PH elderly woman tests positive for Ebola

One of the three persons taken to the Ebola virus quarantine centre in Oduoha, Emohua Local Government Area of Rivers State, has tested positive for the disease.

The latest case, an elderly woman, contracted the virus in Good Heart Hospital, the health facility where Iyke Enemuo, the doctor who treated a Nigerian ECOWAS diplomat, Koye Olu-Ibukun, died last week.

The two others – a doctor and a pharmacist – tested negative. Even though they had been released from the centre,   another round of tests will however   be carried out to reconfirm their status.

The doctor and the pharmacist are members of staff of Sam Steel Clinic, a health facility founded by   Enemuo.

Enemuo whose sister, Chinyere,   was taken to the quarantine centre, will be buried next week.

The Minister of Health, Prof. Onyebuchi Chukwu, and the Rivers State Commissioner for Health, Dr. Sampson Parker, made these developments known   in Abuja and Port Harcourt on Monday.

Chukwu, at the opening of the 2nd National Council on Health meeting on the outbreak of the EVD in Nigeria, also said that the   Federal Government   had indicated interest to participate in the clinical trials of two Japanese vaccines to combat the disease.

The minister, who said the government had also applied for other experimental drugs, including TKM-Ebola,     dispelled rumours of an   outbreak of the disease in the Federal Capital Territory.

He said that   investigation had revealed the person involved was   a sickle cell patient.

Chukwu said, “The Treatment Research Group which I had informed you about, has been working hard to identify experimental drugs like Zmapp, and also make recommendations to government on further research on these drugs as well as vaccines for EVD treatment and isolation.

“Following the TRG’s recommendations and in consultation with NAFDAC and NHREC, Nigeria has indicated interest to participate in the clinical trials for two candidate EVD vaccines and we are considering that a third may be added to the list. We have also applied for experimental drugs such as TKM-Ebola.

“The TRG has submitted a detailed profile and brief on the oral antiviral agent which the Japanese government has offered to make available to affected countries through the World Health Organisation. We are now considering the profile and brief to enable us to reach a final decision on making it available to our patients.

“Our initial knowledge of the agent is that it has been shown to have strong antiviral activity against the influenza virus following phases I and II human trials, it is now going through phase III clinical trials; it is shown to have strong antiviral property against Ebola virus in vitro and in vivo. These and the fact that it is considered safe, having passed through phases I and II clinical trials, makes it good candidate drug for use in emergency situation as the EVD.”

Chukwu also gave an update of the EVD since its outbreak in the country, adding that government’s performance in sustaining the spread of the disease had been lauded by all stakeholders.

According to him, as of August 31, 2014, the total number of cases of EVD in Nigeria stood at 17 while the total number of cases treated at the isolation ward in Lagos State is 14.

Also, the total number of those discharged is seven   while the total number of deaths among those treated in Lagos is five.

The total number currently under treatment in Lagos is two.

Chukwu said the three   confirmed cases not treated in Lagos comprised Olu-Ibukun, Enemuo and the elderly woman in Port Harcourt.

He said, “Two others who came into contact with the late Enemuo   have tested negative for the EVD but the laboratory tests will be repeated to reconfirm their status.

“Now as of August 31, 2014, the number of contacts under surveillance in Lagos stood at 72 while in Port Harcourt, the total number of contacts under surveillance stood at 199. There is nobody under surveillance in Enugu presently and no case of EVD in Enugu State.

“As of August 31, 2014, 278 contacts in Lagos State had completed the 21 days surveillance and had been discharged. While in Enugu, all the six identified contacts have completed the 21 day observation period and have been discharged from surveillance. No contact in Port Harcourt has completed the 21 day observation period.”

In Port Harcourt, Parker also confirmed that an elderly woman who shared the same room with Enemuo when he was admitted at the Good Heart Hospital, tested positive for the EVD.

The commissioner, who spoke with journalists   on Monday, said that   Chinyere, the sister to the late Enemuo, who initially fled to Abia   had returned to Port Harcourt and had been taken to the Isolation centre in Emohua.

He said, “I told you yesterday(Sunday) that we had three patients, and out of the three, the result came out; two of them were negative while one was positive. The two negative ones have left the centre.

“We discharged them but we will repeat the tests because they are still within the 21 days circle of the virus. We pray that they remain negative.

“The one who is positive is an elderly woman that was in the same hospital with the late Dr. Enemuo. In fact, they were in the same room. She is there ( the quarantine centre) now.”

On Chinyere, he said, “She had earlier run to Abia State apparently because of fear of being stigmatised.

“We were able to trace her with the help of my counterpart   in Abia State. She developed feverish symptoms and she had been admitted at the isolation unit   for observation and treatment. She is among the 50 high risk contacts on our list. We decided to take her to the isolation unit to make assurance surer.

“We are currently running a test on her and the result will be out by Tuesday(today) or thereabout. We chose to isolate her because we don’t want to go through the same experience we had with   Olu-Ibukun.”

Parker, however, applauded Chinyere’s courage to come out from hiding and added that the major challenge of the state government was that some of the primary and secondary contacts were hiding.

He also said that Enemuo’s remains and   others     in the University of Port Harcourt Teaching Hospital   would be buried this week in Port Harcourt.

The   commissioner said, “We have decided that within this week, Dr. Enemuo and other high risk corpses in the UPTH mortuary would be buried, according to the World Health Organisation protocols.

“That means that the corpses will not leave Port Harcourt . They will be buried under the supervision of the EOC, Ministry of Health officials, and officials of WHO so that we don’t expose the relatives to danger.

“We will take care of all the safety protocols ourselves. The families will be there but we will not allow them touch the corpses.

“The families can hold their parties if they choose to, but they will not be allowed to come close to the bodies. We will take maximum precaution to combat the spread of the virus.”

Source: Punch