Wednesday, 17 September 2014

My Survival Story - Dr. Ada Igonoh Recounts Ebola Ordeal!

This is a touching survival story of Dr. Ada Igonoh of the First Consultants Hospital, one of the doctors who got infected by the virus by the primary case. 

She shares her experiences from the day Patrick Sawyer was admitted at the First Consultant Hospital, through how she, the Consultant, Dr. Ameyo Adadevoh and some of the staff got infected, to her quarantine at Yaba and her eventual recovery and discharge. A compelling story worth sharing here.

The story below:
On the night of Sunday July 20, 2014, Patrick Sawyer was wheeled into the Emergency Room at First Consultants Medical Centre, Obalende, Lagos, with complaints of fever and body weakness.

The male doctor on call admitted him as a case of malaria and took a full history. Knowing that Mr Sawyer had recently arrived from Liberia, the doctor asked if he had been in contact with an Ebola patient in the last couple of weeks, and Mr. Sawyer denied any such contact.

He also denied attending any funeral ceremony recently. Blood samples were taken for full blood count, malaria parasites, liver function test and other baseline investigations. He was admitted into a private room and started on antimalarial drugs and analgesics. That night, the full blood count result came back as normal and not indicative of infection.

The following day however, his condition worsened. He barely ate any of his meals. His liver function test result showed his liver enzymes were markedly elevated. We then took samples for HIV and hepatitis screening.

At about 5.00pm, he requested to see a doctor. I was the doctor on call that night so I went in to see him. He was lying in bed with his intravenous (I.V.) fluid bag removed from its metal stand and placed beside him. He complained that he had stooled about five times that evening and that he wanted to use the bathroom again. I picked up the I.V. bag from his bed and hung it back on the stand. I told him I would inform a nurse to come and disconnect the I.V. so he could conveniently go to the bathroom. I walked out of his room and went straight to the nurses’ station where I told the nurse on duty to disconnect his I.V. I then informed my Consultant, Dr. Ameyo Adadevoh about the patient’s condition and she asked that he be placed on some medications.

The following day, the results for HIV and hepatitis screening came out negative. As we were preparing for the early morning ward rounds, I was approached by an ECOWAS official who informed me that Patrick Sawyer had to catch an 11 o’clock flight to Calabar for a retreat that morning. He wanted to know if it would be possible. I told him it wasn’t, as he was acutely ill. Dr. Adadevoh also told him the patient could certainly not leave the hospital in his condition. She then instructed me to write very boldly on his chart that on no account should Patrick Sawyer be allowed out of the hospital premises without the permission of Dr. Ohiaeri, our Chief Medical Consultant. All nurses and doctors were duly informed.

During our early morning ward round with Dr. Adadevoh, we concluded that this was not malaria and that the patient needed to be screened for Ebola Viral Disease. She immediately started calling laboratories to find out where the test could be carried out. She was eventually referred to Professor Omilabu of the LUTH Virology Reference Lab in Idi-Araba whom she called immediately. Prof. Omilabu told her to send blood and urine samples to LUTH straight away. She tried to reach the Lagos State Commissioner for Health but was unable to contact him at the time. She also put calls across to officials of the Federal Ministry of Health and National Centre for Disease Control.

Dr. Adadevoh at this time was in a pensive mood. Patrick Sawyer was now a suspected case of Ebola, perhaps the first in the country. He was quarantined, and strict barrier nursing was applied with all the precautionary measures we could muster. Dr. Adadevoh went online, downloaded information on Ebola and printed copies which were distributed to the nurses, doctors and ward maids. Blood and urine samples were sent to LUTH that morning. Protective gear, gloves, shoe covers and facemasks were provided for the staff. A wooden barricade was placed at the entrance of the door to keep visitors and unauthorized personnel away from the patient.

Despite the medications prescribed earlier, the vomiting and diarrhea persisted. The fever escalated from 38c to 40c. On the morning of Wednesday 23rd July, the tests carried out in LUTH showed a signal for Ebola. Samples were then sent to Dakar, Senegal for a confirmatory test. Dr. Adadevoh went for several meetings with the Lagos State Ministry of Health. Thereafter, officials from Lagos State came to inspect the hospital and the protective measures we had put in place.
The following day, Thursday 24th July, I was again on call. At about 10.00pm Mr. Sawyer requested to see me. I went into the newly created dressing room, donned my protective gear and went in to see him. He had not been cooperating with the nurses and had refused any additional treatment. He sounded confused and said he received a call from Liberia asking for a detailed medical report to be sent to them. He also said he had to travel back to Liberia on a 5.00am flight the following morning and that he didn’t want to miss his flight. I told him that I would inform Dr. Adadevoh. As I was leaving the room, I met Dr. Adadevoh dressed in her protective gear along with a nurse and another doctor. They went into his room to have a discussion with him and as I heard later to reset his I.V. line which he had deliberately removed after my visit to his room.
At 6:30am, Friday 25th July, I got a call from the nurse that Patrick Sawyer was completely unresponsive. Again I put on the protective gear and headed to his room. I found him slumped in the bathroom. I examined him and observed that there was no respiratory movement. I felt for his pulse; it was absent. We had lost him. It was I who certified Patrick Sawyer dead. I informed Dr. Adadevoh immediately and she instructed that no one was to be allowed to go into his room for any reason at all. Later that day, officials from W.H.O came and took his body away. The test in Dakar later came out positive for Zaire strain of the Ebola virus. We now had the first official case of Ebola virus disease in Nigeria.
It was a sobering day. We all began to go over all that happened in the last few days, wondering just how much physical contact we had individually made with Patrick Sawyer. Every patient on admission was discharged that day and decontamination began in the hospital. We were now managing a crisis situation. 

