2014-08-25

Ebola 10: Official Ebola denials, false public announcements, wrong WHO advice - collected quotes


Ver. 1.5.4

As I have been writing ad nauseam here, official denials about ebola outbreaks, as publicly announced by West African hospitals, ministers or health officials, coupled with the wrong procedural advice given by the US CDC, the WHO, etc., have massively contributed to the spread of this epidemic.
August 2014: red dots -
nonfunctional, overwhelmed ebola centers

Sometimes I wonder if these organisations do it on purpose.

As I discovered later, I was not the only one to keep warning about EVD's containment measures:
International response to the West African Ebola outbreak has been "chaotic and entirely inadequate," according to a statement issued Wednesday by the humanitarian group Doctors Without Borders, which has been treating patients in affected countries for months. [source


MSF: international response to ebola is 'lethally inadequate'
...
The hospital is an unpredictable, highly contaminated setting which poses higher risk of Ebola transmission. source


In fact by now the epidemiological situation turned even more deadly than using these wrong measures or guidelines, as many doctors, nurses and officials actively and knowingly spread this disease by running away, lying, killing themselves and others in the process, despite the official policies or proclamations.
Yes, I mean doctors: see the Nigerian doctor's case described below or another one here, which is not the first time it happened. Cura te ipsum does not always hold when you are faced with death; in Liberia there was a parallel case in May of infected doctor continuing treating healthy patients in his private clinic, hush-hushed by the global health authorities so that we do not panic.

(By the way, such disease denial must be endemic in Africa: read e.g. this story about Simon Mol, an HIV-infected virulent African anti-racist oppressed by Catholic virgins in ultra-racist Poland.)

 
OK, coming back to ebola: below I systematised some little-known field reports, sorted by place and date.


Ebola timeline

2000s: Ebola does infect but few people spread it or are detected

Ebola (or similar related viruses) is happily circulating in the region, having been transported from the previous foci in Zaire:

Analysis of clinical samples from suspected Lassa fever cases in Sierra Leone showed that about two-thirds of the patients had been exposed to other emerging diseases, and nearly nine percent tested positive for Ebola virus. The study, published in this month's edition of Emerging Infectious Diseases, demonstrates that Ebola virus has been circulating in the region since at least 2006—well before the current outbreak. [source

Africa is loaded with nasty viruses. Lassa fever virus comes from a family known as arenaviruses and causes 500,000 cases of hemorrhagic fever a year. Crimean-Congo hemorrhagic fever and Rift Valley Fever viruses are in another family called bunyaviruses; Ebola and Marburg viruses are filoviruses that kill anywhere between 30 percent and 90 percent of victims. They’re also helping wipe out great apes such as gorillas in Central Africa. Source: an article written in 2012

2007: Tulane University starts to test for ebola in West Africa under a US anti-terrorism grant


The clinical studies are being conducted at the Mano River Union Lassa Fever Network in Sierra Leone. Tulane, under contract with the World Health Organization, implements the program in the Mano River Union countries (Sierra Leone, Liberia and Guinea) to develop national and regional prevention and control strategies for Lassa fever and other important regional diseases....
Vero cells infected with Ebola virus Zaire,
 at an MOI of 1.0 (source)

Development of some remarkable test kits in a surprisingly short period of time... 
We intend to expand this program to address ... threat of bioterrorism such as ebola. Source, comments

We are left to wonder why should they be testing for ebola in these countries where it had never broken out, and how these "remarkable test kits" helped later with actual ebola cases.

2010: Tekmira starts developing anti-ebola drugs

Tekmira's productive collaboration with the JPM-MCS was modified and expanded in 2013 to include significant advances in LNP [= Lipid Nanoparticle, read more here] formulation technology since the initiation of the program in 2010. [...]
TKM-Ebola, an anti-Ebola viral therapeutic, is being developed under a contract with the U.S. Department of Defense's Joint Project Manager Medical Countermeasure Systems (JPM-MCS), with a total contract value of approximately $140 million.
Tekmira investors website

2010: Tekmira infects non-human primates with ebola to test drugs

A new formulation, more potent than any LNP currently in clinical trials, is being incorporated into the TKM-Ebola program. This new TKM-Ebola LNP formulation has demonstrated significant increases in potency in non-human primates infected with the Zaire Ebola virus. At 0.5 mg/kg, 100% of the infected animals survived after receiving TKM-Ebola daily for seven days. The previous LNP formulation provided the same level of protection and 100% survival at 2 mg/kg. Source

In January 2010, Tekmira reported clinical results from the phase I study of TKM-ApoB, the first clinical candidate employing SNALP LNP technology.  This trial was terminated prematurely due to immune stimulations observed at 0.6mg/kg, a dose at which only minimal target knockdown was observed at that. Source

2013: Icon Genetics and Mappbio also work on anti-ebola drugs tests

Mappbio's portfolio consists of products for the prevention and treatment of a range of diseases including C. difficile, Ebola virus, and Respiratory Syncytial Virus (RSV) infections.  (Icon and Mappbio had merged in 2012)  Source

January 2014: Tekmira starts new ebola drugs tests on humans

The Tekmira company, in collaboration with U.S. Army Medical Research Institute of Infectious Diseases (USAAMRIID) Phase I tests the TKM-100802, a formulation modification of their previous TKM-Ebola kit (see above). In their field materials they treat Zaire ebola as Biosafety Level 4 (that is airborne and highly contagious):

Ebola Virus Infection
• No Vaccines or Therapy Available
Ebola virus, Tekmira materials

• Biosafety Level 4
Work performed in collaboration with USAMRIID under CRADA
Source

