Spread of Ebola Continues as WHO Agrees to the Use of Untested Drugs
August 13, 2014 in Guinea, Liberia, Nigeria, Sierra Leone, West Africa
On Tuesday, a World Health Organisation (WHO) panel of medical experts ruled that it is ethical to offer untested drugs or vaccines to those people either infected or at risk due to the current Ebola outbreak. The panel however has cautioned West African officials that supplies will be limited.
WHO Approves Untested Drugs
A statement released by the WHO indicated that the panel has disclosed that any provision of experimental Ebola medicines would require “informed consent, freedom of choice, confidentiality, respect for the person, preservation of dignity and involvement of the community,” adding that the drugs should be properly tested in the best possible clinical trials. The ethics panel met last week in order to discuss whether various experimental drugs and vaccines being developed to fight Ebola may be used in the current outbreak despite not having been fully tested or licensed. The meeting was called after the experimental Ebola drug ZMapp, which is produced by US biotech company Mapp Biopharmaceuticals, was given to two American health workers who were infected with Ebola while working in Liberia.
On Wednesday, Canadian officials disclosed that between 800 and 1,000 doses of an experimental Ebola vaccine, which has so far only been tested on animals, will be donated to the WHO for use in West Africa. Canada however will keep a small portion of the vaccine for further research and in the event that an Ebola case appears in the country.
However while Canada has announced that it will send doses of the experimental vaccine to the WHO, experts are warning that it will likely take between four and six months in order to make a large enough quantity to have any real impact at preventing the illness. Officials at the WHO have disclosed that so-called “first in man” trials, which are the first tests of the drug to be carried out on humans, will likely be conducted over the next two to four months. However even if the trials of the drug prove to be successful, supplies of it will remain limited, noting “it is…likely that the number of doses available for further study and/or deployment from end 2014 onwards will remain insufficient to meet demand.”
New WHO Figures Released
New data released by the WHO on Monday indicated that the death toll in the Ebola outbreak in West Africa has now passed 1,000, and that the outbreak does not appears to be slowing down. In a press release Monday, the United Nations health agency confirmed that 1,013 people have died in the outbreak with authorities recording 1,848 suspected, probable or confirmed cases of the disease. The updated WHO figures are from August 7 – 9, when 52 people died and 69 more were infected. During this period, Guinea reported six additional deaths and 11 new infections; Liberia had 29 more deaths and 45 cases while Sierra Leone saw 17 new fatalities and 13 new cases.
In total, Guinea has reported 506 cases, with 373 deaths; Liberia has 599 cases, with 323 deaths; Sierra Leone has reported 730 cases and 315 deaths while Nigeria has thirteen cases and two deaths.
Liberia Announces State of Emergency as Concern Grows Over Outbreak in Other Countries
August 7, 2014 in Guinea, Liberia, Nigeria, Saudi Arabia, Sierra Leone, West AfricaAs the West African region continues to struggle to contain the outbreak of the deadly Ebola virus, on Wednesday, Liberian President Ellen Johnson Sirleaf declared a state of emergency. The move, which is set to be ratified by Liberia’s parliament on Thursday, comes a week after Sierra Leone’s government declared a state of emergency.
Speaking on national television President Sirleaf disclosed that the state of emergency would come into effect as the epidemic now represented a threat to state security, noting that Liberia required “extraordinary measures for the very survival of our state and for the protection of the lives of our people.” The Liberian President further noted, “ignorance and poverty, as well as entrenched religious and cultural practices, continue to exacerbate the spread of the disease.” A statement released by the presidency has indicated that the state of emergency is effective as of 6 August and will last for a minimum period of ninety days. While the Liberian government has not yet disclosed the full effects of this state of emergency, sources have indicated that some civil liberties may have to be suspended as the country moves to contain the outbreak.
The outbreak of the deadly haemorrhagic fever has overwhelmed healthcare systems across the affected regions while the on going fight against its spread has been largely hampered by the fact that many indigenous people living in the forested border areas that straddle Guinea, Liberia and Sierra Leone believe that the virus was either introduced deliberately or it is a hoax fabricated by the West and designed to subjugate them. Such beliefs have resulted in relatives discharging highly contagious patients and taking them back to their villages, where countless individuals may have come into contact with them. According to medical sources, “when patients are forcefully taken away, there comes the problem of transmission of the disease to others and this makes the issue of contact-tracing difficult.” Despite Liberian officials announcing that anyone caught hiding Ebola-infected persons would be arrested, many observers continue to indicate that the Ebola crisis in the country has gotten worse because many people are choosing to keep their sick relatives at home instead of taking them to isolation centres. In Guinea, medical experts have been attacked by angry mobs while in Sierra Leone and Liberia, traditional communities have ignored warnings not to touch the bodies of the dead during funeral rituals.
