Wednesday, 20 August 2014

Top Nigerian doctor who treated Patrick Sawyer dies of Ebola virus



Dr. Ameyo Stella Adadevoh, the senior consultant endocrinologist who became infected with the deadly Ebola virus while treating the Liberian-American, Patrick Sawyer, died Tuesday, medical authorities said.

Ms. Adadevoh died in an isolation facility of the Mainland Hospital, Lagos, bringing to five the number of Nigerians killed by the highly contagious virus.

Her death followed those of Mr. Sawyer, two nurses, and a protocol officer for ECOWAS who attended to Mr. Sawyer as he arrived the Lagos airport.



All of Nigeria’s fatalities are those who had contact with Mr. Sawyer, the man who brought Ebola to the country.
The Federal Health Ministry of Health confirmed in a statement Tuesday that a “female Nigerian doctor has died at the Ebola Emergency Treatment Centre in Lagos”.


The statement by Dan Nwomeh, spokesperson for the Minister of Health, Onyebuchi Chukwu, did not identify Ms. Adadevoh, beyond stating that the victim was one of the primary contacts with Mr. Sawyer, and the most senior doctor who participated in treating the Liberian.

The description fits Ms Adadevoh, who was erroneously reported to have recovered and discharged a few days ago.

Her cousin, Kwami Adadevoh, tweeted shortly afterwards saying, ” I’d like to thank you all for your prayers. Sadly my darling cousin has been called home. She has finished her course and now rests with God.”

Condolences immediately began to pour in torrents.

While Nigeria has recorded some successes in the fight against Ebola– five people infected with the virus recovered– the country has also suffered heavy losses to the virus within two weeks.

The death of Ms. Adadevoh, like the nurses, would be deeply heart-breaking given her sacrifice to treat Mr. Sawyer, and an unsuccessful attempt by the Nigerian government to have her treated with Zmapp, the experimental drug used by the United States to treat two of its doctors who contracted Ebola in Liberia.

The Americans turned down the request saying the drug was not yet available in enough quantity and that African nations needed to adopt alternative strategies to combat the virus.

The manufacturing firm of Zmapp said last week they had run out of stock of the drug.

Sources say Dr. Ameyo died Tuesday afternoon after nearly a week in coma.

Tuesday, 19 August 2014

Suspected Boko haram militants slaughter 10


Suspected Boko Haram gunmen killed 10 people who had fled their homes to escape repeated attacks by the insurgents, after hunting them down in a nearby village, witnesses said on Monday.

Residents of Krenuwa village fled to nearby communities after a Boko Haram raid last month that left seven dead and saw the extremists raze a military camp, police station and several homes.



About a dozen militants stormed the villages of Durwa and Maforo in the Marte district on Sunday, where some of them were seeking refuge.

“They came on motorcycles and gathered people before singling out their victims who moved in from Krenuwa after it was attacked”, said Usman Ari, a Durwa resident.

“They shot six of them dead and slaughtered four,” said Ari, who fled to the Borno state capital, Maiduguri, some 100 kilometres (60 miles) away after the attack.

After the attack in Durwa, where six were killed, the suspected Boko Haram gunmen stormed nearby Maforo and killed four, said Hassan Goni, another Durwa resident, who also fled to Maiduguri.

“We are afraid they are going to come back for more attacks which is why we left, he added.

After the attack on Krenuwa village, a counter-offensive by soldiers killed five insurgents and captured five more.
Krenuwa resident Abba Kolomi said Boko Haram had also killed six people from the village who sought refuge across the border in Chad.

The Marte district was one of the areas where Boko Haram chased out the government last year, forcing President Goodluck Jonathan to declare a state of emergency in the region and a military offensive to crush the uprising.

A scorched-earth military response reclaimed the territory but deadly Boko Haram raids on towns and villages in the area have continued unabated.

24 Reasons Nigerian Medical Doctors Are On Strike


1. The post of Deputy Chairman Medical Advisory Committee (DCMAC) has been circularised and operational. Rather than abolish it, the NMA hereby demands that four (4) DCMACs for teaching hospitals and three (3) for the Federal Medical Centres be appointed forthwith to assist the CMACs whose statutory responsibilities are too heavy for any single individual to handle. Directors in other government agencies are supported by several Deputy Directors, why not the CMAC who is also a Director? Such a DCMAC must have same qualifications as the CMAC.

