Rui Gama Vaz (c), World Health Organization’s representative, congratulates Nigeria’s Minister of Health Professor Onyebuchi Chukwu (L) while Minister of State for Health Dr Haliru Alhassan looks on during a press conference in Abuja on October 20, 2014. Africa’s most populous nation Nigeria was declared officially Ebola free but warned that it remained vulnerable as long as the virus was raging elsewhere in west Africa. The country representative of the WHO said 42 days — or two incubation periods of 21 days — had elapsed without any new confirmed cases of the deadly virus. AFP
- Jonathan, Chukwu urge vigilance, dedicate certification to health workers, volunteers, Nigerians
- Lagos donates N50m to First Consultants, to support victims
Paul Obi in Abuja and Gboyega Akinsanmi in Lagos with agency report
Nigeria has been officially declared free of Ebola after 42 days or double the incubation period of 21 days with no new case, the World Health Organisation (WHO) said on Monday, with its country director in Abuja, Dr. Rui Gama Vaz, describing the nation’s exemplary handling of the outbreak as a “spectacular success story”.
Nigeria has won praise for its swift response after a Liberian diplomat, Patrick Sawyer, brought the disease to Lagos in July.
At the last count, Nigeria recorded 19 cases of the virus, out of which seven died, amongst them doctors and nurses.
The disease has killed more than 4,500 people in West Africa, mostly in Liberia, Guinea and Sierra Leone. An estimated 70 per cent of those infected have died in those countries.
“The virus is gone for now. The outbreak in Nigeria has been defeated,” Gama Vaz said.
“This is a spectacular success story that shows to the world that Ebola can be contained but we must be clear that we have only won a battle; the war will only end when West Africa is also declared free of Ebola,” he added.
The WHO director pointed out that the lines on the tabular situation reports sent to WHO each day by its country office in Nigeria, have now been full of zeros for 42 days.
“The story of how Nigeria ended what many believed to be potentially the most explosive Ebola outbreak imaginable is worth telling in detail.
“I will like to take this opportunity on behalf of the WHO Director General, Margeret Chan, to congratulate the government of the Federal Republic of Nigeria through His Excellency President Goodluck Jonathan, the people of Nigeria and all stakeholders and development partners that made it possible to contain the Ebola outbreak in Nigeria,” he said.
According to him, when the laboratory confirmation of the first Ebola case in Lagos was announced on the 23rd of July, the news rocked public health communities all around the world, sending fears that the virus might spiral among the large chunk of Nigeria’s population, the largest in Africa.
Gama Vaz recalled that the world was worried because Nigeria is not only the most populous country in Africa but also the newest economic power house, adding that the population of Lagos which is around 21 million people is almost as large as the populations of Guinea, Liberia and Sierra Leone combined.
The WHO country director stated that there is the need to continue to share Nigeria’s experience and expertise to help other countries to urgently contain the Ebola epidemic and support others in their preparedness and response plans.
Also echoing the WHO country director, the outgoing Minister of Health, Prof. Onyebuchi Chukwu, at a press briefing in Abuja, declared that the country was completely free of the dreaded virus.
Chukwu observed that the success was recorded as a result of the distinctive leadership of the Jonathan administration.
He said: “The declaration of the end of the recent outbreak of Ebola Virus Disease (EVD) in Nigeria represents a major milestone of the Goodluck Jonathan administration. I congratulate Mr. President and the governors of Lagos, Enugu and Rivers States.
“I also congratulate the Federal Ministry of Health and its agencies – the Nigeria Centre for Disease Control and the Port Health Service, the state Ministries of Health of Lagos, Enugu and Rivers, the WHO, UNICEF, the US Centres for Disease Control and Prevention (CDC), MSF and other partners who were part of the team under the leadership of the Minister of Health.
“I am indeed gladdened that by divine providence, this declaration coincides with my leaving office as Minister of Health. As the outgoing Minister of Health, this declaration symbolically presents a dignifying seal of the achievements of the Federal Ministry of Health during my tenure.”
On the best strategies adopted during the battle to contain Ebola, Chukwu said: “Several people have asked me what I thought was the most critical success factor in the Nigeria’s containment effort against the Ebola outbreak. Undoubtedly, the most critical success factor was leadership – strong, effective, focused and committed leadership-provided by the president himself and replicated at various levels down the ladder.”
