Quartz: On Implications of Ebola in Nigeria

Quartz, a web news outlet of the Atlantic Media Company, published the following two reports that go into greater depth than most about the death of Patrick Sawyer in Lagos, Nigeria, and how he may have vomited and had diarrhea on at least one of his flights. Here:

Ebola in Nigeria: New Level of Scary

35 Countries Connected to Ebola Outbreak by Airliner

This is a topic addressed on this blog back in early April.

Serious prevention would mean barring non-essential passenger air travel from outbreak cities until the outbreaks are over.

The only in-and-out air travel to outbreak cities should be technology, supplies, and highly trained disease control personnel.

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Prevention versus Reaction: Ebola, Airports, and WHO

There is an outbreak of the Ebola virus (Zaire strain) in West Africa affecting Guinea, Liberia, Mali, and Sierra Leone. Reportedly, one early patient was brought cross country on a crowded bus to Conakry, capitol of Guinea, before it was identified what he carried. Conakry’s airport services international flights. There have been two Ebola scares tied to flights out of Guinea: one in Canada and one in France.

The French Organization “Doctor’s Without Borders” called the current 2014 Guinea outbreak “unprecedented” in that it popped-up rapidly in disparate locations following its initial detection. Also unprecedented is the outbreak in a city of over 2 million, Conakry.

Speculations as to how the virus may have reached disparate areas:

(1) the virus had already been on the move under the radar before it was identified, and / or;

(2) it could be that a bush meat hunting or trapping operation culled a population of infected bats or monkeys and sold the meat on the road, or;

(3) somehow the virus was intentionally spread.

One and two are the most likely, but it may pay to see if any nation-state’s flight services ceased flying to and from the affected areas in the recent past, or, if there was a recent departure of a political adversary vying for leadership over the regime.

In any case, it seems irresponsible to continue to allow flights out of Conakry or other hot zones without fully screening would-be passengers on the ground before they ever enter a plane. Not to do so invites infection of flight crews and passenger rosters, not to mention the risk of spreading ebola to destination countries.

The time to discover symptoms is not during an international flight. Should word spread on a flight that another passenger is infected, panic could ensue on-board. That is not a good plan. Thorough screening must occur on the ground to keep Ebola (Zaire) contained.

Despite the rapidity of infection and spread, the World Health Organization has only downplayed the outbreak, and recommended that routine travel in and out of the region not be suspended at a time the virus had already reached Guinea’s capitol. Until verifiable disease control exists on the ground, WHO’s recommendation stands out as irresponsible.