2. The NMA is opposed to the appointment of Directors in the Hospitals. This position distorts the chain of command in the hospital, induces anarchy and exposes the patient to conflicting treatment and management directives with attendant negative consequences.
3. The NMA demands that grade level 12 (CONMESS 2) in the health sector MUST be SKIPPED for medical doctors. Consequently no medical/dental practitioners should be on that grade level anymore.
4. The title “CONSULTANT” in a hospital setting describes the relationship between the Specialist Medical Doctor and his patient. It will be a source of confusion if the title is applied to any other health worker who statutorily does not own patient. NMA, therefore, declares with unmitigated emphasis that if “non-doctor consultants” are appointed, it will lead to chaos and anarchy in the health sector. This should not happen.
5. Relativity in health sector is sacrosanct. The NMA hereby demands for immediate implementation of the January 3rd, 2014 circular. The NMA also demands the immediate payment of the arrears of the corrected relativity for 22 years during which her members were short changed.
Much as we are not against salary increase for any category of workers, either in health or elsewhere, the NMA demands for immediate adjustment of the doctors’ salary to maintain the relativity as agreed and documented once CONHESS is adjusted.
6. That Government should expedite the passage of the National Health Bill (NHB), and extend Universal Health Coverage to cover 100% of Nigerians and not 30% as currently prescribed by National Health Insurance Scheme (NHIS).
7. Surgeon General of the Federation MUST be appointed with immediate effect.
8. The entry point of the House Officer should be corrected to CONMESS 1 step 4 as originally contained in MSS/MSSS while the Registrar/Medical Officer is moved to CONMESS 3 step 3.
9. Clinical duty allowance for Honorary Consultants should be increased by 90% of CONMESS
10. Adjust the specialist allowance as contained in the 2009 collective bargaining agreement. Additionally, ALL doctors on CONMESS 3 and above MUST be paid specialist allowance or its equivalent that is not less than 50% higher than what is paid to other health workers.
11. Hazard allowance MUST be at least N100, 000 per month for Medical Doctors.
12. Immediate release of the circular on rural posting, teaching and other allowances which MUST include house officers.
13. Immediate withdrawal of the CBN circular authorizing the Medical Laboratory Science Council of Nigeria (MLSCN) to approve licenses for the importation of In-Vitro Diagnostics (IVDs).
14. Immediate Release of Circular on retirement age for Medical Doctors as agreed with the Federal Government (FG)
15. The Federal Government through the Federal Ministry of Health should formalise and implement the report of the interagency committee on residency training as well as release the uniform template on appointment of Resident Doctors in line with earlier agreements. Moreover, a concrete Funding framework for residency training must be established. The Overseas clinical attachment must be fully restored and properly funded in the interest of the nation.
16. That in the interest of harmony in Federal Medical Centre, Owerri the government should pay the salaries of our members in the centre as agreed on 21st October, 2013.
17. Immediate concrete steps must be put in place for the reintegration of our members back into the IPPIS platform.
18. All attempts to coerce house officers not to join NARD must stop.
19. The orchestrated intimidation, harassment and physical assault of our members in departments of Pathology (Laboratory Medicine) by Laboratory Scientists which is being tolerated by the Federal Ministry of Health (FMOH) must stop.
20. The Endless circle of incomplete salary payment to our members in many hospitals in the name of shortfalls in personnel cost must stop.
21. Universal applicability of all establishment circulars on the remuneration and conditions of service for doctors at all levels of Government must be guaranteed.
22. Government should as a matter of urgency set up a health trust fund that will enhance the upgrading of all hospitals in Nigeria.
23. The position of Chief Medical Director/Medical Director must continue to be occupied by a Medical Doctor as contained in the Act establishing the tertiary Hospitals. This position remains sacrosanct and untouchable.
24. The NMA henceforth shall not accept the continued violation of any of the terms of the 2009 Collective Bargaining Agreement. This is exemplified by the payment of Medical Physicists and Optometrists with OD (who are on CONHESS) call duty allowance using the CONMESS Circular. Similarly, the phrase “Ministries, Departments and Agencies” (MDA) in the said agreement should replace “Federal Ministry of Health and other Federal Health Institutions” as contained in the 2009 CONMESS Circular.

Mixed fortunes for Nigeria, 3 new Ebola cases discovered, 4 patients discharged



It was a case of mixed fortunes for the nation, yesterday, in the management of the Ebola Virus Disease as three fresh cases were discovered, while four of those earlier admitted at the isolation centre in Lagos were discharged.