Tekmira Pharmaceuticals Corporation (Nasdaq:TKMR) (TSX:TKM), a leading developer of RNA interference (RNAi) therapeutics, today announced that it has dosed the first subject in a Phase I human clinical trial of TKM-Ebola, an anti-Ebola viral therapeutic that is being developed under a US$140 million contract with the U.S. Department of Defense. [...] There are four planned cohorts for a total of 16 subjects in the single dose arm, and three planned cohorts for a total of 12 subjects in the multiple dose arm of the trial. Each cohort will enroll three subjects who receive TKM-Ebola, and one who will receive placebo. Tekmira investors website, see also external comments

Ebola Virus Infection
Drug: TKM-100802 for Injection
Drug: Placebo

Phase 1, single-center, placebo-controlled, single-blind, first-in-human, single ascending dose (SAD) study followed by multiple ascending dose (MAD) cohorts in healthy male and female subjects.
[...]
Inclusion criteria:
Female subjects must be one of the following:
    • naturally postmenopausal (no menses) for >2 years and has a documented FSH level >40 mIU/mL; or
    • have a documented history of ovarian failure; or
    • surgically postmenopausal (bilateral oophorectomy or hysterectomy).

[...]
Exclusion criteria:
[...]
[Excluded is a person who:]17. Reports a history of Ebola virus exposure.
18. Reports an occupational health risk of exposure to Ebola virus known to be higher than that of the general population.

[...] 
Location: United States, Texas
Study description, More contact info, More details


And who performs it? : 

Healthcare Discoveries, LLC d/b/a ICON Development Solutions

I think I have seen this name somewhere before..


Expert remarks about this study: 
The reason why I am pretty sure that TKM-EBOLA, despite the daily administrations and up to 0.5mg/kg dose, should not involve immune suppression is because it would be incompatible in a viral infection. 
Should Tekmira come out of this trial unscathed, it would further de-risk the entire SNALP LNP platform and solidify its position .... Source

Hm. I am no doctor or epidemiology researcher, so I profer no comments here. 

Until 2014: Ebola is still treated as a very dangerous pathogen

Almost every institution is treating ebola as a highest (Level 4) risk virus, necessitating strict measures of personal protection:

Biosafety Level and Organism Categorization
BSL-4 practices, safety equipment, and facilities for all activities utilizing known or potentially infectious materials of human, animal, or arthropod origin (BMBL, 1999).

All work with Ebola virus in the laboratory requires biosafety level 4 measures due to high virulence as a result of aerosol activity and their ability to cause public fear and anxiety. Ebola is classified as a category A infectious organism (Bray, 2003). 

Source: Great non-PC and non-CDC biosafety guidelines

or this one:

Category A pathogens are those organisms/biological agents that pose the highest risk to national security and public health because they
  • Can be easily disseminated or transmitted from person to person
  • Result in high mortality rates and have the potential for major public health impact
  • Might cause public panic and social disruption
  • Require special action for public health preparedness
 Category A Priority Pathogens
Source

Have I just read "ebola" and "easily disseminated" together? 



Now, let's leave the safe US field laboratories and delve into the African jungle:

February 2014: Guinea confirms first suspect ebola cases


In February 2014, a person with the Ebola virus disease (EVD) was registered in Guinea. [Source]

One would expect that Tekmira's or Tulane Uni's magical "remarkable test kits" developed over the years (see above) came in handy for such rapid on-site EVD confirmation needs, but no - these samples were sent over to France WHO instead, delaying the identification.

February 2014: Doctors and nurses terrorized by Liberian government

It said the rest of Senator Jallah committee's recommendation be given a timely consideration within the next sixty (60) days. According them, Dr. Dahn constantly intimidates health workers with threats of suspension and dismissals throughout the country.
"We are particularly molested by her unappreciable behavior whenever we have issues and meet her for solutions. She will instead tell us to either take or leave the job and if we complain much she will sack us and bring in Togolese, Ghanaian, Nigerian and Sierra Leonean nurses to work in our place," they alleged.
They further alleged that Dr. Dahn single-handedly employed hospital administrators, and human resource managers and officials of some county health teams of interest to her, whom she gave extra authority and are answerable only to her. Up to press time Wednesday, the NewDawn was not able to verify these allegations by the health and social welfare workers union.
Source

February 2014: First ebola alert in Liberia

Last week [around 27 February 2014] it was disclosed by the Acting Medical Director of Ganta Hospital that two suspected Ebola cases were transferred to JFK Hospital in Monrovia. After further observation of the patients it was announced that the cases were not Ebola. [Source]

Well. That is what was announced. 

4 March: Confirmation of the ebola alert

The administration of Ganta United Methodist Hospital has disclosed that they have admitted a suspected Ebola case into one of the private wards of the hospital.
The suspected Ebola patient--- an infant--- was transferred to Ganta Hospital from a nearby clinic in Flompa (a town few kilometers from Ganta to Saclapea).
Mr. Patrick Martor disclosed that the administration of the Ganta Hospital has set aside a private room in the hospital to cater to anyone who may come with a suspected case of Ebola. [Source]


24 March: Yes, there is ebola in Liberia

Health and Social Welfare Minister, Dr. (MD) Walter Traub Gwenigale and his Deputy Minister, Dr. (MD) Bernice Dahn, who is the Chief Medical Officer for the Republic, had told news men women at a major Monday, March 24 press conference that the deadly Ebola virus, which is reported to have killed at least 60 person in neighboring Guinea, had crossed over into Liberia.
They emphasized that as of that date—March 24—five of six persons, who crossed over to Liberia from Guinea, had died from the Ebola virus. They even further clarified that two of the five went back and died in Guinea and the three died on Liberian soil, while the sixth, a female child, was critical and being treated at a local health facility in Zorzor, Lofa County.
[...]
This paper was reliably told by an insider that a patient was quarantined on Tuesday, after health practitioners at the hospital noticed symptoms of the Ebola virus. Our source said the person had come from the suspected Ebola region in Lofa County.