This has also prompted the deployment of troops to quarantine the worst hit areas in the remote border regions of Guinea, Liberia and Sierra Leone. In Liberia, operation “White Shield” has seen the country’s army deployed to implement controls and to isolate the severely affected communities. On Wednesday, Liberia’s information ministry disclosed that soldiers were being deployed to the isolated, rural counties of Lofa, Bong, Cape Mount and Bomi. Soldiers will set up checkpoints in these areas and will implement tracing measures on those residents who are suspected of coming into contact with Ebola patients. In Sierra Leone, 800 troops, including 50 military nurses, have been deployed to guard hospitals and clinics that are treating Ebola patients.
New WHO Figures Indicate Spread of Ebola Continuing
New data released by the World Health Organization (WHO) has indicated that between 2 – 4 August, forty-five new deaths have been reported, bringing the total to 932 in Guinea, Liberia, Sierra Leone and Nigeria. Most of the fatalities have been reported in Liberia, where 282 people have died of the virus. There have also been 1,711 cases reported. This has prompted WHO experts and officials to meet in Geneva Switzerland this week in order to discuss new measures to contain the outbreak. On Wednesday, officials at the WHO also indicated that they would convene a meeting of medical ethics specialists next week in order to decide whether to approve experimental treatment for Ebola. The decision comes as some leading infectious disease experts have been calling for experimental treatments to be offered more widely in order to treat the disease. According to sources, the two-day meeting will also decide whether it is necessary to declare a global health emergency. If such a public health emergency is declared, this could involve detailed plans to identify, isolate and treat cases as well as to impose travel restrictions on the affected areas.
Further Cases Reported in Nigeria
As the death toll continues to rise, concern has been growing over the spread of Ebola and the threat that it may extend to other countries outside of the African continent. International alarm at the spread of the disease increased late last month after a US citizen died in Nigeria after flying from Liberia. Since then, concern has been growing over the number of new cases that have been reported in Nigeria as reports have emerged that health officials did not immediately quarantine a sick airline passenger who later died of Ebola.
On Wednesday, health officials in Nigeria confirmed a second death from the Ebola virus, adding that five new cases of Ebola have been reported in Lagos, one of the country’s most populous city. Health minister Onyebuch Chukwu, confirmed, “Nigeria has now recorded 7 confirmed cases of Ebola Virus Disease (EVB),” adding that those who died include a Liberian man who brought the disease to Lagos on July 20 and a nurse who treated him. The health minister further noted that “all the Nigerians diagnosed with EVB are primary contacts” of Patrick Sawyer, who worked for Liberia’s finance ministry and who contracted the virus from his sister. Mr Sawyer was transferred to the First Consultants hospital in the upmarket Ikoyi neighbourhood of Lagos. He died on July 25.
While authorities had initially indicated that the risk of any exposure to others was minimal, as Mr Sawyer had been placed into isolation directly after arriving at the airport with symptoms of Ebola, on Tuesday Lagos state health commissioner Jide Idris revealed that the nature of his disease “was not known” the first day and that only after further investigation did officials suspect Ebola.
Tuesday’s announcement that Mr Sawyer had not been immediately quarantined further underscore concerns that West African countries are not adequately equipped in order to contain such a disease. While the Ebola virus can spread only through bodily fluids, and after the patient begins to show symptoms, the incubation period can last up to three weeks. Consequently, some of the Nigerians who treated Mr. Sawyer are only now showing signs of illness.
Possible Ebola Case Outside of African Continent
Saudi Arabia’s health ministry revealed Wednesday that a Saudi man, who was being treated for Ebola-like symptoms, has died at a hospital in Jeddah.