Lagos State Health Commissioner, Dr. Jide Idris, who confirmed the emergence of three new cases, remarked: “As at yesterday, (Sunday), we had three new suspected cases. One of them is a blood sample from Kaduna State, while the two others are from Lagos and they are primary contacts. A reason for this was that they do not have the laboratory to test for the virus.



“What we have now is that, there are four people dead, including the index (Mr. Patrick Sawyer). We have eight in the isolation ward before Saturday when we released the doctor, and this doctor was released after testing negative and going through the World Health Organisation, WHO and Centre for Disease Control, CDC, procedures for discharge.

Four more discharged

Four additional confirmed patients of Ebola Virus Disease have been discharged from the isolation centre of the Mainland Hospital in Lagos.

The discharged patients, including two male medical doctors, one female nurse and another patient, have been managed successfully and are now disease-free and ready to resume their normal life activities.
The development brings to five the total number of patients diagnosed with Ebola who have now been discharged from hospital, following the discharge of the first EVD patient over the weekend.

Announcing the development yesterday in Abuja, Minister of Health, Professor Onyebuchi Chukwu, said the three participated in the treatment of the first case of Ebola in Nigeria, the late American-Liberian, Patrick Sawyer while the fourth person was a female patient at the time the index case was on admission.
In Lagos, the State Commissioner for Health, Dr. Jide Idris, who briefed newsmen along with the Special Adviser to the Governor on Public Health, Dr. Yewande Adeshina, said the patients would be released yesterday (Monday).

“We have 12 confirmed cases and that includes the index (first) case and all the other cases that we have confirmed positive and those who have died. And today, we have four more patients ready for discharge, and they have gone through the same protocol — the protocol is that before we release anyone or certify him or her negative, he or she has to be symptoms-free for over three days. Also, we had to test their blood and the result proved negative of the virus.

“They will be released today (yesterday) after they have completed their counselling exercise being conducted by our psycho-social team, but they will come periodically for check-ups; though they are okay.”

Three others in Isolation

Assuring that everything was under control, the commissioner said the new cases were being closely monitored.

“The other three patients are still being monitored at the isolation centre. Once they get better, they will be released too.

“The lady who ran to Enugu is still in isolation and has tested positive to the virus. She is among the three still under isolation.”

Treatment of patients
On the nature of treatment being accorded Ebola virus disease patients, Idris explained that there was no specific treatment per se.

“We treat the patients based on the presentation. For instance, if the patient shows symptoms of diarrhoea, he or she has to be treated with electrolyte and others. If the person shows signs of pain, he or she will be given pain-relieving drugs. We have enough drugs to take care of them.

“If they require intensive care, we will do that. This is part of the equipment that has been brought in. They will be provided with such.”

More medical personnel

Giving an update on medical personnel available to care for the patients, Idris remarked: “At the moment, we have more medical personnel to care for the patients. We have eight doctors and nine nurses and some health workers who have gone through the training. We have also been joined by infectious disease experts from Lagos State University Teaching Hospital, LASUTH. All these people have gone through the training. Though the number is not enough; we need more.”

Expert reacts

Reacting to the development, the Director of Communication and Community Mobilisation for Ebola in Nigeria, Professor Adebayo Onajole said that the country has been able to contain the spread through increased surveillance at the country’s borders (air, land and sea), increased awareness and less disinformation about the disease in the country.

Onajole, a consultant public health expert noted that universal health precautions and personal hygiene are currently being encouraged, a situation which has helped halt the spread of the disease.

He said: “Efforts are currently ongoing to scale up and strengthen all aspects of response, including contact tracking, public information and community mobilization, case management and infection prevention and control, and coordination. There is now increased disease surveillance system in a bid to monitor, control, and prevent any occurrence of the disease,” he concluded.

Five committees have been set up in the country to halt the spread of the disease, investigations reveal. These committees include contact tracing – responsible for tracing contacts of infected persons; case management unit – responsible for managing established cases; and point of entry unit which is charged with the responsibility of examining persons entering Nigeria from various borders.

Three quarantined in Makurdi

Meanwhile, two missionary workers and their driver have been quarantined at the Benue State University Teaching Hospital, BSUTH, Makurdi, the Benue state capital, on suspicion of infection with Ebola virus.
Chief Medical Director of BSUTH, Professor Orkurga Malu, who disclosed this to newsmen in Makurdi, dispelled rumours that the quarantined persons were infected with the virus.

