Nigeria's Health Ministry confirmed on Tuesday that the country had recorded its first known case of Ebola in the current outbreak. Health Minister Muhammad Ali Pate said the patient was a woman who had "recently arrived on an international flight from Uganda." She began showing symptoms on October 7, was admitted to a private Abuja hospital on October 11, and was later diagnosed with Ebola. Authorities have begun tracing 44 people identified as contacts.
"We are doing everything possible to contain this case by tracing all contacts the individual may have had," Pate said.
The case extends the geographic spread of an outbreak that remains overwhelmingly concentrated in the Democratic Republic of Congo, particularly its eastern provinces. Researchers believe the outbreak started in eastern DRC, near the Ugandan border. Uganda reported 20 cases and two deaths earlier this year and was declared Ebola-free by the World Health Organization in late August. Kenya has recorded nine known cases this month, a cluster officials believe all revolve around one initial patient, who died.
Nigeria's Center for Disease Control said two weeks ago it was stepping up surveillance after the first recorded cases in Kenya. "These efforts have focused on early detection, isolation and referral, laboratory diagnosis, infection prevention and control, contact tracing, risk communication and protection of healthcare workers," the agency said. Nigeria set up an Ebola task force in June. "We do not want a repeat of what happened during the last outbreak when a carrier entered the country, and everyone was scrambling to respond," Femi Gbajabiamila, chief of staff to President Bola Tinubu, said at the time. "We have covered a lot of ground and established structures to address any potential threat."
The current outbreak, caused by the Bundibugyo Ebolavirus, has led to more than 9,000 confirmed cases and more than 4,300 deaths, a fatality rate of almost 50%. It is the second-largest outbreak on record and by far the fastest-spreading, although improved testing and diagnosis may partly explain the higher numbers. The West African epidemic of 2014-16 caused around 11,300 deaths from about 28,500 cases over about 30 months. This outbreak was declared in May, though researchers believe it began in small numbers several months earlier. Tuesday's case in Nigeria could raise new questions about Uganda's Ebola-free status, given the patient's travel history.
