Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt of Ebola - wife also confirmed infected - 160 contacts quarantined

[alert]

This is not any of the cases in today's report, as they are all in Lagos. It is not clear whether this case has any high-risk exposures, or merely died with suspicious symptoms.

http://dailypost.ng/2014/08/27/breaking-ebola-victim-dies-port-harcourt/?utm_source=dlvr.it&utm_medium=twitter

BREAKING: Ebola victim dies in Port Harcourt
By Daily Post Staff on August 27, 2014@dailypostngr

There are unconfirmed reports that a patient suspected to be infected with the dreaded Ebola virus has died in Rivers State.

The patient, whose name is yet to be made public, was said to have returned from Lagos and tested positive to the virus while on admission at a Private hospital in D-line area of the state capital.

Reports from the Rivers Government House indicated that Governor Amaechi has cancelled his proposed tour of Obio-Akpor Local government area.

In the meantime, the state Ministry of health has called for a media briefing possibly with regard to the current development.

[alert]

Re: Report: Ebola case dies in Port Harcourt

Actually, this might be the probable case from the official report, as the details of that official report state:

http://reliefweb.int/report/nigeria/ebola-virus-disease-nigeria-daily-situation-report-sitrep-no-25-25th-august-2014

1. Highlights
? 159 contacts have completed 21 days follow up as of today ? A total of 42 contacts have been listed for the probable case. ? 2 persons were discharged from suspect ward to be followed up as contact ? There was an hour TV mass health education discussion on Ebola today on NTA Lagos ? Training of trainers was done for the MOH?S, Private medical practitioners & Red Cross (89 trained on Infection Control)
2. Coordination
? Daily coordination meeting held by the Ebola Emergency Operations Center (EEOC) ? Coordinated the discharge of 2 suspected patients today. ? The Strategy group met to review the death of a physician in Port Harcourt that treated a primary contact to the index case.

[alert]

Re: Report: HCW dies in Port Harcourt as probable Ebola case - contact with a confirmed case reported

Hat-tip Monotreme.

http://www.ngrguardiannews.com/news/national-news/176773-ebola-rivers-records-first-suspected-case

Ebola: Rivers records first suspected case
Wednesday, 27 August 2014 20:55
Written by Kelvin Ebiri Port Harcourt

RIVERS State Government Wednesday said it is investigating a possible first Ebola Virus Disease (EVD)-related death, which occurred in a private hospital in Port Harcourt.

The State Commissioner of Health, Sampson Parker, who revealed this yesterday said a health worker from Lagos had been admitted in a private clinic in D/Line area of Port Harcourt, and later died after much vomiting and stooling.

Parker explained that the state government in collaboration with the Emergency Ebola Unit of the Federal Ministry of Health, World Health Organization and EVD experts from the Elizabeth Griffin Research Foundation, from the United States currently in the state, are working on this first suspected case of EVD death.

?We are aware of the death of a health worker who had fever and diarrhoea and I want to let you know that tests and investigation are being carried out. Of course, the result of this will be made known to you promptly and we are working together with experts from the Ministry of Health, Emergency Ebola Unit of the Federal Ministry of Health and you are aware of the Elizabeth Griffin Research Foundation experts that are already with us. I urge you, as a precautionary measure, to refrain from unnecessary body contact,? he said.

[snip]

[alert]

Re: Report: HCW dies in Port Harcourt as probable Ebola case - contact with a confirmed case reported

Here's a carefully worded denial. The only reason there's no EVD cases in Rivers is that they haven't confirmed it yet...

It would be highly unusual if this case died of something other than Ebola.

http://www.nigerianobservernews.com/14082014/news/news24.html#.U_5cbWOmfIV

PORT HARCOURT - The Rivers State Government has said that the state had not recorded any case of the Ebola Virus disease.


Dr Nnanna Onyekwere, the Director of Public Health in the state Ministry of Health, told newsmen in Port Harcourt that the government had taken proactive measures to check the spread of the virus in the state.


He said that the government was aware that the state was the centre of oil and gas activities in Africa and had the potential to attract a lot of visitors.

[snip]

[alert]

Re: Report: HCW dies in Port Harcourt as probable Ebola case - contact with a confirmed case reported

Oh, Phooey. This is really bad news. I think the diplomat is already in the count as the previously confirmed case, but this is two new generations of cases.

http://saharareporters.com/2014/08/27/breaking-nigeria-records-new-ebola-death-port-harcourt#.U_5X64hNibA.twitter

Breaking: Nigeria Records New Ebola Death In Port Harcourt

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.

[Nordica]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

Nigeria Reports First Ebola Death Outside Lagos

By ALAN COWELLAUG. 28, 2014
LONDON ? As the tally of fatalities from the worst known outbreak of the Ebola virus continued its seemingly inexorable rise, the health authorities in Nigeria reported for the first time on Thursday that the disease had spread beyond Lagos, its commercial capital, to claim one more death.

...

http://www.nytimes.com/2014/08/29/world/africa/ebola-outbreak.html?_r=0

[alert]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

The WHO report today lists one probable and three suspect cases of Ebola in Nigeria, along with the 13 confirmed cases. The dead doctor is probable, and I guess his wife is suspect. A second suspect is the sister of Dr. Adaevoh in Lagos.

I guess they are saying the diplomat is the third suspect case? I would classify him as at least probable, considering his exposure to Mr. Sawyer, and the fact that one of his contacts has now died.

My previous suspicion that the diplomat was a confirmed case can't be right, as all 13 confirmed cases were treated in Lagos, and five died, 7 were discharged, and one is still hospitalized, so they were all accounted for before these reports.

[TMI]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

The way Nigerian officials are handling the outbreak is very disturbing.