The next day, Saturday 26th July, all staff of First Consultants attended a meeting with Prof. Nasidi of the National Centre for Disease Control, Prof Omilabu of LUTH Virology Reference Lab, and some officials of W.H.O. They congratulated us on the actions we had taken and enlightened us further about the Ebola Virus Disease. They said we were going to be grouped into high risk and low risk categories based on our individual level of exposure to Patrick Sawyer, the “index” case. Each person would receive a temperature chart and a thermometer to record temperatures in the morning and night for the next 21 days. We were all officially under surveillance. We were asked to report to them at the first sign of a fever for further blood tests to be done. We were reassured that we would all be given adequate care. The anxiety in the air was palpable.
The frenetic pace of life in Lagos, coupled with the demanding nature of my job as a doctor, means that I occasionally need a change of environment. As such, one week before Patrick Sawyer died, I had gone to my parents’ home for a retreat. I was still staying with them when I received my temperature chart and thermometer on Tuesday 29th of July. I could not contain my anxiety. People were talking Ebola everywhere – on television, online, everywhere.
I soon started experiencing joint and muscle aches and a sore throat, which I quickly attributed to stress and anxiety. I decided to take malaria tablets. I also started taking antibiotics for the sore throat. The first couple of temperature readings were normal. Every day I would attempt to recall the period Patrick Sawyer was on admission – just how much direct and indirect contact did I have with him? I reassured myself that my contact with him was quite minimal. I completed the anti-malarials but the aches and pains persisted. I had loss of appetite and felt very tired.

On Friday 1st of August, my temperature read a high 38.7c. As I type this, I recall the anxiety I felt that morning. I could not believe what I saw on the thermometer. I ran to my mother’s room and told her. I did not go to work that day. I cautiously started using a separate set of utensils and cups from the ones my family members were using.
On Saturday 2nd of August, the fever worsened. It was now at 39c and would not be reduced by taking paracetamol. This was now my second day of fever. I couldn’t eat. The sore throat was getting worse. That was when I called the helpline and an ambulance was sent with W.H.O doctors who came and took a sample of my blood. Later that day, I started stooling and vomiting. I stayed away from my family. I started washing my plates and spoons myself. My parents meanwhile, were convinced that I could not have Ebola.
The following day, Sunday 3rd of August, I got a call from one of the doctors who came to take my sample the day before. He told me that the sample which was they had taken was not confirmatory, and that they needed another sample. He did not sound very coherent and I became worried. They came with the ambulance that afternoon and told me that I had to go with them to Yaba. I was confused. Couldn’t the second sample be taken in the ambulance like the previous one? He said a better-qualified person at the Yaba centre would take the sample. I asked if they would bring me back. He said “yes.” Even with the symptoms I did not believe I had Ebola. After all, my contact with Sawyer was minimal. I only touched his I.V. fluid bag just that once without gloves. The only time I actually touched him was when I checked his pulse and confirmed him dead, and I wore double gloves and felt adequately protected.
I told my parents I had to go with the officials to Yaba and that I would be back that evening. I wore a white top and a pair of jeans, and I put my iPad and phones in my bag.
A man opened the ambulance door for me and moved away from me rather swiftly. Strange behavior, I thought. They were friendly with me the day before, but that day, not so. No pleasantries, no smiles. I looked up and saw my mother watching through her bedroom window.
We soon got to Yaba. I really had no clue where I was. I knew it was a hospital. I was left alone in the back of the ambulance for over four hours. My mind was in a whirl. I didn’t know what to think. I was offered food to eat but I could barely eat the rice.

