WHO Warns Of ‘Complex’ Ebola Outbreak In Africa

The World Health Organization (WHO) has warned of a “complex” Ebola outbreak in Africa following the detection of the virus in Nigeria, marking the first reported case in West Africa linked to the current outbreak.

Nigeria announced on Tuesday that an imported case of the Bundibugyo strain of Ebola had been detected in the wife of a diplomat who travelled from Uganda to Abuja. The strain is currently responsible for a major outbreak in the Democratic Republic of the Congo.

Health Minister Muhammad Ali Pate said on Thursday that authorities had traced the woman’s contacts since her arrival in Nigeria earlier this month.

He also disclosed that an undisclosed number of high-risk individuals had been isolated.

“High risk” individuals “have been quarantined, fully, in a facility,” Pate said.

Nigeria, Africa’s most populous country, is the fourth African nation affected by the ongoing outbreak.

Kenya, in East Africa, has reported nine cases since October 6.

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The outbreak began in DRC and has become the deadliest in the country’s history, killing more than 4,000 people out of more than 9,000 confirmed cases since mid-May, according to health authorities.

It is caused by the Bundibugyo strain of the virus, for which there is still neither a vaccine nor a specific treatment.

“We are facing a more complex outbreak landscape,” Mohamed Janabi, regional director for WHO in Africa, told an online media briefing.

The patient in Nigeria arrived in the capital Abuja on October 3 after being in Uganda since September 16, the WHO representative in Nigeria Pavel Ursu said.

She flew to Abuja on an Ethiopian Airlines flight and transited through Addis Ababa, an emergency meeting of the Nigeria Centre for Disease Control and Prevention (NCDC) heard on Wednesday.

The woman is originally from Uganda but based in Abuja, Africa Centres for Disease Control and Prevention Director General Jean Kaseya told AFP on Thursday.

He also said she did not go to DRC, as suggested earlier by Ugandan authorities, who have pushed back against new cases being linked to their country after being declared Ebola-free earlier this year.

Kaseya said officials are trying to piece together her travel history to establish where she could have been exposed — including the possibility that there might have been contact at the airport with Kenya’s first victim, who also left Uganda on October 3.

– ‘Contained, so far’ –

The Nigerian case has reignited memories of a widespread west African outbreak that struck several countries and killed more than 11,000 people between late 2013 and 2016.

Nigeria successfully held back that outbreak within its borders, resulting in only 19 infections and seven deaths — raising confidence the densely packed nation of 240 million can respond effectively to new public health threats.

“It is contained, so far, the imported case. We have no evidence it has gone into the communities,” Pate told a news conference in Abuja. “So our focus is on the contact tracing and ensuring that we know exactly where those contacts are.”

But news of the high death rate out of DRC has some Nigerians worried.

Airport officials at the busy international airport in Lagos were Friday screening all international inbound travellers.

“I’m scared because we have been hearing about the news, the way people are dying in the Congo,” Patrick Akwongu, 61, who flew in from Italy with a layover in Addis Ababa told AFP.

But Bezalel Mfashingabo, 44, a Kenyan flying from Nairobi through Addis Ababa, wasn’t too worried because the “infected” are in quarantine in his home country — and so “there is not much panic”.

Ebola, which is transmitted through contact with bodily fluids and can cause severe internal and external bleeding and organ failure, has killed more than 15,000 people in Africa over the last 50 years.

In August, Uganda was declared officially Ebola-free by the WHO after recording 20 cases — almost all of them in people who had travelled from neighbouring DRC.

Uganda has pushed back against suggestions the patient in Nigeria might have contracted the virus in the country.

“It’s preposterous to suggest that just because someone was holidaying in Uganda, which by the way has no cases of Ebola, is reason enough to drag us into a conversation about Ebola in Nigeria,” Ugandan government spokesman Alan Kasujja told AFP.

AFP