The 40-year-old returned from a business trip in Sierra Leone, one of four countries affected by the outbreak, on Sunday. The health ministry has indicated that the man died of cardiac arrest and that he was being tested for Ebola however the ministry has not confirmed whether the tests had concluded that he had the disease. If confirmed, this would be the first-Ebola related death to occur outside the on going outbreak in Africa, which has already killed more than 900 people this year. In April of this year, officials in Saudi Arabia announced that they would not issue visas this year to Muslim pilgrims from Guinea, Liberia and Sierra Leone. The decision was made as a precaution to avoid the spread of the disease during the hajj pilgrimage, which sees massive crowds of people from around the world gather in Mecca.
Cross-Border Isolation Zone Comes into Effect as Nigeria confirms Second Ebola Case
August 4, 2014 in NigeriaAmidst increasing warnings that the deadly Ebola epidemic is growing out of control, three Ebola-hit West African nations have agreed to impose a cross-border isolation zone at the epicentre of the world’s worst-ever outbreak. Meanwhile officials in Nigeria disclosed Monday that a second Ebola case just three weeks after the first was recorded.
The announcement to impose a cross-border isolation zone came hours after an emergency summit was held in the Guinean capital on Friday, where leaders of the affected states, along with a number of regional heads of state, met to discuss the outbreak. Hadja Saran Darab, the secretary-general of the Mano River Union bloc grouping the nations disclosed “we have agreed to take important and extraordinary actions at the inter-country level to focus on cross-border regions that have more than 70 percent of the epidemic,” adding “these areas will be isolated by police and military. The people in these areas being isolated will be provided with material support.” While Darab did not outline the exact area which will be part of the isolation zone, the epicentre of the outbreak has a diameter of almost 300 kilometres (185 miles), and spreads from Kenema in eastern Sierra Leone to Macenta in southern Guinea, and covers most of Liberia’s extreme northern forests.
During the summit, the leaders of Guinea, Liberia and Sierra Leone launched a US $100 million (£59 million) action plan that will see several hundred more medical staff deployed to battle the epidemic. The three countries will also increase their efforts to prevent and detect suspected cases urge better border surveillance and reinforce the WHO’s sub-regional outbreak coordination centre, which has been set up in Guinea. During the summit, World Health Organization (WHO) chief Margaret Chan also revealed that the response of the three countries to the epidemic had been “woefully inadequate,” adding that the outbreak was now “moving faster than our efforts to control it.”
New data released Friday by the WHO has indicated that the Ebola virus has already killed more than 700 people, with more than 1,000 cases reported in four West African countries. Officials at the WHO are also warning that if the disease continues to spread, it could cause a “catastrophic” loss of life and result in severe economic disruption.
On Monday, officials in Nigeria revealed a second Ebola case, that of one of the doctors who treated a man who died from Ebola after he arrived in Lagos from Liberia.
Nigeria’s Health Minister Onyebuchi Chukwu has indicated that seventy people who may have come into contact with Patrick Sawyer, the man who died of Ebola, have been tracked down and are being monitored, while eight have been placed in quarantine at a facility in Lagos. Patrick Sawyer, an employee of the Liberian finance ministry, had arrived in Lagos from Monrovia after changing planes in Togo’s capital, Lome on 20 July. He died five days later while in quarantine at a private hospital in Lagos. Sources believe that he contracted the virus from his sister.
Boko Haram Changes Tactics But Targets Remain The Same
August 1, 2014 in NigeriaIn what appears to be a new tactic that is being deployed by Boko Haram, over the past few days four female suicide bombers have carried out a series of attacks in Nigeria’s second largest city.
On Wednesday, a female suicide bomber killed six people at a college campus in the city of Kano. According to eyewitnesses, at about 2:30PM (1330 GMT), an assailant blew herself up at a noticeboard on the campus of the Kano Polytechnic College. Government spokesman Mike Omeri confirmed the attack, disclosing that six people were killed and six others were injured. He also confirmed that a female suicide bomber, whose age was not immediately known, was responsible for the attack.
This is the fourth incident of a female bomber carrying out an attack in northern Nigeria in the past several days. On Sunday, a young woman injured five police officers after she blew herself up at another campus in the city. The following day, two young women, believed to be in their late teens or early 20’s, separately attacked a petrol station and a shopping centre. The two attacks killed at least three people and injured thirteen others.