The ambulance door opened and a Caucasian gentleman approached me but kept a little distance. He said to me, “I have to inform you that your blood tested positive for Ebola. I am sorry.” I had no reaction. I think I must have been in shock. He then told me to open my mouth and he looked at my tongue. He said it was the typical Ebola tongue. I took out my mirror from my bag and took a look and I was shocked at what I saw. My whole tongue had a white coating, looked furry and had a long, deep ridge right in the middle. I then started to look at my whole body, searching for Ebola rashes and other signs as we had been recently instructed. I called my mother immediately and said, “Mummy, they said I have Ebola, but don’t worry, I will survive it. Please, go and lock my room now; don’t let anyone inside and don’t touch anything.” She was silent. I cut the line.
I was taken to the female ward. I was shocked at the environment. It looked like an abandoned building. I suspected it had not been in use for quite a while. As I walked in, I immediately recognized one of the ward maids from our hospital. She always had a smile for me but not this time. She was ill and she looked it. She had been stooling a lot too. I soon settled into my corner and looked around the room. It smelled of faeces and vomit. It also had a characteristic Ebola smell to which I became accustomed. Dinner was served – rice and stew. The pepper stung my mouth and tongue. I dropped the spoon. No dinner that night.

Dr. David, the Caucasian man who had met me at the ambulance on my arrival, came in wearing his full protective ‘hazmat’ suit and goggles. It was fascinating seeing one live. I had only seen them online. He brought bottles of water and ORS, the oral fluid therapy which he dropped by my bedside. He told me that 90 percent of the treatment depended on me. He said I had to drink at least 4.5 litres of ORS daily to replace fluids lost in stooling and vomiting. I told him I had stooled three times earlier and taken Imodium tablets to stop the stooling. He said it was not advisable, as the virus would replicate the more inside of me. It was better he said to let it out. He said good night and left.
My parents called. My uncle called. My husband called crying. He could not believe the news. My parents had informed him, as I didn’t even know how to break the news to him.
As I lay on my bed in that isolation ward, strangely, I did not fear for my life. I was confident that I would leave that ward some day. There was an inner sense of calm. I did not for a second think I would be consumed by the disease. That evening, the symptoms fully kicked in. I was stooling almost every two hours. The toilets did not flush so I had to fetch water in a bucket from the bathroom each time I used the toilet. I then placed another bucket beneath my bed for the vomiting.
On occasion I would run to the toilet with a bottle of ORS, so that as I was stooling, I was drinking.
The next day Monday 4th of August, I began to notice red rashes on my skin particularly on my arms. I had developed sores all over my mouth. My head was pounding so badly. The sore throat was so severe I could not eat. I could only drink the ORS. I took paracetamol for the pain. The ward maid across from me wasn’t doing so well. She had stopped speaking. I couldn’t even brush my teeth; the sores in my mouth were so bad. This was a battle for my life but I was determined I would not die.

Every morning, I began the day with reading and meditating on Psalm 91. The sanitary condition in the ward left much to be desired. The whole Ebola thing had caught everyone by surprise. Lagos State Ministry of Health was doing its best to contain the situation but competent hands were few. The sheets were not changed for days. The floor was stained with greenish vomitus and excrement. Dr. David would come in once or twice a day and help clean up the ward after chatting with us. He was the only doctor who attended to us. There was no one else at that time. The matrons would leave our food outside the door; we had to go get the food ourselves. They hardly entered in the initial days. Everyone was being careful. This was all so new. I could understand, was this not how we ourselves had contracted the disease? Mosquitoes were our roommates until they brought us mosquito nets.
Later that evening, Dr. David brought another lady into the ward. I recognized her immediately as Justina Ejelonu, a nurse who had started working at First Consultants on the 21st of July, a day after Patrick Saywer was admitted. She was on duty on the day Patrick reported that he was stooling. While she was attending to him that night, he had yanked off his drip, letting his blood flow almost like a tap onto her hands. Justina was pregnant and was brought into our ward bleeding from a suspected miscarriage. She had been told she was there only on observation. The news that she had contracted Ebola was broken to her the following day after results of her blood test came out positive. Justina was devastated and wept profusely – she had contracted Ebola on her first day at work.

My husband started visiting but was not allowed to come close to me. He could only see me from a window at a distance. He visited so many times. It was he who brought me a change of clothes and toiletries and other things I needed because I had not even packed a bag. I was grateful I was not with him at home when I fell ill or he would most certainly have contracted the disease. My retreat at my parents’ home turned out to be the instrumentality God used to shield and save him.
I drank the ORS fluid like my life depended on it. Then I got a call from my pastor. He had been informed about my predicament. He called me every single day morning and night and would pray with me over the phone. He later sent me a CD player, CDs of messages on faith and healing, and Holy Communion packs through my husband. My pastor, who also happens to be a medical doctor, encouraged me to monitor how many times I had stooled and vomited each day and how many bottles of ORS I had consumed. We would then discuss the disease and pray together. He asked me to do my research on Ebola since I had my iPad with me and told me that he was also doing his study. He wanted us to use all relevant information on Ebola to our advantage. So I researched and found out all I could about the strange disease that has been in existence for 38 years. My research, my faith, my positive view of life, the extended times of prayer, study and listening to encouraging messages boosted my belief that I would survive the Ebola scourge.

