Nigeria Confirms 11th Case of Ebola

Nigeria has confirmed 11 cases of Ebola, after a doctor who treated the Liberian man who brought the disease to Lagos fell ill, the health minister said on Thursday.

The doctor had been involved in the initial treatment of Patrick Sawyer, who collapsed at Lagos airport on July 20, Health Minister Onyebuchi Chukwu told a news conference in the capital, Abuja.

A staff member of the West African regional economic body ECOWAS (Economic Community of West African States) this week became the third person in Nigeria to die of the disease.

“Eight (others) are still alive, more than half of them are doing very well and actually showing signs of recovery ... under treatment,” Chukwu said.

In its latest update, released Wednesday, the http://www.who.int/csr/disease/ebola/en/ - World Health Organization said 1,069 people have died of Ebola this year in Guinea, Liberia, Nigeria and Sierra Leone. The region's total number of cases stands at just under 2,000.

The WHO has called this Ebola outbreak an international emergency. It has killed between 55 to 60 percent of those who have contracted the disease.

There is no known cure or vaccine for Ebola. On Tuesday, a WHO panel of medical experts said it is ethical to give patients unproven drugs to try to fight the disease.

Summit expands, airline service contracts

The outbreak has prompted the African Union to expand a summit in Burkina Faso next month so leaders can address the issue. 

And on Thursday, another airline suspended flights to Africa. Korean Air Lines announced it will temporarily stop flights to and from Kenya's capital, Nairobi, in what it called a measure to contain Ebola.

No Ebola cases have been reported in Kenya, but WHO has classified the East African country as a high-risk area for the disease because of its role as a major transport hub.

Earlier, British Airways and the Middle Eastern airline Emirates suspended service to parts of West Africa in response to the outbreak.

Nurse breaks quarantine

A nurse with Ebola, which she caught from Sawyer, skipped quarantine in Lagos and headed to her home in the southeastern city of Enugu, where she was suspected to have had contact with 20 other people.

However, Chukwu said after initial screening, they realized only six people had been in contact with her, and they put those six under surveillance.

A total of 169 people were under surveillance in Lagos, after eight others were cleared, including all of Sawyer's primary contacts from when he came in.

The government also announced that Dangote Group, owned by Africa's richest man, Aliko Dangote, had donated $150 million to halt the spread of the virus.

http://%20www.voanews.com/igeria-confirms-11th-case-of-ebola/2413025. -  http://www.voanews.com/content/nigeria-confirms-11th-case-of-ebola/2413025.html

If he is just recently diagnosed and he is described as one of the initial contacts with Sawyer then that was 24 days ago. Perhaps test results took a while to come through, but perhaps as others have said that the incubation time should be increased to 25 days.

See below pub med article concerning last outbreak of Zaire.


Osong Public Health Res Perspect. 2011 Jun;2(1):3-7. doi: 10.1016/j.phrp.2011.04.001. Epub 2011 Apr 12.

Incubation period of ebola hemorrhagic virus subtype zaire.
Eichner M1, Dowell SF, Firese N.

OBJECTIVES:
Ebola hemorrhagic fever has killed over 1300 people, mostly in equatorial Africa. There is still uncertainty about the natural reservoir of the virus and about some of the factors involved in disease transmission. Until now, a maximum incubation period of 21 days has been assumed.

METHODS:
We analyzed data collected during the Ebola outbreak (subtype Zaire) in Kikwit, Democratic Republic of the Congo, in 1995 using maximum likelihood inference and assuming a log-normally distributed incubation period.

RESULTS:
The mean incubation period was estimated to be 12.7 days (standard deviation 4.31 days), indicating that about 4.1% of patients may have incubation periods longer than 21 days.

CONCLUSION:
If the risk of new cases is to be reduced to 1% then 25 days should be used when investigating the source of an outbreak, when determining the duration of surveillance for contacts, and when declaring the end of an outbreak.

well this isn't going to help matters any

Ebolavirus: Nigeria sacks all resident doctors

http://thenewsnigeria.com.ng/2014/08/14/ebolavirus-nigeria-sacks-all-resident-doctors/

and now Nigeria has fired it's few doctors 

WTF ???

http://thenewsnigeria.com.ng/2014/08...ident-doctors/

Nigeria sacks all resident doctors