The outgoing minister added that the leadership was a factor closely linked to effective coordination of the various collaborating partners, adding: “Under a single leadership, all the contributing partners were moulded into a single, almost homogenous team.”
On Nigeria’s West African neighbours struggling to combat the disease, he explained that the absence of a homogenous working system in Guinea, Sierra Leone and Liberia appears to be the greatest obstacle in taming the spread of the disease in the three manor countries.
“This is one factor that may be lacking in the control efforts of other countries,” Chukwu said.
He added that the private sector and media also played key roles which greatly facilitated the containment of the disease, warning however that “Nigeria has won the battle against the Ebola virus but the war rages on other fronts in other countries. The war certainly is not over. A reinforced Ebola virus could still invade Nigeria”.
“Given this risk of possibility of re-infection, there is need to maintain the state of high alertness at all our ports of entry. We cannot afford to lower our guard.
“This risk and the risk to other countries can only be eliminated through the setting up of a system similar to the Nigerian one under the leadership of the United Nations but with the operational wing built around ECOWAS,” Chukwu submitted.
The minister stressed that the virus needed to be eliminated from every country of the world. “It is only then that each country can breathe a sigh of relief,” he observed.
“As long as there is a case of EVD in any part of the world, every country of the world, every human being on this planet remains at risk. Unlike an ordinary unwanted guest, the Ebola virus is an unwanted guest whom the unwilling host cannot send away from its premises, but at best must accommodate in his boys’ quarter, feed the virus until either the virus dies or the host dies.
“This metaphor explains the much that can be expected from a country’s health system as far as EVD is concerned. Nigeria like other countries will not have the control over the presentation of the disease at any of its ports of entry.
“However, it is the responsibility of the country’s surveillance system to ensure that any case presenting at any of our ports of entry is rapidly identified and isolated. That is the only way the country will remain safe from the Ebola virus, pending its global elimination,” he said.
The US CDC representative in Nigeria, Dr. Pauline Hervy further attributed the progressive response of the country to the disease to the fact that it had been working side-by-side with state ministries of health in Lagos and Rivers, WHO, the Federal Ministry of Health, the private sector and communities.
“We want to continue this partnership; we want to assure you that as you move forward, today as you are declaring Nigeria Ebola-free, we need to work with you on polio and other diseases that affect Nigeria including HIV/AIDS and we want to wish you the very best as you move forward,” she said.
She encouraged Nigeria to strengthen its preparedness planning so that any other outbreak in Nigeria would be stopped with the same rapid response.
Also, in a statement on Monday by his media aide, Dr. Reuben Abati, President Jonathan welcomed the certification by WHO declaring Nigeria free of the Ebola disease.
According to the statement, the president dedicated the certification to the many patriotic health workers, volunteers and ordinary Nigerians who worked tirelessly, some of them paying the ultimate price, to stop the deadly virus in its track after it entered the country in July this year.
The president seized the opportunity to also reiterate his appreciation of the contributions of state governments, WHO and other international health organisations, relatives of infected persons and other Nigerians who either courageously underwent the rigours of being quarantined or complied with all directives issued by health authorities to defeat the virus.
“He believes that Nigeria’s globally-acclaimed success against Ebola is a testimony to what Nigerians can achieve if they set aside their differences and work together, and calls on Nigerians to strive to replicate the unity of purpose and all-hands-on-deck approach adopted against Ebola in other areas of national life.
“As the nation applauds the success of its collective effort to stop the transmission of the Ebola virus within Nigeria, however, the president warns that the entire country must remain fully alert and vigilant against the re-entry of the virus,” the statement added.
The presidential spokesman said Jonathan fully shared the view expressed by WHO in its congratulatory message to Nigeria that while “we have won a battle against Ebola, the war will only truly end when West Africa, Africa and the world are declared free of Ebola”.
The president consequently directed that all the anti-Ebola measures taken after the entry of the virus into the country should remain in place and that health officials should continue to actively screen persons entering the country through its air, land and sea borders for any sign of the virus.