There are five strains of the virus and the deadliest of them is the Zaire strain, which was what I had. But that did not matter. I believed I would overcome even the deadliest of strains. Infected patients who succumb to the disease usually die between 6 to 16 days after the onset of the disease from multiple organ failure and shock caused by dehydration. I was counting the days and keeping myself well hydrated. I didn’t intend to die in that ward.
My research gave me ammunition. I read that as soon as the virus gets into the body, it begins to replicate really fast. It enters the blood cells, destroys them and uses those same blood cells to aggressively invade other organs where they further multiply. Ideally, the body’s immune system should immediately mount up a response by producing antibodies to fight the virus. If the person is strong enough, and that strength is sustained long enough for the immune system to kill off the viruses, the patient is likely to survive. If the virus replicates faster than the antibodies can handle however, further damage is done to the organs. Ebola can be likened to a multi-level, multi-organ attack but I had no intention of letting the deadly virus destroy my system. I drank more ORS. I remember saying to myself repeatedly, “I am a survivor, I am a survivor.”
I also found out that a patient with Ebola cannot be re-infected and they cannot relapse back into the disease as there is some immunity conferred on survivors. My pastor and I would discuss these findings, interpret them as it related to my situation and pray together. I looked forward to his calls. They were times of encouragement and strengthening. I continued to meditate on the Word of God. It was my daily bread.
Shortly after Justina came into the ward, the ward maid, Mrs Ukoh passed on. The disease had gotten into her central nervous system. We stared at her lifeless body in shock. It was a whole 12 hours before officials of W.H.O came and took her body away. The ward had become the house of death. The whole area surrounding her bed was disinfected with bleach. Her mattress was taken and burned.

To contain the frequent diarrhea, I had started wearing adult diapers, as running to the toilet was no longer convenient for me. The indignity was quite overwhelming, but I did not have a choice. My faith was being severely tested. The situation was desperate enough to break anyone psychologically. Dr. Ohiaeri also called us day and night, enquiring about our health and the progress we were making. He sent provisions, extra drugs, vitamins, Lucozade, towels, tissue paper; everything we needed to be more comfortable in that dark hole we found ourselves. Some of my male colleagues had also been admitted to the male ward two rooms away, but there was no interaction with them.
We were saddened by the news that Jato, the ECOWAS protocol officer to Patrick Sawyer who had also tested positive, had passed on days after he was admitted.
Two more females joined us in the ward; a nurse from our hospital and a patient from another hospital. The mood in the ward was solemn. There were times we would be awakened by the sudden, loud cry from one of the women. It was either from fear, pain mixed with the distress or just the sheer oppression of our isolation.
I kept encouraging myself. This could not be the end for me. Five days after I was admitted, the vomiting stopped. A day after that, the diarrhea ceased. I was overwhelmed with joy. It happened at a time I thought I could no longer stand the ORS. Drinking that fluid had stretched my endurance greatly.
I knew countless numbers of people were praying for me. Prayer meetings were being held on my behalf. My family was praying day and night. Text messages of prayers flooded my phones from family members and friends. I was encouraged to press on. With the encouragement I was receiving I began to encourage the others in the ward. We decided to speak life and focus on the positive. I then graduated from drinking only the ORS fluid to eating only bananas, to drinking pap and then bland foods. Just when I thought I had the victory, I suddenly developed a severe fever. The initial fever had subsided four days after I was admitted, and then suddenly it showed up again. I thought it was the Ebola. I enquired from Dr. David who said fever was sometimes the last thing to go, but he expressed surprise that it had stopped only to come back on again. I was perplexed.

I discussed it with my pastor who said it could be a separate pathology and possibly a symptom of malaria. He promised he would research if indeed this was Ebola or something else. That night as I stared at the dirty ceiling, I felt a strong impression that the new fever I had developed was not as a result of Ebola but malaria. I was relieved. The following morning, Dr. Ohiaeri sent me antimalarial medication which I took for three days. Before the end of the treatment, the fever had disappeared.
I began to think about my mother. She was under surveillance along with my other family members. I was worried. She had touched my sweat. I couldn’t get the thought off my mind. I prayed for her. Hours later on Twitter I came across a tweet by W.H.O saying that the sweat of an Ebola patient cannot transmit the virus at the early stage of the infection. The sweat could only transmit it at the late stage.

