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How Nigeria Stopped Ebola

HughPickens.com writes Pamela Engel writes that Americans need only look to Nigeria to calm their fears about an Ebola outbreak in the US. Nigeria is much closer to the West Africa outbreak than the US is, yet even after Ebola entered the country in the most terrifying way possible — via a visibly sick passenger on a commercial flight — officials successfully shut down the disease and prevented widespread transmission. If there are still no new cases on October 20, the World Health Organization will officially declare the country "Ebola-free." Here's how Nigeria did it.

The first person to bring Ebola to Nigeria was Patrick Sawyer, who left a hospital in Liberia against the wishes of the medical staff and flew to Nigeria. Once Sawyer arrived, it became obvious that he was ill when he passed out in the Lagos airport, and he was taken to a hospital in the densely packed city of 20 million. Once the country's first Ebola case was confirmed, Port Health Services in Nigeria started a process called contact tracing to limit the spread of the disease and created an emergency operations center to coordinate and oversee the national response. Health officials used a variety of resources, including phone records and flight manifests, to track down nearly 900 people who might have been exposed to the virus via Sawyer or the people he infected. As soon as people developed symptoms suggestive of Ebola, they were isolated in Ebola treatment facilities. Without waiting to see whether a "suspected" case tested positive, Nigeria's contact tracing team tracked down everyone who had had contact with that patient since the onset of symptoms making a staggering 18,500 face-to-face visits.

The US has many of these same procedures in place for containing Ebola, making the risk of an outbreak here very low. Contact tracing is exactly what is happening in Dallas right now; if any one of Thomas Eric Duncan's contacts shows symptoms, that person will be immediately isolated and tested. "That experience shows us that even in the case in Nigeria, when we found out later in the timeline that this patient had Ebola, that Nigeria was able to identify contacts, institute strict infection control procedures and basically bring their outbreak to a close," says Dr. Tom Inglesby. "They did a good job in and of themselves. They worked closely with the U.S. CDC. If we can succeed in Nigeria I do believe we will stop it here."

12 of 381 comments (clear)

  1. It only takes one ... by Psilax · · Score: 5, Interesting

    It only takes one stupid uncooperative idiot ( maybe from a certain news station) to spread the disease.

    And I wouldn't compare USA (or for that matter EU ) citizens to Nigerian citizens, Nigeria is known for it scare tactics, I don't see our governments try the same tactics without getting trouble back.
    Let alone that no lower class person will stay home from their job for 3 weeks without pay, they will lose their job and get evicted.
    Or is the government finally going to pay for those kind of expenses?

    1. Re:It only takes one ... by MrDoh! · · Score: 2, Interesting

      Yup, only takes one person holed up in their bunker, seeing the gubmint trying to take their guns away for it to turn... well, as these things usually go. Though I suspect the police storming the compound might take a bit more care than usual.

      --
      Waiting for an amusing sig.
    2. Re:It only takes one ... by Anonymous Coward · · Score: 5, Interesting

      When my wife came back from Asia with a heavy fever in the swine flue days, she warned the officials and had to spend 24h in isolation for tests. She had to pay 1500€ for this as she was not a national. This don't motivate to declare anything, she had just graduated and was without money. Apply this to a bunch of people and many will skip warning about signs.

    3. Re: It only takes one ... by link-error · · Score: 5, Interesting

      The second nurse had a slight fever and called the CDC. They gave her the OK to FLY! She has since tested positive. They were not prepared at all.

      --
      -Unresolved symbol? Byte me!
    4. Re:It only takes one ... by _merlin · · Score: 4, Interesting

      When H1N1 was spreading around Melbourne, people wouldn't go to the doctor if they thought they had caught it, because if you did and they diagnosed you with it you were legally required to take time off work and isolate yourself. People just didn't want the inconvenience, and taking your chances with swine flu didn't usually kill you. Ebola's a bit more risky to play with.