He also urged all Nigerians to continue to follow the anti-Ebola advisories on sanitation and personal hygiene issued by federal and state health authorities.
Also, owing to its successful containment of the virus, the UN said it was in touch with the Nigerian authorities, through the WHO on how it contained the spread of the Ebola virus.
The spokesman of the UN Secretary-General, Stephane DuJarric, said this while briefing UN correspondents in New York, reported the News Agency of Nigeria (NAN).
At the briefing, Dujarric said Nigeria’s success story could be copied to successfully contain the disease in West Africa.
He added that “Nigeria’s success story means that Ebola can be stopped with functional health service and commitment”.
Meanwhile, the Lagos State Government yesterday donated the sum of N50 million to First Consultants Medical Centre, the Lagos-based hospital where the index case of the Ebola virus was detected on July 22, as a business support gesture.
Also, the state government unveiled a comprehensive plan to give Sierra Leone technical assistance in order to help the Ebola-ravaged country overcome the health crisis, which had claimed thousands of lives in West Africa.
The state’s Commissioner for Health, Dr. Jide Idris, disclosed this while giving an update on the virus yesterday at the Bagauda Kaltho Press Centre, Alausa, alongside his special duties counterpart, Dr. Wale Ahmed and Special Adviser on Public Health, Dr. Yewande Adeshina, among others.
At the briefing Idris further announced the state’s support for both dead and living victims of the dreaded virus, adding that the state governor, Mr. Babatunde Fashola, would soon invite and present them with the measures.
He added that having addressed the human angle in containing the outbreak, there “is now the need to address the economic consequences. Under consideration is the need to support affected persons including those alive”.
He said the state government had approved a N50 million lump sum as a business support gesture “to First Consultants Medical Centre. This is with a view to getting people back on their feet and for businesses to re-secure the patronage of their customers”.
Idris clarified the rationale behind the business support fund approved for First Consultants, saying it “is not an attempt at compensation, but a gesture of goodwill on the part of the government”.
On the technical assistance to Sierra Leone, Idris said no fewer than 28 health personnel had already indicated interest to go to the West African country and provide health care to patients of the virus.
The commissioner added that the state government had prepared its work plan for the Sierra Leonean operations, presented the plan to the federal government and sought the collaboration of WHO.
He further called for the participation of private organisations in providing technical assistance to Sierra Leone, Guinea and Liberia, noting that the role of the private sector “is critical to getting rid of the virus”.
He said the state government was able to contain Ebola because it had put certain institutional structures in place before the outbreak in Lagos, which he added contributed to the success achieved in no small measure.
He named the institutional structures to include the Lagos State Emergency Management Agency (LASEMA), Infectious Disease Hospital (IDH), Integrated Disease Surveillance and Response (IDSR), Lagos Waste Management Authority (LAWMA), the cremation law, public health law and a state Environmental Health Monitoring Unit, among others.
He said the institutional structures already put in place explained why Nigeria only contributed 0.22 per cent and 0.18 per cent to the global burden of suspected, probable and confirmed cases and deaths of the Ebola virus, respectively
The commissioner explained how the state government was able to contain the spread of the deadly virus, stating that it spent the early part of the state’s intervention in containing the disease and reducing deaths.
According to him, the state government will not disband all the structures put in place, but rather hone their effectiveness and efficiency.
Some of the success factors in the fight against Ebola included the political will and support at the highest level of governance including the State Executive Council.
He also cited the adoption of an incident management system with the setting up of five committees as another success factor, which he said met twice daily under the aegis of Ebola Emergency Operations Centre during the active phase of the outbreak.
The commissioner added that robust inter-governmental inter-agency and inter-sectoral collaboration (all-hands-on-deck coalition) really assisted in the containment of the dreaded disease.
He added that the deployment of a robust health promotion and a disease prevention plan that involved among others mass grassroots public enlightenment, effective use of social media platforms, engagement of the media, regular press updates and collaboration with artistes also helped in no small measure.
In spite of the containment of the virus, the commissioner said the state government “is marching on to reassure citizens, helping them to get back their lives, strengthening our schools capabilities to confront the disease and giving support to businesses affected by the outbreak of the deadly disease”.
THISDAY