That settled it for me. It calmed the storms that were raging within me concerning my parents. I knew right away it was divine guidance that caused me to see that tweet. I could cope with having Ebola, but I was not prepared to deal with a member of my family contracting it from me.
Soon, volunteer doctors started coming to help Dr. David take care of us. They had learned how to protect themselves. Among the volunteer doctors was Dr. Badmus, my consultant in LUTH during my housemanship days. It was good to see a familiar face among the care-givers. I soon understood the important role these brave volunteers were playing. As they increased in number, so did the number of shifts increase and subsequently the number of times the patients could access a doctor in one day. This allowed for more frequent patient monitoring and treatment. It also reduced care-giver fatigue. It was clear that Lagos State was working hard to contain the crisis
Sadly, Justina succumbed to the disease on the 12th of August. It was a great blow and my faith was greatly shaken as a result. I commenced daily Bible study with the other two female patients and we would encourage one another to stay positive in our outlook though in the natural it was grim and very depressing. My communion sessions with the other women were very special moments for us all.

On my 10th day in the ward, the doctors having noted that I had stopped vomiting and stooling and was no longer running a fever, decided it was time to take my blood sample to test if the virus had cleared from my system. They took the sample and told me that I shouldn’t be worried if it comes out positive as the virus takes a while before it is cleared completely. I prayed that I didn’t want any more samples collected from me. I wanted that to be the first and last sample to be tested for the absence of the virus in my system. I called my pastor. He encouraged me and we prayed again about the test.
On the evening of the day Justina passed on, we were moved to the new isolation centre. We felt like we were leaving hell and going to heaven.
We were conveyed to the new place in an ambulance. It was just behind the old building. Time would not permit me to recount the drama involved with the dynamics of our relocation. It was like a script from a science fiction movie. The new building was cleaner and much better than the old building. Towels and nightwear were provided on each bed. The environment was serene.
The following night, Dr. Adadevoh was moved to our isolation ward from her private room where she had previously been receiving treatment. She had also tested positive for Ebola and was now in a coma. She was receiving I.V. fluids and oxygen support and was being monitored closely by the W.H.O doctors. We all hoped and prayed that she would come out of it. It was so difficult seeing her in that state. I could not bear it. She was my consultant, my boss, my teacher and my mentor. She was the imperial lady of First Consultants, full of passion, energy and competence. I imagined she would wake up soon and see that she was surrounded by her First Consultants family but sadly it was not to be.
I continued listening to my healing messages. They gave me life. I literarily played them hours on end. Two days later, on Saturday the 16th of August, the W.H.O doctors came with some papers. I was informed that the result of my blood test was negative for Ebola virus. If I could somersault, I would have but my joints were still slightly painful. I was free to go home after being in isolation for exactly 14 days. I was so full of thanks and praise to God. I called my mother to get fresh clothes and slippers and come pick me. My husband couldn’t stop shouting when I called him. He was completely overwhelmed with joy.
I was told however that I could not leave the ward with anything I came in with. I glanced one last time at my cd player, my valuable messages, my research assistant a.k.a my iPad, my phones and other items. I remember saying to myself, “I have life; I can always replace these items.”

I went for a chlorine bath, which was necessary to disinfect my skin from my head to my toes. It felt like I was being baptized into a new life as Dr. Carolina, a W.H.O doctor from Argentina poured the bucket of chlorinated water all over me. I wore a new set of clothes, following the strict instructions that no part of the clothes must touch the floor and the walls. Dr. Carolina looked on, making sure I did as instructed.
I was led out of the bathroom and straight to the lawn to be united with my family, but first I had to cut the red ribbon that served as a barrier. It was a symbolic expression of my freedom. Everyone cheered and clapped. It was a little but very important ceremony for me. I was free from Ebola! I hugged my family as one who had been liberated after many years of incarceration. I was like someone who had fought death face to face and come back to the land of the living.
We had to pass through several stations of disinfection before we reached the car. Bleach and chlorinated water were sprayed on everyone’s legs at each station. As we made our way to the car, we walked past the old isolation building. I could hardly recognize it. I could not believe I slept in that building for 10 days. I was free! Free of Ebola. Free to live again. Free to interact with humanity again. Free from the sentence of death.

My parents and two brothers were under surveillance for 21 days and they completed the surveillance successfully. None of them came down with a fever. The house had been disinfected by Lagos State Ministry of Health soon after I was taken to the isolation centre. I thank God for shielding them from the plague.
My recovery after discharge has been gradual but progressive. I thank God for the support of family and friends. I remember my colleagues who we lost in this battle. Dr. Adadevoh my boss, Nurse Justina Ejelonu, and the ward maid, Mrs. Ukoh were heroines who lost their lives in the cause to protect Nigeria. They will never be forgotten.
I commend the dedication of the W.H.O doctors, Dr. David from Virginia, USA, who tried several times to convince me to specialize in infectious diseases, Dr. Carolina from Argentina who spoke so calmly and encouragingly, Mr. Mauricio from Italy who always offered me apples and gave us novels to read. I especially thank the volunteer Nigerian doctors, matrons and cleaners who risked their lives to take care of us. I must also commend the Lagos State government, and the state and federal ministries of health for their swift efforts to contain the virus. To all those prayed for me, I cannot thank you enough. And to my First Consultants family, I say a heartfelt thank you for your dedication and for your support throughout this very difficult period.