Dr. Monga said one of the patients, believed to be a nine-year-old girl, was brought from Guinea and was vomiting and excreting blood, days after she was admitted at the hospital. After discovering her condition, she was immediately transferred.
He also noted the other patient didn’t vomit or excrete blood, but had been having persistent fever for the past five days and was also transferred. Source

25 March: Irish doctors separately confirm ebola


The report released by Plan Ireland confirms two separate cases of Ebola infection in Liberia, fuelling claims that the outbreak is becoming a regional epidemic.
The first confirmed death in Liberia occurred in the Lofa County area, and involved a woman who had fled Guinea to seek refuge following the death of all her household members. [Source]


26 March: official denial, misinformation

JFK said every patient that is transferred from a health post comes with a referral slips from a medical practitioner and the slip will clearly state the patient cause of illness and all medications previously administered.
Meanwhile, the hospital says it held a Town Hall meeting with its employees to educate and brief them on the Ebola virus. During the meeting, the Acting Chief Medical Officer Dr. Abraham Borbor presented lectures on the signs and symptoms of the virus as well as preventive measures.
Dr. Borbor during his presentation cautioned the health workers to serve as ambassadors when it comes to hygienic practice, urging them to always be on the alert when they notice Ebola symptoms on any patient.

More official lies:
Pieces Of Information gathered from the county revealed that two patients reportedly infected with the Ebola Hemorrhagic disease were transferred to Monrovia from Ganta Methodist Hospital. However, the management of the John F. Kennedy Medical Center says there is no Ebola or suspected Ebola cases at the hospital.
JFK Health Officials clarified that at no time did authority in Ganta transfer Ebola or suspected Ebola cases at the hospital as was reported by the local media. The hospital said it is disappointing that others will choose to report such critical national issue without checking first with the hospital. JFK Management maintains that it various wards are one hundred percent free of Ebola patients."As far as we are concerned, there is not a single case of Ebola case at JFK; there are lots of rumors out there that patients were transferred from Ganta with symptoms of Ebola; that information is not correct," Dr. Abraham Borbor told a gathering yesterday at the compound of the JFK. [source]

Note the doctor's name, in green.


27 March: Minister of (dis)Information - No ebola in Liberia

The Minister of Information has said that the government is only carrying out precautionary measures and there was no scientific facts of the existence of the deadly ebola virus in Liberia.
All the cases reported so far were suspected symptoms and did not warrant scientific fact for its existence.
...
According to him, the cases reported in Monrovia at JFK hospital and Redemption, are not ebola. "Those cases were not ebola. Those were different cases unrelated to ebola," he said.
...
Also in Zorzor, he said, two of the cases that were reported , do not conform to the case definition for clinical verification. Recently, it was reported about few cases in Zorzor, Lofa County. But the minister said, one of the boys was well.
...
He said that the Gov’t wanted to be clear that ‘cries of Ebola in Liberia’ were false [Source1], [Source2]

There are many, too many, ebola strains
"Do not conform to the case definition for clinical verification." - that is, in plain language: these patients were dying from ebola, but because they did not have fever, the doctors falsely claimed they could not have ebola (pacem the WHO, CDC etc. guidelines), wrongly trying to curb the (true) rumours thereby. 


27 March: There is no ebola in Liberia


Dr. Dahn called on the media to provide the right information to the public, and not to create fear and apprehension, so that they can take preventive measures against the spread of the disease.


The Ministry of Health and Social Welfare wishes to inform the general public that there are no confirmed cases of Ebola in Liberia.
source

27 March: ebola is not ebola


FrontPageAfrica also reported that nurses at the John F. Kennedy Medical Center were in panic mode after a patient came down from Ganta, Nimba County with apparent symptoms of the disease and experiencing bleeding nose. FPA also reported an unconfirmed suspected case of Ebola in the New Kru Town area.
On Wednesday, a senior health official provided the following update. "Preliminary diagnosis of the patient transferred from Ganta to JFK shows that it was not Ebola, the patient is stable and recovering. The diagnosis of the reported case at Redemption Hospital in New Kru Town showed dysentery, no vomiting and no fever. The patient was admitted over a period of four days. There is no national emergency and the borders remain opened."
FPA later learned that the patient who brought down from Ganta came down to Monrovia to see a visiting relative from the U.S. and started bleeding from the nose during a meal. He was rushed to JFK where some medical practitioners, first believed it was a case of Ebola, but later found to not be the case.
source

Note: no fever!

31 March: there is ebola in Liberia after all

source
See the front-page of local newspapers:




April 1: US embassy is more clued in

April 1, 2014 | U.S. Embassy Monrovia, Liberia
The U.S. Embassy in Monrovia has been advised that a woman confirmed to have Ebola has traveled to the Firestone Plantation Camp in Monrovia.  The woman at Firestone contracted Ebola while caring for her sister who died of Ebola in Foya, Lofa County, Liberia.  She was at Foya under observation in isolation, but unfortunately left the Foya area late night on March 29 and traveled via taxi to Monrovia to see her husband.  Five other people were in the taxi with her, including the driver.  She then took a pehn pehn (motorcycle) to a nearby clinic, where she was seen and released.  This woman is the only person in Liberia confirmed to have Ebola at this time.  US Embassy in Monrovia 
However, their advice still follows the WHO guidelines:
Risk of transmission remains very low as Ebola is contracted through contact with blood and body fluids or contaminated articles. 

By the way, these other taxi travellers died aftewards too, despite such guidelines...

4 April: Administrator of the JFK hospital yell at the nurses for protecting themselves with PPE bought with their own money


It was like  a wave, coming with a huge team of cheering squad, JFK General Administrator Dr. Wannie Mae-Scott McDonald was yelling in the corridors of the JFK at nurses who wore protective gears and face mask to deal with patients. The nurses are dealing with patients whose Ebola status, they don’t know, the JFK Administration until today has done nothing to provide protective wears for nurses and hospital workers but is blasting nurses for wear protective gloves and suits.
The JFK Nurses and health workers decided to purchase their own gloves, masks and protective wears due the fact that more than 20 nurses at the Foya Hospital are all being quarantined due them coming in contact with two women who have died of the Ebola disease. The Press needs to act now before it's late, you can confirm this story immediately with Dr. Scott-McDonald and some nurses who will want to talk under conditions of not being name. This is a serious situation if the media don’t help immediately.