    5. Re:It only takes one ... by weave · · Score: 4, Interesting

      That's my fear too. I live in a small town in Appalachia with dirt-poor but stubborn^H^H^H^H^H^Hproud conservative folk. When they get sick, they just don't go into the hospital. They ride it out at home. They have no health insurance and won't even sign up for it if they can because -- Obamacare. They *may* go to the free clinic in town that's open Tuesdays from 1-3pm. They live in remote areas down dead-end gravel roads that lead to the side of a mountain that other locals know you don't drive down if you have no business going down. If Ebola comes to visit it'll wipe out my mountain town. :(

    6. Re: It only takes one ... by Anonymous Coward · · Score: 2, Interesting

      A non-issue. She called the CDC, which is the apex organization in dealing with this sort of thing, and they cleared her. It's called due diligence, and she exercised it, and the CDC is the one at fault.

      If I were her, anybody filing against me would get an instantaneous counter suit for mental anguish as well for putting me through the legal process and not going after the CDC directly.

  2. Re:US,Nigeria by Eunuchswear · · Score: 3, Interesting

    No, the US is hoping that it will be able to handle the situation as well as Nigeria did.

    So far it isn't.

    --
    Watch this Heartland Institute video
  3. Re:Contact tracing the second nurse by Charliemopps · · Score: 3, Interesting

    Yeah, good luck with that. The last thing I saw on TV was people from her plane made hops to at least four states.

    The President should have just ordered people with passports and travel stamps from these countries to not be allowed to enter the US.

    A travel ban would kill more people than Ebola ever would.

    Due to western workers refusing to travel to certain countries in Africa because of Ebola, the Cocoa crop has already been threatened:
    http://www.reuters.com/article...

    There are also travel bans between those countries. Because of that, the migrant workers that harvest them will have no work for the year. No income. Many will starve to death. MORE than would have been killed by Ebola. As bad as dieing from Ebola is, Starvation is worse.

    Panic will always kill more people than the disease. Think critically before you demand action. The cable news networks are reveling in the profit they are making off of your panic.

  4. missing content = slanted story by Anonymous Coward · · Score: 2, Interesting

    on a side note Nigeria also banned flights to/from these hotspots - Arik Air (Nigeria), Gambia Bird and Kenya Airways have suspended services to Liberia and Sierra Leone. source: https://www.internationalsos.com/ebola/index.cfm?content_id=435&language_id=ENG

  5. Re:That works fine if you manage to nip it in the by h4ck7h3p14n37 · · Score: 4, Interesting

    The hospital also waited until they got a positive Ebola test result back before taking any safety precautions. Staff were exposed for something like two days and administration resisted isolating the patient. The sample was sent through the normal channels for testing which potentially contaminated their tube system. High-risk individuals who treated Duncan were not placed in quarantine and they allowed something like 70 different people to come into contact with him. Then there's the issue of them initially prescribing antibiotics for a viral infection.

  6. Re:That works fine if you manage to nip it in the by dacaldar · · Score: 2, Interesting

    > It isn't that strange. Because if you did listen to the news or watch television, then no, you didn't know about the 'threat', because what has been repeated time after time is 'there is no threat, relax, we can deal with this, we're prepared'.

    No, it is strange. The "there is no threat, relax" message is not actually said in those words, (but close enough), is addressed to the non-medical public, and the motive to reduce panic in the populace is a correct one. The "we're prepared" part means that "we" medical staff, supposedly INCLUDING nurses in Texas, have an ounce of intelligence and training, and are in fact prepared. If the first nurse in Texas had bothered to be aware, training or not, of the outbreak in Africa, and made sure the Doctor was informed of the patient self-reporting that he had been to Liberia, none of this would have happened on US soil. What kind of idiot doesn't realize that it's CRITICAL to pass on this information repeatedly until it is acknowledged? I could see that, with no nurse training whatsoever.

    Now we are one or two steps perilously closer to that critical mass where you can't track down everyone that all the people had contact with, as mentioned by in earlier comment.