I still believe in miracles. None of us in the isolation ward was given any experimental drugs or so-called immune boosters. I was full of faith yet pragmatic enough to consume as much ORS as I could even when I wanted to give up and throw the bottles away. I researched on the disease extensively and read accounts of the survivors. I believed that even if the mortality rate was 99%, I would be part of the 1% who survive.
Early detection and reporting to hospital is key to patient survival. Please do not hide yourself if you have been in contact with an Ebola patient and have developed the symptoms. Regardless of any grim stories one may have heard about the treatment of patients in the isolation centre, it is still better to be in the isolation ward with specialist care, than at home where you and others will be at risk.

I read that Dr. Kent Brantly, the American doctor who contracted Ebola in Liberia and was flown out to the United States for treatment was being criticized for attributing his healing to God when he was given the experimental drug, Zmapp. I don’t claim to have all the answers to the nagging questions of life. Why do some die and some survive? Why do bad things happen to good people? Where is God in the midst of pain and suffering? Where does science end and God begin? These are issues we may never fully comprehend on this side of eternity. All I know is that I walked through the valley of the shadow of death and came out unscathed.
Culled

Businessman Dies After Being Raped By His Five Wives!

Implausible as this may sound, a Nigerian businessman died after reportedly being raped by five of his six wives. 
Uroko
Daily Mail reports that the deceased, a prominent member of the Ugbugbu community in Benue State, identified as Uroko Onoja partied at a bar in Ugbugbu until the wee hours of the morning in July.
Account on how he met his untimely death revealed that when he returned home, Onoja decided to have sex with his youngest wife. However, his five other wives became jealous and  armed with knives and sticks, barged into his bedroom, and began attacking him. They eventually forced Onoja to have sex with them as well.
It was gathered that he had sex with four of his wives in a row, but once the fifth wife approached to have sex with him, he stopped breathing and eventually died. 
The five wives who forced Onoja to have sex reportedly ran into the woods; so far two of the wives have been arrested and charged with murder and rape. 
Source: ThisDay News

Govt Admits Ownership of U.S.$9.3 Million Arms Money Seized By South Africa!

Following the seizure of an aircraft conveying the sum of $9.3m cash from Abuja, allegedly for arms purchase, by the South African authorities, information revealed that the Nigerian Government has opened talks withe the South African government.
Two Nigerians and an Israeli aboard the airplane were reportedly detained and are facing investigations for transporting the huge amount into South Africa.
News went round on Tuesday that the jet is owned by Ayo Oritsejafor, President  of the Christian Association of Nigeria, CAN.
However, Mr. Oritsejafor denied knowledge of the arms deal saying the aircraft was managed by another company, Eagle Air Company, which in turn, leased the jet to a third party, Green Coast Produce Limited. A claim two firms allegedly confirmed in separate statements.
Details of the transaction remained vague beyond the revelations that the sum was meant for the purchase of arms for an unnamed Nigerian security agency.
In what appeared the first official confirmation of the deal, security personnel were quoted Tuesday as confirming the order and saying it was a normal practice to procure arms with cash.
Also, the Federal Government has released data and documents on the transaction, telling the South African government the transaction was "legitimate", according to news source, an agency that regularly disseminates media statements for the Military, Police and other security agencies in Nigeria.
The report said talks between the two countries were at the governmental level and between the intelligence services of the two nations.
A senior government official as saying that the South African Government only faulted "non-declaration" of the cash by the delegation from Nigeria.
"Nigeria and South Africa are getting closer to diplomatic resolution of the row over the $9.3m transaction. The two nations have opened up discussions," the official said.
"The Federal Government has submitted relevant data and documents on the transaction to South Africa and insisted that the transaction was legitimate.
"It also clarified that the funds were not laundered or smuggled for any covert manoeuvres. No launderer will be audacious to fly into a country in a chartered jet with such a huge cash.
"The technical details on security matters, which necessitated the desk, had been availed South Africa for screening.
"Based on initial scrutiny of the documents, the Challenger Jet has been released pending the conclusion of a full-scale investigation by South Africa."
The source said South African authorities impounded the cash because of "procedural error".
"There was procedural error at the airport, the team did not declare the $9.3million contrary to the aviation and customs laws in South Africa," he said.
"So, there was an oversight on the part of the delegation that went to complete the transaction.
"Nigeria is trying to complete the formality and we are confident that the cash will be released for the purpose it was meant for.
"Movement of cash for strategic purchase of security equipment by intelligence service is not new; it is a global trend. The FBI, KGB, MOSSAD and others do it," the statement said.
Source: PRNigeria

UNHCR and Partners Seek U.S.$34 Million for Nigeria Refugees!