EBOLA has no vaccine nor cure, how will the nurses know who is positive or negative, right now, the woman who just died from the various interacted with  a lot of people in the vehicle that brought her to Monrovia and she also went to a huge Kissi Community in Chicken Soup Factory; who know how many persons she interacted with? Why are the nurses being denied of protecting themselves, some have even threatened to resign if the administrator prevent them from protecting themselves.
[source]


July: Ebola tests prove unreliable

Some ebola tests, inadequate as they are in themselves, are adulterated for money
President of the Sierra Leone Laboratory Association (SLLA) has distanced his organization from the alleged falsification of Ebola test results by one of its members at the Kenema Government Hospital. Laboratory Technician, Musa Bangura is alleged to have demanded cash payment from patients tested to manipulate their test results. [Source]

Breaking News: Mr. Musa Bangura the lab technician who was arrested in Kenema government hospital in Sierra Leone for manipulating Ebola data – changing sample results from positive to negative and charging patients for as little as Le30,000 ($6.00) has escaped from custody. [Source]

23 July: US Tulane Uni and Tekmira stop testing for West African ebola

Sierra Leone Ministry of Health reports that:
"Tulane University to stop Ebola testing during the current Ebola outbreak" [Source]

Tekmira stops their Phase I tests of ebola drugs, prepared already in 2013 or earlier (see above):
This clinical trial has been suspended following a clinical hold placed on the investigational new drug TKM-100802. (Source)

July: FDA stops Tekmira's and Icon's tests on ebola drugs in the USA

Human testing of Tekmira’s Ebola treatment was put on hold last month due to safety concerns. Tekmira said the studies were suspended because of an inflammatory, flu-like response in healthy volunteers taking higher doses of the drug.
Source

25 July: scary reality kicks at the hospital's door

Liberia: JFK to Shut Down! Ebola Kills Chief Medical Doctor
JFK is one of the biggest state run referral hospitals here and has ushered in a number of Ebola suspected cases, many of whom have died.
The news come amidst unconfirmed reports of the death of one of the hospital's senior medical practitioner, Dr, Samuel Brisbane, a former Chief Medical Doctor at the Firestone Rubber Plantation run Hospital from the deadly Ebola virus here on Thursday July 24, 2014.
[...]
Normal activities at the JFK came to a standstill when nurses escaped their duties fearing the contraction of the virus.
[source]

6 August: After too many months of inaction, the CDC moves ebola outbreak to urgency Level 1

On 6 August 2014, the Centers for Disease Control moved its Ebola response to Level 1 (the highest on a scale from 1 to 6) to increase the agency's ability to respond to the outbreak.


24 August: the doctor who had been denying "rumours" about ebola outbreak in his hospital dies of ebola himself

Dr. Abrahim Borbor died Sunday evening after contracting Ebola at JFK Hospital in Monrovia. [source]
having infected many patients and nurses beforehand, as usual.

Here's the story of another brave yet equally clueless doctor:

30 June: "Do not escape from the waiting room, you will be safe in our hospital"

"My biggest problem, as it stands, is getting people to accept the disease," said Sheik Umar Khan, the [senior and specialist] doctor tasked with leading the fight against Ebola in Kenema's hospital.  "These escapes, emanating from fear and misunderstanding, make our work even more difficult," he added. (Source)

Well, after giving such valuable epidemiological advice about "misunderstandings", doctor Khan fell ill with ebola himself and quickly died, having infected many nurses alongside. More about this doctor here.

Mind you - I do not criticize them personally. I blame the WHO and CDC, and other pseudoexperts, who equipped them with wrong epidemiological procedures and advice, despite previous medical reports about virulence that suggested better containment measures.


OK, let us make a break here and let us ask:

What could and should have been done?

The following:
Transmission chains: sick patients needlessly transported
  • Instead of transporting suspect cases to Monrovia, they should have been left to live or die in place, with food, medicine and instructions.
  • Instead of the "cured" patients being hugged by the doctors, they should be let go alone, after surviving (see also here)
  • Instead of the doctors fully trusting the faulty, outdated or adulterated ebola tests, the suspected cases should remain in the suspects ward, until their quarantine's end. 
  • Everybody arriving from infected countries who displays any symptoms necessitating hospital admission should be treated as an ebola victim and quarantined on the spot.
    [Update October 2014: After much delay, some deaths, and many scares, the USA, UK etc. finally instituted such security measures! Why so late, though!?]
  • Doctors and officials should not be fully trusted to follow the rules they have set (see the denialism cases below)

Is mine cruel advice? It may be, on an individual level.
Is it rational? Very much so, methinks.
Is it protective of the needlessly infected populace, now numbering in the thousands? Yes, I should say.
If you do not agree, write your comments below: I will be happy to stand corrected.

