Nigeria confirms first Ebola case in current outbreak as virus spreads beyond DRC

Health authorities trace 44 contacts of a woman who arrived from Uganda

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Nigeria has recorded its first known case of Ebola in the current outbreak, the Health Ministry confirmed on Tuesday, prompting a contact-tracing effort involving 44 people. The patient, a woman who recently arrived from Uganda, was admitted to a private Abuja hospital before being diagnosed.

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.

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Analysis

Why This Matters

  • The first Nigerian case in this outbreak brings the virus to Africa's most populous country, where urban transmission would be far harder to contain than in the rural eastern DRC.
  • With more than 9,000 confirmed cases and 4,300 deaths, this is already the second-largest Ebola outbreak on record and the fastest-spreading, and it has now reached four countries.
  • The patient's recent arrival from Uganda may force a reassessment of Uganda's Ebola-free declaration, which was based on 42 days without a confirmed case.

Background

The outbreak was declared in May and centers on eastern DRC near the Ugandan border. It involves the Bundibugyo Ebolavirus. Uganda reported 20 cases and two deaths earlier this year before being declared Ebola-free in late August. Kenya has nine known cases this month, all believed linked to one patient. The outbreak has a fatality rate of almost 50% among confirmed cases. The 2014-16 West African epidemic led to around 11,300 deaths from about 28,500 cases over about 30 months.

Key Perspectives

Health Minister Muhammad Ali Pate: The priority is containing the single case by tracing all 44 contacts, with the patient already diagnosed in a private Abuja hospital. Nigerian government: Officials established an Ebola task force in June to improve readiness and avoid the scrambling that followed a carrier entering the country in a previous outbreak. Nigeria CDC: Surveillance has been upgraded in recent weeks, covering early detection, isolation, laboratory diagnosis, contact tracing and protection of healthcare workers. Critics/Skeptics: The main concern raised by the case is that the virus has now reached a fourth country, and that the patient's travel from Uganda could undermine confidence in Uganda's Ebola-free status if further cases emerge.

What to Watch

  • The 44 contacts being traced in Abuja and whether any secondary cases develop.
  • Whether Uganda's Ebola-free status is questioned or revised in light of the patient's travel history.
  • The nine-case cluster in Kenya, to see if it remains contained to the initial patient's contacts.

Sources

Checked

12 claims in this story checked against 1 source: 9 supported.

Show each claim
  1. Partly supportedNigeria has its first Ebola case in the current outbreak.DW English: “Nigeria's Health Ministry on Tuesday confirmed that the country had recorded its first known case of Ebola in the current outbreak.”
  2. SupportedHealth authorities are tracing 44 contacts of a woman who arrived from Uganda.DW English: “He said authorities had already begun tracing 44 people identified as contacts of the patient.”
  3. SupportedPate said the woman had “recently arrived on an international flight from Uganda.”DW English: “Health Minister Muhammad Ali Pate said that the patient was a woman who had "recently arrived on an international flight from Uganda."”
  4. SupportedThe woman began showing symptoms on October 7 and was admitted to a private Abuja hospital on October 11 before being diagnosed with Ebola.DW English: “She first began to exhibit symptoms on October 7, and was admitted to a private Abuja hospital on October 11, before being tested and diagnosed with Ebola.”
  5. SupportedPate said, “We are doing everything possible to contain this case by tracing all contacts the individual may have had.”DW English: “"We are doing everything possible to contain this case by tracing all contacts the individual may have had," he said.”
  6. Partly supportedResearchers believe the outbreak started in eastern DRC near the Ugandan border.DW English: “The outbreak is thought to have started in the east of the Democratic Republic of Congo, not far from the Ugandan border”
  7. SupportedUganda reported 20 cases and two deaths earlier this year and was declared Ebola-free in late August.DW English: “Uganda, which borders the Ituri province outbreak epicenter in DRC, reported 20 cases and two deaths quite much earlier this year. It was then declared Ebola-free in late August by the World Health Organization”
  8. SupportedKenya recorded nine known cases this month in a cluster officials believe began with one patient, who died.DW English: “Kenya has also been put on alert this month after identifying a cluster of nine cases, which officials believe all revolve around one initial patient”
  9. SupportedNigeria’s Center for Disease Control said its efforts focused on early detection, isolation and referral, laboratory diagnosis, infection prevention and control, contact tracing, risk communication and protecting healthcare workers.DW English: “"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.”
  10. SupportedFemi Gbajabiamila, chief of staff to President Bola Tinubu, said: “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” and “We have covered a lot of ground and established structures to address any potential threat.”DW English: “"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 when the task force was announced. "We have covered a lot of ground and established structures to address any potential threat."”
  11. Partly supportedThe current outbreak was caused by Bundibugyo Ebolavirus.DW English: “The current outbreak, involving a lesser-known strain, the Bundibugyo Ebolavirus,”
  12. SupportedThe current outbreak has more than 9,000 confirmed cases and more than 4,300 deaths, with a fatality rate of almost 50%.DW English: “The current outbreak, involving a lesser-known strain, the Bundibugyo Ebolavirus, has led to more than 9,000 confirmed cases and more than 4,300 deaths, a fatality rate of almost 50%.”

Zotpaper

Written by Rex Doyle on the Science desk. Claims checked by Ines Fairley, verification. Edited by Angus Burke, chief sub. Plate by Ollie Flash, picture desk.

2 sources9 of 12 claims matched to a sourcefirst published
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