Ebola Virus Disease (EVD) to Nigeria, 'knew he was sick' with the
virus before entry to Nigeria. He was also advised by the Liberian
Health Ministry not to travel out of the country but he ignored the
instruction, flew to Nigeria and died here transmitting the virus to
Nigerian medical personnel who offered medical services to him.
AllAfrica.comgives a very detailed tale of how the Liberian American
Patrick Sawyer acted before and after he was diagnosed with Ebola,
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Barely 24 hours before his death, Patrick Sawyer had a rather strange
- and in the words of medical and diplomatic sources here,
"Indiscipline" encounter with nurses and health workers at First
Consultants Hospital in Obalende, one of the most crowded parts of
Lagos, a population of some 21 million inhabitants, FrontPageAfrica
has learned.
Looking to get to the bottom of Sawyer's strange ailment on the Asky
Airline flight, which Sawyer transferred on in Togo, hospital
officials say, he was tested for both malaria and HIV AIDS. However,
when both tests came back negative, he was then asked whether he had
made contact with any person with the Ebola Virus, to which Sawyer
denied. Sawyer's sister, Princess had died of the deadly virus on
Monday, July 7, 2014 at the Catholic Hospital in Monrovia. On Friday,
July 25, 2014, 18 days later, Sawyer died in Lagos.
Back in Lagos, authorities at the First Consultants Hospital in
Obalende decided that despite Sawyer's denial, they would test him for
Ebola, due to the fact that he had just arrived from Liberia, where
there has been an outbreak of the disease with more than 100 deaths.
The hospital issued a statement this week stating that Sawyer was
quarantined immediately after he was discovered to have been infected
with the deadly virus. In addition, a barrier nursing was implemented
around Sawyer and the Lagos State Ministry of Health was immediately
notified. Hospital authorities also requested the Federal Ministry of
Health for additional laboratory test based on its suspicion of Ebola.
FrontPageAfrica has now learned that upon being told he had Ebola, Mr.
Sawyer went into a rage, denying and objecting to the opinion of the
medical experts. "He was so adamant and difficult that he took the
tubes from his body and took off his pants and urinated on the health
workers, forcing them to flee.
The hospital would later report that it resisted immense pressure to
let out Sawyer from its hospital against the insistence from some
higher-ups and conference organizers that he had a key role to play at
the ECOWAS convention in Calabar, the Cross River State capital. In
fact, FrontPageAfrica has been informed that officials in Monrovia
were in negotiations with ECOWAS to have Sawyer flown back to Liberia.
A text message in possession of FrontPageAfrica from the ECOWAS
Ambassador in Liberia, responding to a senior GoL official reads: Your
Excellency, the disease control department of the Federal Ministry of
Health just contacted me through the hospital now, insisting that Mr.
Sawyer be evacuated for now. Pls advise urgently."
LUTH Lab positive on Ebola
First Consultants said that it then went further to reach senior
officials in the Office of the Secretary of Health of the USA who
assisted it with contacts at the Centre for Disease Control and W.H.O
Regional Laboratory Centre in Senegal. According to the hospital, the
initial results from LUTH laboratory showed a signal of possible Ebola
virus, but required confirmation.
The First Consultants statement noted that it was able to obtain
confirmation of Ebola virus disease, (Zaire strain) after working with
the state, federal and international agencies. Sawyer was pronounced
dead at 6:50 AM Nigeria time, on July 25 and all agencies were
properly notified.
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Once the case was officially confirmed, the hospital was temporarily shut down and in-house patients immediately evacuated. Sawyer’s body was subsequently cremated under W.H.O guidelines and witnessed by all appropriate agencies, according to the hospital statement. “In keeping with W.H.O guidelines, the hospital is shut down briefly as full decontamination exercise is currently in progress. The re-opening of the hospital will also be in accordance with its guidelines”, the hospital said.
ReplyDeleteIn the aftermath of Sawyer’s death, both federal and state authorities in Lagos have instituted measures to curb the spread of the disease and quarantining all those who came in contact with Sawyer.
In total, Sawyer reportedly came in direct contact with 59 persons, 44 of whom were at the hospital he was taken to when he fell ill, according to the Lagos State government. The Lagos state government clarified in a statement Monday that Ms. Obi-Nnadozie, Nigeria’s Ambassador to Liberia was not among the 15 people at the airport who had had direct contact with Mr. Sawyer before his death as was initially believed.
However, it has been reported that Sawyer came in contact with three ECOWAS officials – a driver, a liaison officer and a protocol officer. Also in the list are two nursing staff and five airport handlers.
Dr. Jide Idris, the Lagos State Health Commissioner, told a news conference this week that 20 per cent of those that came in contact with the deceased had been physically screened. “The private hospital (First Consultants Medical Centre) was demobilized and primary source of infection eliminated. The patient has been cremated and the ash will be transferred to the Liberian government whenever the need arises. Decontamination process in all affected areas has commenced,” Dr. Idris said.
In the aftermath of Sawyer’s death, diplomatic, ECOWAS and medical authorities here are baffled over Sawyer’s deception, especially armed with new information that his sister, Princess had died of the deadly virus and his denial. Finance Ministry sources in Monrovia are in quiet murmur over what they feel was a letdown by Sawyer for not being forthcoming with his peers he worked with.
The ministry has since been temporarily shut down and those who came in contact with Sawyer are on a 21-day forced incubation monitoring process. “All senior officials coming in direct or indirect contact with Mr. Sawyer has been placed on the prescribed 21 days of observatory surveillance,” the ministry said in a statement this week.
FrontPageAfrica has now learnt that Sawyer exhibited similar indiscipline behavior during his sister’s stay at the Catholic Hospital in Monrovia where she was taken because he noticed she was bleeding profusely and was later found to be a victim of Ebola.
Sawyer was seen with blood on his clothing after his sister’s death and had earlier demanded that she be placed in a private room. President Ellen Johnson-Sirleaf cited indiscipline and disrespect as a key reason why Sawyer contracted the Ebola virus. She said his failure to heed medical advice put the lives of other residents across the nation’s border at risk.