The Federal Government has begun plans to identify and equip Ebola treatment centres in states with designated ports of entry as the number of contacts linked to Nigeria’s confirmed case rises to 53.

The measures are part of efforts to strengthen the country’s preparedness against a possible spread of the disease, with health authorities assessing isolation capacity at the University of Abuja Teaching Hospital and planning an infection prevention and control assessment at Karu General Hospital in Abuja.

Also read: Nigeria restricts 46 Ebola contacts from flying

According to an Ebola situation report obtained on Sunday, the government is also working to establish referral arrangements for suspected cases, improve surveillance at international entry points and strengthen healthcare facilities’ ability to manage possible infections.

The development comes as the Nigeria Centre for Disease Control and Prevention (NCDC) introduced a weekly payment of ₦100,000 per person to support individuals placed in isolation or quarantine.

The NCDC Director-General, Dr Jide Idris, said the financial intervention followed complaints from contacts about the cost of feeding, accommodation and providing for their families while complying with public health monitoring requirements.

The situation report stated that the University of Abuja Teaching Hospital had undergone a needs assessment and optimisation to prepare it for isolation and treatment.

An infection prevention and control assessment is also planned for Karu General Hospital to determine its capacity to accommodate a possible increase in isolation requirements.

The government intends to identify and improve treatment facilities in states with designated ports of entry, ensuring that suspected cases detected outside the Federal Capital Territory can be referred promptly for appropriate care.

The report noted that referral arrangements would cover the movement of suspected cases from the point of detection to designated treatment centres.

The authorities are also strengthening infection prevention and control measures in healthcare facilities to minimise the risk of transmission to health workers, patients and others who may come into contact with suspected cases.

The planned measures include an infection prevention and control ring strategy designed to strengthen screening and isolation within designated areas.

The NCDC introduced the weekly payment after some contacts raised concerns about the financial difficulties associated with isolation and quarantine.

Idris explained that some individuals required assistance with feeding, accommodation and the cost of maintaining their families while under monitoring.

“We are paying for their accommodation; we are paying for their feeding. Some of them are asking for a stipend to maintain their families,” he said.

He added that the agency was providing ₦100,000 per person weekly to support their welfare during the period.

“This was not planned for, but it is an emergency. We will continue to review it as we go along,” Idris said.

The NCDC chief stressed that the responsibility for supporting contacts and managing public health emergencies should not rest solely with the FCT.

He urged state governments to make adequate financial and logistical provisions for contact tracing, isolation, surveillance and other emergency response activities.

“This is not the responsibility of the FCT alone. What we have to do for the FCT, we have to do for any other state, just in case,” he said.

The situation report stated that 53 contacts linked to the confirmed case had been identified, listed and categorised, with contact tracing and monitoring continuing.

The figure represents an increase from the initial 44 contacts announced after the case was reported in the FCT.

According to Idris, 44 of the 53 primary contacts were associated with the health facility where the patient received treatment. The remaining nine included household members and people who attended to her during an earlier visit to an emergency room.

Health officials are also identifying secondary contacts to determine whether any of the individuals already under monitoring may have exposed others.

Idris said the authorities would establish whom each contact had interacted with and monitor any additional people identified through the investigation.

The NCDC said contacts would be monitored daily, with anyone developing symptoms assessed promptly.

One contact who reported feeling unwell had tested negative, Idris disclosed, although surveillance and follow-up activities were continuing.

The agency has also revised its case definition for Ebola disease to help healthcare workers and surveillance teams identify suspected infections more effectively.

The criteria include people with sudden fever and specified symptoms who have relevant travel or epidemiological links, individuals with unexplained bleeding, and people who develop symptoms after contact with a confirmed or probable case.

Community members have also been urged to report unexplained deaths and symptoms suggestive of Ebola, particularly where possible exposure is involved.

The NCDC’s National Reference Laboratory and the African Centre of Excellence for Genomics of Infectious Diseases have completed genomic sequencing of the confirmed case, according to the situation report.

The next steps include sharing the sequencing report, continuing diagnostic testing and maintaining laboratory records.

The NCDC also plans to distribute additional laboratory reagents and supplies across the national laboratory network to support testing for Ebola virus disease.

The government is strengthening healthcare workers’ capacity through training and sensitisation, particularly in facilities that may be required to identify, stabilise or refer suspected cases.

Idris acknowledged that infection prevention and control expertise at state and local levels needed improvement, describing training as a key priority in preparing the country for infectious disease emergencies.

The report also stated that the national stockpile of personal protective equipment and other essential supplies had been increased.

An additional 500 donated laboratory testing kits had been incorporated into the stockpile, with more protective equipment and essential commodities expected to be positioned in high-risk states.

The government is expanding surveillance at airports and other ports of entry as part of efforts to detect potential infections early.

According to the report, Port Health Services had conducted an investigation with aviation stakeholders, while enhanced surveillance across all designated entry points would continue.

Authorities are also strengthening public communication and community engagement to address misinformation and encourage cooperation with contact-tracing teams.

The NCDC urged Nigerians to rely on official information, avoid spreading rumours and cooperate with public health officials.

The confirmed case involves a woman who travelled to Nigeria after visiting Uganda, following a trip to the Democratic Republic of the Congo.

According to information previously provided by health authorities, she developed symptoms on October 7, sought medical attention in Abuja on October 11 and tested positive for the Bundibugyo strain of Ebola virus on October 20.

The World Health Organisation has said investigations are continuing to establish the likely source of the infection.

Ebola can spread through direct contact with the blood, body fluids or tissues of infected people or animals, as well as contaminated materials.

Health authorities have therefore advised Nigerians to maintain good hand hygiene and avoid direct contact with the bodily fluids of anyone suspected of having the disease.

The NCDC also warned against stigmatising people placed under monitoring, stressing that their cooperation with public health authorities is essential to containing the outbreak.

Also read: Nigeria restricts 46 Ebola contacts from flying

The Federal Government said continued coordination among federal and state authorities, healthcare facilities and response partners would be crucial to identifying and managing suspected cases promptly.