The United Nations refugee agency on Tuesday issued a joint call on donors for US$34 million to fund urgent operations to help tens of thousands of Nigerian refugees in Cameroon, Chad and Niger.
UNHCR and its 16 partners need the funding to provide protection and life-saving aid to the more than 75,000 people who have to date fled from the escalating violence in north-east Nigeria's Adamawa, Borno and Yobe states, and to help thousands more expected to arrive in Cameroon, Chad and Niger by year's end.
The Nigeria Refugee Response Plan, presented to donors today, covers the most immediate protection and assistance needs of up to 95,000 people fleeing Nigeria until the end of the year. Given the upsurge in violence, these numbers will probably need to be revised upwards.
UNHCR spokesman Babar Baloch told journalists in Geneva that more than 11,000 refugees crossed into Cameroon and Chad in August alone. Some 15,000 people have arrived in Niger's Diffa region since the beginning of August, many of whom have settled on the islands of Lake Chad.
Attacks in September in Borno and Adamawa have prompted new refugees to make for Cameroon and Niger. "In Cameroon, the newly arrived are occupying school buildings and churches; some are staying with host families and others are living in the open and sleeping rough. The high prevalence of respiratory infections among children is of great concern," Baloch said.
"Over the past weekend, newly arrived refugees told our teams at the border area that insurgents had attacked their villages in the areas of Gwoza, Bama, Pulka and Idagala in Borno state, and stole everything before burning their houses. Some refugees are seriously traumatized having seen their relatives being brutally killed," he added.
Refugees reportedly said that a group of 40 to 60 armed men arrived in their village on motorbikes, telling villagers to embrace a more radical Islam and join their ranks, threatening to kill them.
The refugees escaped their homes at night and walked for days before reaching the relative safety of Kolofata, Mora and Fotokol in Cameroon - a long journey for children who arrived exhausted and with wounded feet. Refugees said that villages were mostly empty on the Nigeria side, with only old and disabled people remaining.
Fearing more cross-border attacks in Cameroon, "We have started to transfer the newly arrived refugees to the refugee camp in Minawao, some 120 kilometres further inland. Since the last week of August, nearly 8,000 refugees have been transferred to the camp, which now hosts over 13,000 people," the UNHCR spokesman said.
However, the volatile security situation in Cameroon's Far North region seriously hampers these relocation efforts, and more than 13,000 refugees remain at the border with Nigeria. In total, Cameroon is hosting some 43,700 Nigerian refugees, according to authorities, including 26,753 refugees who have been registered by UNHCR. Dozens arrive on a daily basis.
In Niger, a growing number of people continue to arrive, with more than 70 per cent of them being women and children. An escalation of the violence in Nigeria and the threat on the outskirts of Maiduguri, the capital of Borno state, would lead to an even greater influx into neighbouring countries. Some Chadian nationals are also arriving, transiting through Niger to return to their country.
Baloch noted that the displaced were seeking accommodation in local villages and this put pressure on the host communities. "These communities are in areas experiencing chronic food insecurity, environmental problems and a general lack of basic services. Therefore, humanitarian efforts are focusing on strengthening local capacities and services, including health and education facilities, involving the host communities," he said.
Meanwhile, Baloch said that in a bid to better protect the nearly 650,000 internally displaced people in Nigeria's six north-eastern states, UNHCR was helping to set up a protection monitoring system that will allow the agency to identify and profile protection problems, followed by an adequate response.
UNHCR and its partners will also provide shelter assistance and domestic items to displaced people with special needs. UNHCR, as part of the UN relief effort, is appealing for an additional US$5.5 million for these activities in Nigeria.

Nigerian Military Sentences 12 Mutineers to Death!

The Nigerian military authorities have sentenced 12 soldiers to death by firing squad for attempting to kill their commanding officer during a mutiny in the country's northeastern region earlier this year.
Information made available by the Authorities say the men shot at Major-General Ahmed Mohammed's official car at a barracks in Maiduguri, an area where Boko Haram militants remain very active.
The court martial also found the soldiers guilty of insubordination and the use of abusive language, as well as obstructing the evacuation of dead colleagues who died in an ambush.
Nigeria's military, backed by warplanes, has been fighting to push back advances by Boko Haram. But troops have complained about what they say is a lack of equipment and support - an issue that reportedly angered the 12 soldiers.

