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Ebola: Three more contacts test negative as Nigeria expands lab capacity

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By Desire Uzochukwu

Nigeria’s response to the imported case of Bundibugyo Ebola virus disease has entered its ninth day, with three additional contacts testing negative as the Federal Government moves to strengthen laboratory capacity, contact tracing and border surveillance.

The development comes as the World Health Organisation (WHO) says Nigeria must complete a 42-day monitoring period before it can be declared free of the outbreak, underscoring the need for sustained vigilance even after the evacuation of the index patient.

As part of efforts to strengthen preparedness, authorities are making arrangements to boost Ebola testing capacity in 12 laboratories nationwide, while contact tracing, infection prevention and control measures, and surveillance at the country’s borders continue.

Genomic analysis has also linked Nigeria’s case to a viral lineage closely related to samples from the Democratic Republic of the Congo (DRC), although the precise route through which the infection occurred remains unknown.

The development highlights the importance of laboratory investigation and genomic sequencing in understanding the outbreak and guiding public health interventions.

The WHO has commended Nigeria’s response, particularly the laboratory confirmation of the case, genomic sequencing and clinical management of the patient.

However, health authorities face the challenge of sustaining surveillance and ensuring that all identified contacts are monitored throughout the required period to detect any possible secondary infections.

The 42-day monitoring period is critical to establishing whether transmission has occurred beyond the initial case. It requires continued follow-up of contacts and prompt investigation of anyone who develops symptoms consistent with Ebola.

The ongoing response also places emphasis on infection prevention and control, particularly in healthcare facilities, to reduce the risk of further transmission.

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Public awareness remains another key component of the containment strategy, with cooperation from communities and adherence to public health guidance considered essential to preventing the spread of the virus.

Although the three additional negative test results are encouraging, officials must maintain surveillance and preparedness until the monitoring period is completed and the country meets the requirements for being declared Ebola-free.

Nigeria’s response has therefore shifted towards sustaining the gains made in early detection and clinical management while strengthening its capacity to identify and respond rapidly to any additional cases.

The priority, health authorities say, is to maintain vigilance, ensure transparent communication and secure public cooperation throughout the monitoring period.

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