Ebola-free: What Nigeria did right

Preparing early. Nigeria knew it was possible a case of Ebola would make it into the country, so officials got to work early by training health care workers on how to manage the disease, and disseminating information so the country knew what to expect.

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Declaring an emergency—right away. When Nigeria had its first confirmed case of Ebola, the government declared a national public health emergency immediately. This allowed the Ministry of Health to form its Ebola Emergency Operations Center (EOC). The EOC is an assembly of public health experts within Nigeria as well as the WHO, Centers for Disease Control (CDC), and groups like Doctors Without Borders. “[We] used a war-room approach to coordinate the outbreak response,” Shuaib said. “So you have a situation whereby government and staff of international development agencies are co-located in a designated facility where they are able to agree on strategies, develop one plan and implement this plan together.”

The EOC was in charge of contact tracing (the process of identifying and monitoring people who may have had direct or indirect contact with Ebola patients), implementing strict procedures for handling and treating patients, screening all individuals arriving or departing the country by land, air and sea, and communicating with the community. Some workers went door-to-door to offer Ebola-related education, and others involved religious and professional leaders. Social media was a central part of the education response.

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