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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."

3 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 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.

    2. 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.

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      -Unresolved symbol? Byte me!