Malu explained that Benue indigenes who hitherto resided in Monrovia for a year where they engaged in missionary work, relocated from the Liberian capital in the wake of the Ebola outbreak.

“There is no truth that some Benue indigenes from Monrovia, Liberia are victims of the deadly Ebola virus. What happened is that since some airlines have shut down operations to Liberia, the couple and their driver had to take a connecting flight from their base to Accra, Ghana where they stayed for a week before travelling to Nigeria.”

While refusing to disclose the identity of the persons concerned, Malu said, on arrival in the state, they were quickly admitted in the hospital and have been kept under close observation.

“They have not shown any symptoms of the disease because at every stage their temperature is checked and tested right from Monrovia before they boarded the plane to Ghana and then Nigeria.
“Since they came in here on Thursday, we have been testing them on a daily basis and there is no evidence of temperature rise or any of the symptoms of the virus.

“So we are 99.9 per cent sure that they do not have Ebola virus. But just in the remotest case of 0.1 percent, we have kept them to ensure they do not have the disease,” he stated.

The CMD who urged the people of the state not to panic assured that the hospital has adequate facilities to cater for any victim of the virus.

Ebola manufactured by Satan - T.B Joshua


By Ihechukwu Njoku

Nigerian Prophet T.B. Joshua of The Synagogue, Church Of All Nations (SCOAN) declared in his church service on Sunday 17th August 2014 that the killer disease Ebola currently ravaging West Africa is from ‘the pit of hell’.


According to Joshua, who led his congregation in prayer for the nations and individuals affected, time was up for the ‘strange ailment’ and life would soon return to normal for the affected countries.

“The so called strange ailment coming from three nations – Guinea, Sierra Leone, Liberia… satan is the manufacturer, the source,” Joshua defiantly declared to the faithful.

“Begin to capture the covenant of that strange sickness,” the cleric then enjoined the congregation. “Command that strange ailment to come out and go to the pit of hell, in the name of Jesus Christ!”

“Because of Christ, people of Liberia, Sierra Leona, Guinea, you are released,” Joshua bellowed, accompanied by the vibrant congregants in a service allegedly viewed by millions worldwide through Joshua’s Christian television station Emmanuel TV.

The controversial pastor boldly declared that God had spoken to him to pray for the nations affected by Ebola as its reign of fear was close to closure.

The pastor, cited to be one of Africa’s most influential individuals, decried the toll Ebola had taken on society, especially in the areas of kinship and kindness.

“People are no longer their brother’s keepers because of this strange disease,” he lamented, adding that if someone publicly collapsed from any form of sickness, people would likely abandon the invalid as opposed to lending a helping hand.

“Once satan takes love out of people, he has taken life. Satan is not happy that we are one; he is against oneness. He knows when we are not one, we can be defeated,” he fumed.

“The weapon satan is afraid of is love,” Joshua continued. “Satan can fight anything but he cannot fight love.”

The cleric then cited a poignant question asked by Jesus in Luke 18:8: “When the Son of Man comes, will he find faith on the earth?"

He added that the prayer Jesus offered for His followers’ faith not to fail indicated challenges would arise in the last days which would make many ‘abandon their faith’, Ebola being one such challenge. 

Joshua made headlines this week in local and international media for sending 4,000 bottles of ‘Anointing Water’ to the Ebola stricken nation of Sierra Leone on the request of the government, alongside $50,000 in humanitarian aid.

Last week, Joshua had to debunk a rumour attributed to him that went viral in Nigeria claiming that bathing in salt water would prevent the disease. With over 1.2million followers on Facebook and 90,000 YouTube subscribers, it is easy to understand why Joshua is touted to be among Africa’s most influential individuals currently.

Monday, 18 August 2014

NYSC denies suspension of orientation course in crisis-prone states

NATIONAL Youth Service Corps, NYSC, weekend, debunked a media report that the orientation course for prospective corps members deployed to crisis-prone states has been suspended due to the outbreak of Ebola Virus Disease, EVD.
The scheme urged prospective corps members to ignore the report, saying orientation course for corps members deployed to Bauchi, Gombe, Adamawa, Jigawa, Yobe and Borno states was still on course.
A statement by the NYSC Director of Press and Public Relation, Mrs Olubunmi Aderibigbe, described the report as misleading, asking corps members to report to their various camps for proper documentation.
The statement read: “The attention of the NYSC Management has been drawn to a news report aired on AIT to the effect that the orientation course for prospective corps members deployed to Bauchi, Gombe, Adamawa, Jigawa, Yobe and Borno states has been suspended due to the outbreak of Ebola Virus Disease.