Contrast this 2014 outbreak with what happened in 2007 in the DRC and previous outbreaks, where the suspects and victims were never transported over to central hospitals, as:
2007 Ebola outbreak
successfully contained:
right airtight PPEs used back then
Although communities are sometimes only a few kilometres apart, movement is limited to foot and pedal power and even small distances can involve major effort. Bicycles loaded with grain and other supplies are pushed for days down sandy roads. source

And see how they were protected already back then in the field - ebola was treated as a Level 4 disease, with a separate air supply for their PPEs:



Remember the London cholera outbreak in the 19th c? Their hell was also paved with good intentions:
19th century England was also dubbed “the Victorian Age”, which projected cleanliness as a virtue. The then sanitation chief, Sir Edward Chadwick championed the cause of cleanliness by causing the dumping of waste and excrement into the river Thames, but in the process, inadvertently contaminated the water with the agents that created the cholera bacteria. It was indeed a disaster and grossly counterproductive. [source]

In their August 2014 roadmap WHO indirectly confirms this new course:
Priority activities include activation of active surveillance for clusters of unexplained death due to fever, provision of appropriate information and advice to the general public and travellers; identification of an isolation unit; verified access to a WHO - recognized laborat ory; and the establishment of a strategy for identifying and monitoring contacts of any suspected case [source]

Now, coming back to the 2014 EVD timeline:


April 1: MSF: Ebola epidemic. Act now before it's too late!

Medical charity Medecins Sans Frontieres (MSF) warned of an unprecedented epidemic. MSF has warned they face an uphill task because the infections are scattered across several locations, most worryingly in Guinea's densely populated capital Conakry. It blasted governments and international public health organisations for not doing enough to tackle it.

April 2: WHO: It's fear mongering. Do not worry

Conakry - The World Health Organisation on Tuesday played down the extent of an outbreak of the deadly Ebola virus suspected to have killed over 80 in Guinea
 This is relatively small still. The biggest outbreaks have been over 400 cases,” Hartl told a news conference in Geneva. He added it was not the first time Ebola had been reported in a capital city. It struck Gabon's Libreville in the 1990s.
“Ebola already causes enough concern and we need to be very careful about how we characterise something which is up until now an outbreak with sporadic cases,” Hartl said. Reuters: WHO downplays Ebola outbreak

Nigeria

Similar denials were happening in Nigeria. "We are ready", no reason to panic, etc.:

2 April 2014: We are ready

“Nigeria is ready, because the Ministry has taken every precaution, including getting the vaccines and medicines in case there was any incident in Nigeria." source

Yes, their Health Minister claimed they had vaccines against ebola.  It is the same guy, who claimed that a particular doctor was cured, while soon after this very doctor died from ebola.

Nigeria is prepared right now to curtail any outbreak, particularly given the reports that few counties on the West Coast like Liberia, Sierra Leone and Guinea have reported cases of Ebola fever, and given our proximity to these countries, Nigeria is ready.
The ministry of health has every precaution, including getting the vaccines and medicines, to ensure that should there be any incidence in Nigeria, everything would be dealt with, with precision. source

His best, or the worst, statement:
Minister of Health, Prof. Onyebuchi Chukwu, raised the hope of a reprieve following the discovery of a locally-made drug for the treatment of EVD. The trial drug, Nano Silver, was developed by a Nigerian scientist.

Argh. This is what happens when you had faked your medical degree, Minister "Professor".

August: The first Nigerian ebola survivor is dead - sorry for confusion

A doctor is declared the first ebola survivor in Nigeria, is thus sent home, and miraculously dies thereof shortly thereafter.

26 August: We contained ebola, as Nigerians can be trusted

Nigeria's health minister has insisted the Ebola outbreak has been contained in the country, and said it was working hard with its African neighbors to fight the disease.  Speaking to CNBC on Tuesday, Onyebuchi Chukwu said there was currently only one confirmed case of the disease in the country.  "(Ebola) limited it to one city, Lagos. All the cases so far have occurred in Lagos," Chukwu said. "Nigeria has contained the disease, source

The [Nigerian] Rivers state government [...] debunked rumours that made the rounds that an Ebola case was recorded in the state. [...]


28 August: "Persistent false rumours which we kept debunking" prove true

First of all, it is worth noting that Patrick Oliver Sawyer Jr. was working for Arcelor Mittal as... their Public Health manager (check this). Despite this grand epidemiological title, he decided to infect whole new country. And he was helped in bringing hell and death to new people by other "figures of public trust", local diplomats, doctors, nurses:

An unnamed doctor, had secretly treated a diplomat who had contact with Patrick Sawyer, the Liberian-American, who brought the virus to Nigeria.
The doctor reportedly died last Friday, while his wife had also taken ill and now being quarantined in Port Harcourt.
The diplomat, who was part of the team who met with Patrick Sawyer in Lagos, flew to Port Harcourt, Rivers State for treatment, evading Nigerian federal government surveillance for the disease.
[...]
The doctor’s hospital, Good Heart Hospital in G.R.A Port Harcourt, has been closed down. [source]

He (Koye) had received the late Dr. Patrick Sawyer in Lagos. Upon developing the symptom, he confided in a female colleague, called Lillian, who contacted the late Dr. Enemuo. It was after contact was established with Dr. Enemuo that  Koye flew to Port Harcourt to see Dr. Enemuo.
To conceal his movement, Koye sneaked out of the isolation unit where he was being observed and took a flight to Port Harcourt and switched of his phone so that he cannot be reached or traced should he answer a call.
On arrival in Port Harcourt, Koye checked into a local hotel called Mandate Hotel, around Rumuokoro in Obio/Akpor Local Government Area of the city.”

Dr. Enemuo, knowing full well that Koye was positive of the Ebola virus took some measure of precaution to protect himself while treating Koye. Knowing the enormity of what he was doing. Dr. Enemuo upon Koye’s departure for Lagos poured bleach all over the room that Koye slept in order to sanitise the place.
Upon developing the Ebola symptom, Dr. Enemuo approached one of our colleagues for treatment at Green Heart Hospital, along Evo Road, in G.R.A. Dr. Enemuo did not tell the doctor that was treating him the truth. He merely told him that he had fever. He lied. He did not tell the doctor that was treating him his full story.
Source

28 Aug: Despite us being wrong, we are on top of the situation


The commissioner said adequate measures were in place to check the spread of the disease. source


"We aren't panicking about the Port Harcourt incident," Mr. Chukwu said. "We are on top of the situation." source

Oh, yes. We all believe both the Commissioner and the Nigerian minister of Health, who had been prosecuted for theft.

