How Ebola came knocking on our door – First Consultant Hospital

Dr. Ameyo Stella Adadevoh, the Nigerian physician who died in Lagos this week, was mistakenly exposed to the Ebola Virus Disease at the First Consultants Medical Center in Ikoyi where she worked and attended to Patrick Sawyer, the patient who brought EVD into the country. But she was heroically instrumental to preventing a massive outbreak in the country, an effort she paid for with her life last Tuesday.

A statement she co-authored with Dr. B.N. Ohiaeri before her death explained how Mr. Sawyer was first diagnosed with malaria upon his arrival on the night of July 20. Here is the text of the statement by First Consultants Medical Center Ltd.
In the interest of our patients, staff, the general public the nation at large we state the following:

A 40-years old gentlemen came into the hospital with symptoms suggestive of Malaria (fever, headache, extreme weakness) on Sunday night (20th July 2014). He was fully conscious and gave us his clinical history and told us he is a Senior Diplomat from Liberia. Laboratory investigations confirmed malaria whilst other test for HIV, Hepatitis B&C were negative. He was admitted and treatment commenced.

However, due to the fact that he was not responding to treatment but rather was developing haemorrhagic symptoms we further questioned him. He denied having been in contact with any persons with EVD (Ebola Virus Disease) at home, in any hospital or at any burial.

In spite of this denial we immediately decided to do the following:

1. To conduct further tests for possible Infectious Haemorrhagic Disease, especially EBOLA VIRUS DISEASE, based on the fact that he was a Liberian citizen and the recent outbreak of EBOLA VIRUS DISEASE in that country.

2. We immediately isolated/quarantined the patient, commenced barrier nursing and simultaneously contacted the Lagos State Ministry of Health and the Federal Ministry of Health to enquire where further laboratory tests could be performed as we had a high index of suspicion of possible EBOLA VIRUS DISEASE

3. WE REFUSED FOR HIM TO BE LET OUT OF THE HOSPITAL IN SPITE OF INTENSE PRESSURE, AS WE WERE TOLD THAT HE WAS A SENIOR ECOWAS OFFICIAL AND HAD AN IMPORTANT ROLE TO PLAY AT THE ECOWAS CONVENTION IN CALABAR, CROSS RIVER STATE.

4. The initial test results from LUTH laboratory indicated a signal of possible EBOLA VIRUS DISEASE, but required confirmation.

5. We then took the further step of reaching out to Senior Officials in the office of the Secretary of Health of the United States of America who promptly assisted us with contacts at the centres for Disease Control (CDC) and World Health Organisation Regional Laboratory Centre in Senegal.

6. Working jointly with the State, Federal Agencies and International Agencies, we were able to obtain confirmation of EBOLA VIRUS DISEASE (ZAIRE STRAIN), (W.H.O. Regional Center Lab-Senegal/Redeemes lab/LUTH Laboratory)

7. The gentleman subsequently died on Friday at a 6.50 (25th July, 2014)

8. All agencies were promptly notified and in consultation with W.H.O, Regional EBOLA VIRUS DISEASE Centre in Conakry, Guinea and Best Practices, the following was commenced:
a. Orderly temporarily shut down of the hospital with immediate evacuation of in house patients.
b. The appropriate professional removal of the body and its incineration under W.H.O. guidelines, witnessed by all appropriate agencies.
9. Having concluded the above, it is now appropriate to give this press release in the interest of our patient, staff, the general public and the nation at large.

10. In keeping with W.H.O, guidelines, hospital is shut down briefly as full decontamination exercise is currently in progress W.H.O. Guidelines

In conclusion, working with the STATE, FEDERAL AND INTERNATIONAL AGENCIES, we were able to identify and confirm the diagnosis of the EBOLA VIRUS DISEASE. We hope that by our action of preventing this gentleman from being extracted from our hospital and traveling to Calabar we have been able to prevent the spread of EBOLA VIRUS DISEASE in Nigeria.

The Board and Management of the Hospital wish to thank all our staff members for their diligence and professionalism.

Thank You.

Signed
Dr. B.N. OHIAERI
DR. A.S. ADADEVEOH
First Consultants Medical Centre Limited
16/24 Ikoyi Road,
Obalende,
Lagos

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