hospital, before his death two weeks ago.

The state government has also affirmed that the doctor afflicted with the virus is still alive, insisting that the mode of transmission of the disease is through direct contact with broken skin, contaminated materials, secretions and the consumption of certain animals, locally termed “bush meat.”

This is just as panic over the spread of the virus has continued to grow nationwide, which was worsened by the fact that there was no official statement on the laboratory results of seven other persons who had been quarantined alongside the female doctor, after they had had contact with the Liberian who died at First Consultants.

However, THISDAY learnt that two of the nurses from First Consultants who were quarantined with the others, were already exhibiting signs of the Ebola virus, raising fears among authorities of its spread to others they may have come in contact with.



Speaking at a press briefing yesterday in Lagos, the state Commissioner for Health, Dr. Jide Idris, said the contact tracing was part of measures to contain the spread of the dreaded virus.

Idris, who addressed the conference alongside his Special Duties counterpart, Dr. Wale Ahmed, urged members of the public to be vigilant and careful in relating with people who are facing health challenges.

He explained that contact tracing “is essential and very important to stop the spread of the deadly virus. In the case of the newly infected person, we have contacted her family and have opened a comprehensive list of both primary and secondary contacts of the infected person.

“There is no panic as long as basic precautionary measures such as hand washing, adoption of appropriate waste management and enhanced personal/environmental hygiene are adhered to. This is a call for everyone to be vigilant, especially with regard to relating with people who are ill.”

The commissioner appealed to health workers to reconsider their decision to continue with the ongoing strike, saying it would be more difficult “to control the spread of the disease if indigenous health workers shy away from helping suspected and infected cases”.

He expressed appreciation for the role health workers had played in “the course of contact tracing, case management and decontamination. The challenge is a clarion call for all volunteer health workers including doctors, nurses, environmental health workers and Phlebotomists to complement our workforce.

“I appeal to striking doctors and other health workers to sheathe their swords and embrace team work. We also count on the cooperation of the good people of the state, which the federal government may need in the course of taking decisions in the overriding interest of the public”.

He said the dreaded virus could only be transmitted through direct contact with the body fluids of an infected person, adding that until an infected person “becomes seriously sick with the virus, the carrier is not infectious”.

“We need to again highlight the mode of transmission of the virus. Once a person is infected, the virus is transmissible through direct contact with broken skin, mucous membrane and secretions of an infected person or through direct contact with materials and surfaces that have been contaminated by the infected person.

“This is a call for vigilance as human-to-human transmission is only achieved by physical contact with a person who is acutely and gravely ill from the Ebola virus through body fluids such as urine, stool, saliva, breast milk and semen,” he stressed.

The commissioner added that in Africa, infection had also occurred through the handling of infected chimpanzees, monkeys, guerillas, fruit bats, antelopes and porcupines, noting that there had been no case of transmission by domestic animals such as pigs.

Idris also confirmed that the female medical doctor who attended to the index case of Ebola at First Consultants was the only confirmed case to date out of the eight primary contacts under clinical surveillance and care.

“Her being infected is largely due to the fact that she was a primary contact when the index case presented. At that point in time, the disease was not known to have been imported into the country,” Idris said.

He explained that relevant digital platforms had been set up for ease of reference, information and communication flow and that the platforms include Help line: 0800 EBOLA HELP (0800326524357); Website: www.ebolaalert.org; Facebook: fb.com/ebolaalert; and Twitter: @ebolaalert.

http://transparencyng.com/index.php/new ... ted-doctor

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PostPosted: Sat Aug 09, 2014 2:18 pm 
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niman wrote:
morning wrote:
Asymptomatic transmission? Game changer.

I am not sure that this is asymptomatic transmission. The HCWs did become symptomatic and were Ebola confirmed, but they may have been working with mild symptoms prior to the realization that Patrick Sawyer was infected. Details are just coming out on the transmission chains. Patrick Sawyer was symptomatic prior to leaving Liberia, so he was likely very contagious when he arrived and those in contact may have had a short incubation period.



Leroy, E. M., Kumulungui, B., Pourrut, X., Rouquet, P., Hassanin, A., Yaba, P., Délicat, A., Paweska, J. T., Gonzalez, J. -., & Swanepoel, R. (2005). Fruit bats as reservoirs of Ebola virus. Nature, 438(7068), 575-576.

I know it's a huge longshot from asymptomatic infection, to jump-species asymptomatic infection. Still, if as few as 1 to 10 organisms are reportedly enough to infect each new host, then the arithmetical likelihood of aerosol transmission crossing that barrier seems, layman that I am (degree in physics, not life sciences) very possible.


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