29 August: Well, we may have been wrong after all


What happens next? You guessed it. The infected family members run away.


His sister helped care for her doctor brother as he suffered from the debilitating disease caused by the Ebola virus. Sister Of Dead Ebola Doctor Escapes From Port Harcourt As 200 Are Quarantined In Rivers State. She fled to Abia State to avoid being quarantined along with others who came into contact with the late doctor. Source

The wife of late Dr Enemuo, who is also a doctor, had fallen sick and had been quarantined, adding that about 100 persons who had primary or secondary contact with the late Dr Enemuo had been placed on watch list. Source

Airlines vs WHO travel guidelines


April 2014: The WHO claims in no worry for air travel, no screening needed

Screening of passengers at points of entry (arrival or departure) is costly and expected to have very limited impact because it is very unlikely to detect any arriving person infected with EVD. This is particularly true for EVD with its incubation period of 2 to 21 days and symptoms that are not specific. As part of this, the use of thermal scanners that rely on the presence of ‘fever’ in arriving passengers is costly, unlikely to detect any arriving person infected with EVD and is not encouraged. [WHO report]

July 31: USA CDC forbids non-essential travel there, a "Level 3" travel warning

The Centers for Disease Control and Prevention (CDC) today issued a warning to avoid nonessential travel to the West African nations of Guinea, Liberia, and Sierra Leone. This Level 3 travel warning is a reflection of the worsening Ebola outbreak in this region. Source

4 August - IATA and WHO still claim that airplanes are safe from ebola and there were no travel restrictions

But the International Air Transport Association, a trade group for the world’s airlines, was quick to assuage the fears of international travelers. The risk of catching the virus from a fellow passenger on a plane is incredibly low, IATA said in a statement, because Ebola is not an airborne disease; it only spreads from the direct contact of bodily
fluids, say experts.

The group issued a statement Thursday pointing to the fact that the World Health Organization has not issued any travel restrictions to the region or closure of borders, and that the IATA will follow WHO’s lead.

[...] the risk to fellow travellers in such a situation is very low, contact tracing is recommended in such circumstances.” Source

While they are right that such airport scans are theatrics, see what happened with airlines soon thereafter, despite this goody-goody advice:
 


28 August: Liberia practically quarantined

The suspension of flights to Liberia by other international carriers means that due to Ebola, members of the international community have decided to “quarantine Liberia” in order to prevent the spread of Ebola beyond the Liberia, the political analyst asserted.
Even flights from other African nations that frequented Liberia now suspended:

  • Arik Airways - suspended flights indefinitely from July 28
  • Air Ivoire - suspended flights indefinitely from August 11
  • Asky - changed flight routes on 2 August
  • British Airways - suspended flights until 31 August, 2014, but later suspended flights indefinitely
  • Eagle Airlines - flights suspended
  • Gambia Bird - suspended flights indefinitely
  • Kenya airways - suspended from midnight, Tuesday August 19, no re-initiation date announced.
Liberia is only open to the waters and there are a precious few vessels coming to Monrovia currently. source


September 2014: USA treats ebola terrorism as a major threat


The United States government considers Ebola and other hemorrhagic fever viruses to be among the most serious potential bioterrorism agents, along with those that cause smallpox, anthrax, botulism, plague and tularemia. NY Times

October 2014: Ebola is treated as dangerous for other plane passengers



On Friday [17 OCT 2014], Texas Governor Rick Perry said that health officials are actively monitoring eight people who had close contact with Vinson onboard the flight from Dallas to Cleveland. These eight passengers were in close proximity, within three feet, of Vinson.  Source

Redefinition of "close contact"? Huh?
What about "open contact", that is 10 feet? 

Sierra Leone

March 2014: No ebola yet but we collect ebola tissues already

While ebola is still in Guinea only, USA DoD experts start collecting samples already in Sierra Leone:

24 March:  Metabiota start collecting ebola samples for DoD

A two man medical team from “METABIOTA” contracted by the United States Department of Defense has on Monday March 24th, 2014, briefed Ambassador Bockari Kortu Stevens at the Embassy of Sierra Leone, as they proceed as first responders in Sierra Leone to investigate assess, evaluate, and help combat the Ebola virus that broke out in areas in the republic of Guinea that are near Sierra Leone. (Photo: Ambassador Stevens flanked by the two Medical Doctors)

On March 23 2014, Guinean officials confirmed media reports that samples from victims of “viral hemorrhagic fever” tested positive for the Ebola virus.

Discussing with Amb. Bockari Kortu Stevens, Dr. Joseph Fair, PhD, MPH, Corporate Vice President of METABIOTA said, “We are working in partnership with the government of Sierra Leone  and in particular, the Ministry of Health to help assess, investigate and provide strategies to prevent the spread of infectious diseases.
“There are four suspected cases in Sierra Leone, and we are departing this week to test and prove any available information to ascertain its existence.” [source]

“I am particularly delighted for them to go because it is expected that by the middle of the year they are going to construct a Center for Excellence in Kenema to provide training for some of our personnel,” the esteemed Ambassador noted. source
More on this Kenema hospital's fiasco below.

25 March: WHO confirms susptected cases

On 25 March, the World Health Organization (WHO) reported suspected cases in the neighbouring countries of Liberia and Sierra Leone being investigated. 