67 South Africans Killed in Nigeria Building Collapse!

In a statement on Tuesday, South African President Jacob Zuma said sixty-seven South Africans reportedly died in the building collapse that occurred at the Synagogue Church of All Nations in Nigeria.
According to the report, scores sustained injuries when the multi-storey guesthouse belonging to the church collapsed on Friday.
"This is a particularly difficult time for South Africa. Not in the recent history of our country have we had this large number of our people die in one incident outside the country," said Zuma.
"Our thoughts are with the families, friends and colleagues that have lost their loved ones in this heart-breaking tragedy.
"The whole nation shares the pain of the mothers, fathers, daughters and sons who have lost their loved ones. We are all in grief," he said.
President Zuma said he had directed various government departments to ensure that relatives of the deceased were taken to Nigeria to identify their loved one's bodies.
Government wanted to ensure that the bodies were repatriated as soon as possible.
Zuma thanked the families of the deceased and the Nigerian government for their co-operation with the South African government.
He also extended his condolences to Nigeria and all other nations affected by this tragedy.
"May the souls of the departed compatriots rest in peace," he said.

U.S. Commits More Resources to Help West Africa Fight Ebola!

Remarks by the President on the Ebola outbreak at the Centers for Disease Control and Prevention in Atlanta, Georgia, as released by the Unites States Department of State (Washinton, DC).




The "daunting task" of containing Ebola can be accomplished, President Obama says. "We know that if we take the proper steps, we can save lives. But we have to act fast."
Speaking at the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta September 16, Obama said that responding to the Ebola epidemic in West Africa and the humanitarian crisis it has engendered is a top U.S. priority.
To contain and combat the epidemic, the United States is working with the United Nations and other international partners to help Guinea, Liberia, Sierra Leone, Nigeria and Senegal.
The U.S. strategy aims to accomplish four goals:
  •  Control the epidemic at its source in West Africa.
  •  Mitigate related economic, social and political effects in the region.
  •  Engage the world community in a coordinated response.
  •  Fortify global health security infrastructure in the region and beyond.
The United States is supporting a whole-of-government response to the epidemic, Obama said, noting the nation has committed more than $175 million to date to combat the current Ebola outbreak.
New resources announced by the president September 16 include the following:
  • A Joint Force Command headquartered in Monrovia, Liberia, to provide regional command-and-control support to U.S. military activities and coordinate U.S. government and international relief efforts.
  • Deployment of 65 U.S. Public Health Service commissioned officers to Liberia to manage and staff a previously announced Defense Department hospital to care for health care workers who become ill.
  • A community care campaign supported by the U.S. Agency for International Development (USAID) that will provide communities and households with protection kits, appropriate information and training on how to protect themselves and their loved ones.
The United States already has sent more than 100 specialists from multiple U.S. departments and agencies, including the departments of Defense, State and Health and Human Services; the CDC; and USAID.
Since March, the United States has spent more than $100 million to address Ebola, including the purchase of personal protective equipment, mobile labs and relief commodities, and support for community health workers.
USAID also has announced plans to make available up to $75 million in additional funding to increase the number of Ebola treatment units, provide more personal protective equipment, airlift additional medical and emergency supplies, and support other Ebola response activities in collaboration with the United Nations, including the World Health Organization, and international partners.
The United States is "prepared to take leadership on this to provide the kinds of capabilities that only America has," the president said, "and to mobilize the world in ways that only America can do."
Obama said he has requested that Congress authorize an additional $30 million to send more response workers from CDC, as well as lab supplies and equipment. His administration also is seeking an additional $58 million to support the development and manufacturing of Ebola therapeutic and vaccine candidates through the Biomedical Advanced Research and Development Authority.
In August, USAID deployed a Disaster Assistance Response Team (DART) to West Africa to coordinate and prioritize the U.S. government's response to the outbreak. The DART -- comprising staff from USAID, CDC, Defense and the U.S. Forest Service -- coordinates key areas of the response, such as planning, operations and logistics. It will be airlifting 130,000 sets of personal protective equipment to ensure health workers can safely do their jobs and is procuring generators to power Ebola treatment units and other response facilities.
The National Institutes of Health (NIH) recently started clinical trials of an investigational Ebola vaccine and continues to support development of additional Ebola antivirals and therapeutics.
USAID and the State Department are providing up to $10 million to support the deployment of an African Union mission sending more than 100 health care workers to the region. State has encouraged other governments to increase aid, coordinate delivery of critical resources and encourage airlines operating in the region to maintain or reinstate service while ensuring appropriate precautions.
The department also is supporting public education efforts in Liberia, Sierra Leone and Guinea on preventing and treating Ebola. In early September President Obama released a message to the people of West Africa to reinforce the facts and dispel myths surrounding Ebola.
The United States is continuing to work with nations around the world to support the Global Health Security Agenda (GHSA), launched in February. This five-year effort aims to speed up response to public health emergencies by establishing measurable global health security capacity.

The United States has committed to working with at least 30 partner countries to invest in model systems to advance the agenda, he said. Specifically, CDC and Defense will work with other U.S. agencies and partner countries to establish emergency operations centers, build information systems and strengthen laboratory security to mitigate biological threats and build partner capacity.