Nigerian tested in Spain, kept in isolation

The Mailonline also reported that the Nigerian was tested after going to San Juan Hospital in Alicante with the tell-tale signs of the EVD.

Officials of the hospital said the unnamed Nigerian, who is in his 30s, was being kept in isolation until the results of the tests were known.

The officials were said to have activated the Ebola protocol after he complained of the flu-like symptoms associated with the onset of the virus.

Paramedics wearing protective suits and masks transferred him from Alicante General Hospital to nearby San Juan.

His condition on Sunday was described as “stable.”

FG to meet hospital owners , orders arrest of fake hand sanitiser sellers

Meanwhile, the Minister of Health, Prof. Onyebuchi Chukwu, has said he will meet with leaders of the Association of General Practitioners of Nigeria and the Guild of Medical Directors of Nigeria over reports that some private hospitals were refusing to treat patients suffering from malaria and fever.

There were media reports last week that such private hospitals were doing so because of fear of contracting the Ebola Virus Disease.

Chukwu, in an interview with one of our correspondents in Abuja, however attributed the action by such hospitals to inadequate information on the nature and mode of spread of the EVD , which claimed its first victim in Nigeria, Patrick Sawyer, in a private hospital in Lagos.

The hospital lost its matron and a nurse who were among health workers that handled Sawyer’s case to the disease.

Another nurse, who was also involved in the treatment of the Liberian-American is currently being quarantined at the Infectious Diseases Hospital in Yaba, Lagos after she tested positive to the virus.

The doctor that attended to Sawyer on his arrival at the private health facility, also contracted the virus but she survived after 22 days in the IDH.

Chukwu said, “I am meeting with the leadership of the Association of General Practitioners of Nigeria and the Guild of Medical Directors of Nigeria, this week. The two bodies control private practitioners.

“Part of the reason we want to meet with them is due to reports that the private hospitals were turning back patients suffering from fever and malaria for fear of contracting EVD through them.”

He said with proper education, the country would be able to contain the spread of the disease.

The minister, therefore, urged the media to confirm from him, any rumoured case of Ebola anywhere in the country before publishing.

Chukwu said, “The media should help the ministry to reduce panic in the society over the issue of Ebola, what we need is continuous education of our people. For instance, we have clinical case definition, that is crosschecking cases through laboratory testing.

“That was why, when we went to Abia State, we used the laboratory test to convince everybody that the woman suspected to have Ebola did not have it.

“But because a section of the media did not confirm the true status of the woman from me or from the National Centre for Disease Control, they escalated panic in Abia by publishing that an Ebola case had been reported in the state. That is the only reason why the woman’s blood was taken for testing.”

On fake hand sanitisers and gloves allegedly being sold to the public, he said the ministry had directed the National Agency for Foods and Drugs Administration and Control to begin investigation and bring all the culprits to book.

The minister said, “NAFDAC will continue to monitor but we strongly believe that the fake versions of hand sanitisers are being produced and sold by some people .

“NAFDAC will continue to do its job and we hope that very soon, those perpetrating the crime will be arrested and prosecuted.”

Chukwu also denied mentioning the name of the female doctor who treated the late Liberian – American. The doctor was discharged from the isolation ward on Saturday.

Chukwu, in a statement by his Special Assistant on Media and Communication, Mr. Dan Nwomeh, on Sunday, said he did not refer to the doctor as Dr. Adedevor , as quoted in the media.

The statement read in part, “It has been brought to the attention of the minister that the first Nigerian to be diagnosed of EVD, is being reported in some section of the media to be one Dr. Adadevor.

“The minister wishes to clarify that the name of the patient is not Dr. Adadevo. This should be noted. The minister’s statement on Saturday while indicating that it was a female doctor did not indicate the name of the patient.”

Sahara Reporters later quoted Chukwu as having said in a statement that five EVD patients being treated at the IDH had almost fully recovered.

He was said to have also confirmed that Nano Silver, an experimental drug, had failed to meet the required standards and therefore would not be used on Ebola patients.