April 2014: Do not fear ebola, because we are clean and not gay, as these whiteys want us to be

 But why am I saying all this, eh? In the Ariogbo Kingdom we do not have such terrible diseases because we observe all health rules and regulations; we do not litter; we do not engage nor encourage practices like same sex relationships; we do not sleep with animals and we do not do all those bad and uncultured things that oyinbo people practice and want to force Black man to accept in exchange for ‘donor funds and donor support’!  source

May: WHO advises the government NOT to close the borders

It is now becoming very clear that the major way the Government of Sierra Leone could have prevented an outbreak was to restrict the movement of people from Guinea, where the virus had already claimed hundreds of lives. The government refused to close the borders between Sierra Leone and Guinea as if to grant the ebola virus free passage.
While we blame the government for failing in that direction, we must not forget the salient fact that the failure of the government to act accordingly at that point in time emanated from the advice of international health experts including WHO that closing the border was counterproductive.
That was how the Ebola virus found its way to Sierra Leone; and we can categorize that as blunder number one. To justify this assertion, the government ended up closing the borders between and among Sierra Leone, Guinea and Liberia.



25 May: first ebola cases officially confirmed

The first cases were reported on 25 May in the Kailahun District, near the border with Guéckédou in Guinea.[21]


30 May: No ebola in Sierra Leone

“We received feedbacks from traders, business women, okada operators and community activists and from their reports and all the tests we ran, we were able to say that there was no evidence of Ebola in Sierra Leone.”

But then came the outbreak last week. Ms. Kargbo said that since May 20, the Ministry’s surveillance team started having information about persistent cases of diarrhea and vomiting around the Kissy Tenga area. “We began accepting the cases. Our small community health centre began admitting them. The symptoms of diarrhea and vomiting were prevalent in these areas during this time of the year due to the river situations.

The isolation centre is the Kenema Hospital, which is one of the best Lassa Fever labs in West Africa.... That is why we transfer patients to this regional centre. We sent a specially-equipped ambulance to pick up the woman at Koindu. This was done by experts and some are whites.   [source]
OK, if even Whites got involved, I guess we are safe.

June: There is ebola, but it is OK, are the best


There’s something we need to celebrate – and that is the survival rate that we have had. We have the best survival rate so far in this epidemic. We have 60 patients that have been discharged Ebola-free and are in there communities. So even as we talk about deaths there is something to celebrate. Sierra Leone has the best case of fatality rate. source

June: No quarantine for the Kailahun district

Again, WHO experts probably were the reasons:


Blunder number two was the refusal of the government to quarantine the small village in the Kailahun district where it all started in Sierra Leone. Instead of isolating the village in question and its residents from the rest of the country, the government decided to transport those infected with the virus from the village to the city of Kenema. That was blunder number two that ended up being the gravest mistake. It was like moving the disease from Kailahun district to Kenema district, and that was exactly what happened. Kenema was second on the line to get infected with the disease. It was from the Kenema treatment center that we had reports of patients escaping and surfacing in the northern part of the country. That was how the disease migrated to the Northern Province and to the rest of the world.
Source


Read also this insightful analysis of other PA errors:
The other lesson from the Ebola campaign is that the Ministry of Health and their civil society partners have to come clean and say that they got the communication aspect of their fight totally wrong in the beginning – and even now. Well, it has improved a bit but the approach is still fundamentally flawed.
The first health workers who went to Kailahun came back to report that on seeing them the people either fled with their sick relatives or actually attacked health facilities. I make no excuses for those who behaved like that to the health workers. But I have to say that had the communication strategy around the Ebola issue been professionally handled, the chances of a violent incident like what is happening would have been zero.
[...]
So when a group of health workers suddenly turned up in some very remote village with the sound of an ambulance blaring and bright lights blinking on top of those vehicles, it’s easy to understand why those people fled or attacked the vehicles especially after confusing messages had reached them about Ebola.
[source]

Instead, we want to believe that the monies disbursed are largely mismanaged and in some cases, rudely slashed in order to satisfy or pay for 'unexpected' deeds or words as the case may be.
In other words, it has been mooted that there is no way, all of the government functionaries that received whopping hundreds of millions of Leones to lead in the fight against EVD in their respective communities, constituencies, chiefdoms and districts can convince us that a little 'hindsight' or perhaps, a common and natural 'forgetting' to do their paperwork because it was an emergency; and similar common human errors.
When human errors occur as a result of genuine forgetfulness, hindsight or mistake, then of course,, these simply are what they appear to be - silly human errors. But on the other hand, when errors, hindsight, common mistake are deliberately used as excuse to dip greedy fingers into the Ebola Fund for personal aggrandizement; then surely, such 'error,' cannot be described as an error, but a conspiracy to defraud.
source

It has been revealed that health care givers at Ebola observation and treatment centers across the country receive a paltry Le100, 000 as Risk Allowance; the reason why many health care givers have abandoned their posts.

"If those that are supposed to be working behind their desks as their own contribution to the fight against Ebola are now abandoning their offices and chasing the route Ebola money takes, and sidelining those of us that are the actual personnel in touch with the Ebola victims and working directly at the various epicenters, then let them do all the work because ever since money became involved, we the actual care givers have been dumped and those who have no business are the ones benefitting from Ebola funds," 
...
"No wonder we are making little headway in the fight against Ebola because those who have no business utilizing the funds or benefitting in other ways are the ones that are at the forefront of the fight whilst President Koroma seems to not be realizing that the fight against Ebola is in the wrong hands and that those that are benefitting are not the real soldiers at the warfront," a dissatisfied medical doctor told the press. source


27 July: No emergency yet

Reporter: Some Civil Society Organisations has suggested that [Ebola] should be declared a public health emergency just so that more resources could be put into the fight by the central government. Is this a sentiment you share as a minister of Health yourself?
Miatta Kargbo: The Ebola virus in Sierra Leone is a serious matter. We have not got to the point where there is a crisis as the WHO representative [source]

27 August: containment regulation are flouted

Taxi drivers were admonished and advised to adhere to taking only two passengers in their back seats and one in font. Poda poda drivers on the other hand were admonished and advised to observe similar decongestion rules and regulations which would reduce physical contact between and among passengers as much as humanly possible.
...
taxis and poda podas openly flout the new emergency regulations with utmost impunity, and the Police seem incapable of handling the situation. Commercial drivers generally refuse to abide even when cautioned or admonished to abide and make the lives of fellow Sierra Leoneans safer in these troubled times we are facing an Ebola outbreak for the first time ever in the history of Sierra Leone.