The latest violence also comes as the government announced Wednesday that security officials arrested a 10-year-old girl who had explosives strapped to her chest. On Tuesday, security forces disclosed that they had stopped a car in Kano’s neighbouring state of Katsina, arresting three suspected Boko Haram members. Government spokesman Mike Omeri has disclosed that the group included one male and two girls, aged 18 and 10, adding that while the older two attempted to flee the scene, the “10-year-old…was discovered to have been strapped with an explosive belt.”
While this new tactic of deploying young women and girls is likely being used by the militant group as a means of lowering their profile to prevent being targeted by security officials, the method is not new as international terrorist organizations have in the past used female suicide bombers as women typically raise minimal suspicions. Furthermore, while Boko Haram’s tactics are evolving, the group’s targets remain the same and highlight the group’s anti-Western views.
The change in Boko Haram’s tactics demonstrates the militant group’s continuing threat and ability to transform to the altering security conditions. With the on going military operations, launched in May last year, Boko Haram has adapted itself to Nigerian military bombings and operations by pushing themselves out of the urban city centres in northern Nigeria and into the remote villages and areas, including along Nigeria’s border with Cameroon. This latest tactic appears to be a new way in which the militant group can continue carrying out their attacks with minimal detection while maintaining their grip on fear within Nigeria’s society.
The use of female suicide bomber will likely spur further outrage as the country continues to be unable to contain the violence. While it currently remains unclear whether the group is recruiting female bombers, or forcing kidnapped girls to carry out suicide missions, officials in Nigeria fear that Boko Haram may be using those girls who were abducted during a raid in April on a boarding school in Chibok.
Ramadan Festivities Marred as Boko Haram Carry Out a Series of Deadly Bombings
July 30, 2014 in NigeriaTwo separate blasts on Monday, carried out by female suicide bombers, have killed at least three people and injured thirteen in Nigeria’s Kano city, bringing the number of attacks this week in the area to five and overshadowing festivities marking the end of Ramadan.
Kano police spokesman Musa Magaji Majia confirmed both attacks, stating that the first blast went off at roughly 10:30 AM (0930 GMT). Officials later disclosed that the attacker had strapped herself with a “low-caliber explosive, which is why the casualties were minimal,” adding that she had targeted women who had lined up to purchase kerosene at a petrol station in the Hotor area, which is located on the outskirts of Kano, Nigeria’s second largest city. Eyewitnesses reported that at the time of the blast, the queue was long as the widely-used cooking gas is often in short supply, noting that when a new shipment arrives, women typically rush to their local vendor to purchase it.
Roughly three hours after the first attack, another female suicide bomber approached the Trade Fair Complex, located in the key commercial district of the city. According to Kano state police chief Aderele Shinaba, the woman was stopped at the gate and blew herself up, adding “it was the same modus operandi…six people were injured, including two police officers.” The attack occurred near the brand new Ado Bayero Shopping Center, which opened in March. The launch of the modern shopping complex, which also includes the only northern Nigerian outlet of South African retailer Shoprite, was seen as a sign that the city was still attractive to investors despite the on going violence.
The latest attacks come after a weekend of violence that has forced authorities to cancel festivities marking the end of Ramadan and has given further indication that Boko Haram militants are seeking to increase their attacks outside of their stronghold, and are likely now focusing on attacking key urban centers like Kano.
On Sunday, police officials confirmed that a female suicide bomber blew herself up outside a university in Kano after police officers had prevented her from carrying out an attack. According to police spokesman Frank Mba, “a female suicide bomber was isolated as she was walking towards the gate of the university.” The attack occurred when the police officers were about to ask a female colleague to body search the woman when she detonated the bomb, killing herself and injuring five others.
At least five people were killed and eight others injured Sunday when a bomb erupted in front of a Catholic church located in a mainly Christian neighborhood of Kano. According to police spokesman Franc Mba, the attack occurred shortly after mass ended at the Saint Charles Catholic church, adding that police investigators “…suspect an IED was thrown from across the road,” at the church, which is located in Kano’s Sabon Gari district. While no group has claimed responsibility for the attack, the district of Sabon Gari has previously suffered a number of attacks carried out by Boko Haram.
During the early morning hours on Saturday, suspected Boko Haram militants targeted the village of Sigal, located just seven kilometers (4 miles) from Rann, which was attacked the day before. According to local sources, the militants raided the village and abducted a police officer from his house.