Chukwu seems to be giving quite a few conflicting reports lately. The events he describes surrounding the ECOWAS employee and the doctor who died August 22 seems off.


[Snip]

As the meeting began, Nigeria's Health Minister Onyebuchi Chukwu said the country had recorded its sixth death from the virus - a doctor in the southeastern city of Port Harcourt.

The medic died on August 22, a day after treating a patient who had contact with the Liberian-American man who brought the virus to Nigeria and who 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 of Ebola Virus Disease," he told reporters in Abuja.

The confirmation and an announcement that the doctor's widow was also symptomatic came after Chukwu said Wednesday that Nigeria seemed to have contained the virus.

Port Harcourt, 435 kilometers east of Lagos and the capital of Rivers state, is the center of Nigeria's oil industry and home to a number of industry majors, including Anglo-Dutch giant Shell, U.S. firm Chevron and France's Total.

Chukwu said the patient, who works for ECOWAS, slipped through the surveillance net and went to the city in the last week of July, where he consulted the doctor after showing Ebola-like symptoms.

"After four days, following a manhunt for him, he returned to Lagos, by which time he was found to be without symptoms," the minister said but added that he was currently under quarantine.

"The man has antibodies showing that he has suffered it (Ebola) before but he's not ill today."

Another ECOWAS official, who picked up the index case from Lagos airport on July 20 and took him straight to hospital, later died from the disease.

[Snip]


http://www.dailystar.com.lb/News/Wor...#axzz3BgU0FWJT

[alert]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

The dead doctor is now confirmed:

http://reliefweb.int/report/nigeria/nigeria-confirms-ebola-death-oil-city-port-harcourt

Nigeria confirms Ebola death in oil city of Port Harcourt

Report
from Agence France-Presse
Published on 28 Aug 2014


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.

[alert]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

The diplomat was apparently a fairly mild case, ill for only four days, but is now also confirmed:

http://www.thisdaylive.com/articles/ebola-doctors-death-sparks-fear-70-persons-quarantined-in-port-harcourt/187574/?

Ebola: Doctor's Death Sparks Fear, 70 Persons Quarantined in Port Harcourt

Onyebuchi Chukwu


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.

---------

So that's 15 confirmed, 0 probable, and 2 suspected (Dr. Adaevoh's sister and this doctor's wife). And the 15 confirmed include 6 deaths and 8 discharges.

[JimO]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt as probable Ebola case - wife also ill - 70 contacts quarantined

"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."

Comments - This report suggests that the patient had no symptoms while in quarantine in Lagos, developed some symptoms over the four days he was missing and then exhibited no symptoms when returned to Lagos. And yet, he transmitted the virus to his doctor. This appears to be evidence that someone with symptoms that are not debilitating or readily recognized as ebola is shedding viruses. It even looks as though he had a mild case, having only been symptomatic for a maximum of 4 days.

[AnnaLisa]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt of Ebola - wife also ill - 70 contacts quarantined

I wonder if they established that none of the doctor's other patients had EBV? Could he have contracted it elsewhere? How could they let people 'slip' out of supervision, (this diplomat, the nurse who travelled to Enugu, who else)? I'm finding it difficult to put any real faith in the press releases coming out of Nigeria as well as their capacity to handle an outbreak.

[Treyfish]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt of Ebola - wife also ill - 70 contacts quarantined

SAN FRANCISCO, August 28, (THEWILL) - Nigeria's Health Minister, Professor Onyebuchi Chukwu, has announced two new cases of the deadly Ebola disease in Port Harcourt, River State.
He named a physician, Dr. Ikechukwu Sam Enemuo, who was killed by the disease as one of the victims. Dr. Enemoah is believed to have treated a diplomat that had direct contact with the Liberian-American man, Patrick Sawyer that brought the disease to Nigeria.
The diplomat, according to the Minister is not symptomatic but has been placed under surveillance.http://www.thenigerianvoice.com/news...t-ministe.html

[Treyfish]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt of Ebola - wife also ill - 70 contacts quarantined

Dr. Iyke Enemuo?s widow, who is also a medical doctor and who cared for him during his illness has taken ill. She is being quarantined.http://www.vanguardngr.com/2014/08/r...bola-death-ph/

Wonder who else she was treating..?

[Treyfish]

Re: Report: Doctor who treated diplomat who traveled with Patrick Sawyer dies in Port Harcourt of Ebola - wife also ill - 70 contacts quarantined

Rivers doctor dies of Ebola

• <time datetime="2014-08-28T15:42:05+01:00"> Thursday, 28 August 2014 15:42 </time>
• Written by Kelvin Ebiri

<aside class="itemAsideInfo">
</aside> THE enormity of the Ebola outbreak now pervades Port Harcourt following the death of a medical doctor, Ike Sam Enemuo, who allegedly contacted the virus from an Ebola patient he allegedly secretly treated.
The reported death of Mr. Enemuo due to Ebola virus has triggered panic Thursday at the University of Port Harcourt Teaching Hospital (UPTH) where his corpse is said to be in the morgue.
As part of precautionary measure to curb the spread of the dreaded diseases, the Rivers state government said it has placed no fewer than 100 persons under surveillance.The has however refused to reveal location of the isolation centers and the hotel where the man who brought the virus to the state stayed.
Though there has been speculation in the past two week that an Ebola patient flew into Port Harcourt, the Rivers State Commissioner of Health, Sampson Parker, yesterday acknowledged the death of Enemuo from Ebola virus disease. The late doctor is said to be the owner of a private hospital at Rumuokoro in Port Harcourt.
... According to him, about one hundred contacts from a hotel, patients of Enemuo and patients of the hospital where the late Enemuo was treated until his demise have been identified and restricted in Rivers State and that locations are being decontaminated. http://ngrguardiannews.com/news/nati...-dies-of-ebola