30 August: Ministerial PR Heads roll

Sierra Leone President Ernest Bai Koroma dismissed his Health Minister Miatta Kargbo on Friday over her handling of the Ebola epidemic that has killed more than 400 people in the West African country. Source


USA: CDC denials

Similar situation obtains with the CDC's statements in the USA:

The CDC worker [who was evacuated] is reportedly healthy and has shown no symptoms of the deadly virus. He or she is simply rotating back to the United States as previously scheduled, according to the CDC. [USA Today]

but then:
Canada evacuated three members of a mobile laboratory team from Sierra Leone, after people at the hotel complex where the three were staying were diagnosed with Ebola [USA Today]

Well, there has been no body contact, no "fluids", nothing. Just staying in the same hotel causes the most experienced ebola experts to leave the field.
So why do you run away if you only stayed
in the same hotel with ebola, Doc?
(I can't blame them individually, by the way - I blame the CDC etc. for their wrong public advice).

See also the CDC's denialism about ebola transmission modes (their original "contagious air" contagion vector being deleted, etc.) and here is my comparison of the July-August 2014 updates to the WHO guidelines for ebola containment.

September 2014: European CDC recognizes droplet transmission of ebola

Being within 1 meter of an EVD patient is considered to create a high risk of exposure by the ECDC; essentially recognizing the risks of droplet transmission of the virus. source

September 24, 2014


The US government issues United States Government Policy for Institutional Oversight of Life Sciences Dual Use Research of Concern, new guidelines to strengthen the oversight of federally funded biology research that could inadvertently produce bioweapons.
“The new policy shifts the burden of finding and disclosing the dangerous aspects of research from the funding agency -- usually the National Institutes of Health -- to the scientists who receive the grants and the universities or other institutions where they work.” Source
The ruling relates to dual use pathogens and research being carried in government funded laboratories. Like the one carried out on ebola.

30 September 2014: fighting ebola in the USA is easy peasy
Official US lies about ebola transmission and preparedness

We control it by traditional public health measures. We do that, and Ebola goes away. Virtually any hospital in the country that can do isolation can do isolation for Ebola. The bottom-line here is that I have no doubt that we will control this case of Ebola so that it does not spread widely in this country.
Frieden, head of the CDC  [Source: As Ebola confirmed in U.S., CDC vows: ‘We’re stopping it in its tracks’]

4 October: to spite the CDC, ebola does spread in the USA


The first US nurse infected with ebola
We are “concerned and would unfortunately not be surprised to see additional cases in the health care workers who also provided care to the index patient.” Frieden, head of the CDC Source




15 OCT: Media start to compile a list of wrong CDC recommendations

CNN: Ebola, Five ways the CDC got it wrong

1. The CDC is telling possible Ebola patients to "call a doctor."

When passengers arrive in the United States from Liberia, Sierra Leone or Guinea, they're handed a flier instructing them to "call a doctor" if they feel ill.
Ideal ebola treatment centre layout: BBC Source
Never mind how hard it is to get your doctor on the phone, but even if you could, it's quite possible she'd tell you to go to the nearest emergency room or urgent care center.
We saw how well that worked at Texas Health Presbyterian Hospital in Dallas....

2. The CDC director says any hospital can care for Ebola patients.  ...

3 and 4 and 5 ...
 Read the full CNN Report

16 OCT: CDC claims that black is white

Dr Frieden, the CDC director, during a telephone press briefing claims one cannot get Ebola by sitting next to someone on a bus, but that infected or exposed persons should not ride public transportation because they could... transmit the disease to someone else.

More precisely:
“My first question is, did the CDC vet this [Obama's] video message before it was released and posted on U.S. embassy websites, and is it true that a person runs absolutely no risk of contracting Ebola on public transportation, such as a bus?”
“Yes, CDC vetted the message, and, yes, we believe it’s accurate,”... "should you be worried that you might have gotten it by sitting next to someone? And the answer is no.”
[But then] if you are sick and you may have Ebola, should you get on a bus? And the answer to that is also no. You might become ill, you might have a problem that exposes someone around you”  Source

Next thing, they were frantically searching for hundreds of passengers and arrested (that is, quarantined) dozens of people who were meters or thousand of miles away (but on the same not fully disinfected plane) from any putative ebola victim.

As one commentator wrote:
War Is Peace, Freedom Is Slavery, Ignorance Is Strength, Black Is White, Up Is Down, North Is South, Islamic State of Iraq and the Levant is not Islamic, Closing the Borders Would Help Spread Ebola, You Can Give (But Can’t Get) Ebola on a Bus.

25 OCT: The CDC finally changes their "airborne" recommendations

CDC leaflet from 25 OCT 2014
US authorities finally admit you can catch ebola while not touching anybody. See the leaflet:


Notice that you "can protect yourself by not coughing."
Dangerous doublespeak again.


26 OCT: Governors arrest all workers exposed to ebola


Plus all visitors from ebola outbreak countries.
Read this US nurse's report.
The same CDC leaflet as of 31 OCT 2014
Short of full quarantine, it is as "not in my back yard" as it gets.

31 OCT: CDC redefines droplet spread


The airborne section stresses now that airborne germs
"can be inhaled even after the original person is no longer nearby."
 Droplet germs, by contrast,
"travel shorter distances, less than about 6 feet from a source patient."
Go figure.

Canada


The likely airborne mode of EVD transmission is deleted from the recommendations:


Source




I hope you enjoyed reading it so far. I will be updating this post with similar false ebola PA snippets that will have killed more innocent people.
If ebola spreads worldwide, and I do not update it one day with such false PA from my country, it may mean that it will have killed also me, the author.

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