These are the questions I expect Parliament to ask.
1. How did screening fail at JKIA?
2. Why did the family not inform the authorities?
3. How can we improve our processes?
4. Funding for KEMRI’s Centre for Virus Research (CVR).
I was an ebola responder in Sierra Leone in 2014.
These are my thoughts regarding today's ministry of health announcement.
First, the announcement should be treated with utmost seriousness, and the government should assess thoroughly, contacts, community level risk etc.
(I wrote something about community level risk on this shared post below).
Still I have a few questions
First of all, a single case of ebola in a country is regarded as a disease outbreak of national importance. Why hasn't WHO issued any statement on this outbreak.
Two, when did the doctor at Nairobi Hospital order for a haemorrhagic disease test and when did the diagnosis come through. When did the government know that the patient had Ebola, and why were they not removed from Nairobi Hospital and sent to the isolation centre as the protocol would require. The response for outbreaks like ebola is a public health response and only the government has the responsibility to isolate and treat.
Three, Are there no screening facilities at the airport? The government is talking about preparedness, why was this not caught at the point of entry. A patient travelling from an Ebola zone and arrives with fevers, chills etc ...what are the port of entry protocols. I remember my entry in 2014 October from Sierra Leone, perfectly healthy, the entry process was so rigorous which ended with the MoH isolating me for 21 days. Why was this not picked up? What is this animal that the government calls preparedness if they failed to catch this at the point of entry.
Kenyans, take this matter with utmost seriousness. Our public health system has never dealt with anything like ebola.
Trust me on this one. If we have had community level infection out of this.... We are in for tough times. The chain works like this.
Infected Patient is in hospital.
2 to 3 Nurses take care of him, a cleaner and kitchen porter every single day.
The 5 people travel home in a matatu, everyone is exposed.
They get home three of them have kids and family ( exposure increases)
Kids play with other kids ( more contact) and they go to school ( further contact).
Those hospital workers go back to work the next day, public. Transport exposure, interact and share facilities with other staff, before end of day two...the chain reaction of contact persons is significant....
And there is always the gap between patient admission in hospital, first responders, before the doctor comes in to see the patient, order for tests, etc.... normally, the risk is here because normal IPC procedures are used, and these are nowhere near what is needed to respond to Ebola.
No kubaya.
Also on another note tusisahau 2 weeks ago G20 mobilised close to USD 3 billion to respond to Ebola. With all the seriousness it deserves, I still smell sharp boys.