Ameyo Adadevoh

How Ameyo Adadevoh Stopped the 2014 Ebola Virus Disease in Nigeria

When the swine flu spread to Lagos in 2012, Dr Adadevoh was the first doctor to diagnose and notify the Ministry of Health.

Ameyo Adadevoh was a great-great-great-granddaughter of Bishop Samuel Ajayi Crowther, a great-granddaughter of Herbert Macaulay, a grandniece of President Nnamdi Azikiwe, and a daughter of Professor Babatunde Kwaku Adadevoh (1933-1997), the fourth Vice-Chancellor of the University of Lagos.

In 2014, Adadevoh was the doctor in charge who oversaw the treatment of Patrick Sawyer, the Liberian national who brought the Ebola virus to Nigeria.

When she diagnosed his symptoms, Dr Adadevoh took action to stop the virus, thereby saving millions of Nigerians.

Who was Ameyo Adadevoh?

Ameyo Adadevoh was a descendant of the famous Bishop Samuel Ajayi Crowther and Herbert Olayinka Macaulay, the father of Nigerian nationalism. Tracing her lineage further up to Crowther, it is safe to assume that she was also descended from Alaafin Abiodun. The brave King of the Oyo Empire who saw to the end of Bashorun Gaa, the “wicked prime minister” of the old Oyo Empire.

Born Stella Shade Ameyo Adadevoh in Lagos on October 27, 1956, the physician was the daughter of Professor Babatunde Kwaku Adadevoh, an academic expert in chemical pathology and the vice-chancellor of the University of Lagos between 1978 and 1980. Ameyo Adadevoh lived most of her life in Lagos, where she spent the last 21 years of her life working at the First Consultant Hospital in Obalende, Lagos Island.

Ameyo-Adadevoh
Stella Shade Ameyo Adadevoh (1956-2014).

How did the Ebola Virus Disease start?

The Ebola Virus Disease (EVD) is a life-threatening disease with occasional outbreaks occurring primarily in Africa. The disease most commonly affects humans and non-human primates, like gorillas, monkeys, and chimpanzees. It is caused by infection with a group of viruses in the Ebolavirus genus.

The Ebola virus triggers a sudden, serious illness that is often fatal if untreated. It first appeared in 1976 in two parallel outbreaks, one in what is now Nzara, South Sudan, and the other in Yambuku, Democratic Republic of Congo, with the latter occurring in a village near the River Ebola, where the disease takes its name.

The Ebola outbreak in West Africa from 2014 through 2016 was the largest since it was first reported in 1976. The epidemic started in Guinea and then spread across borders to Sierra Leone and Liberia.

How the Ebola Virus Disease Got to Nigeria

On July 20, 2014, Patrick Sawyer left quarantine in Liberia and flew to Lagos, Nigeria, to attend a meeting of the Economic Community of West African States (ECOWAS). He collapsed at the Lagos airport and was taken to the First Consultants Medical Centre (FCMC), a private hospital where Dr Adadevoh worked.

Under normal circumstances, as an ECOWAS official, he was supposed to be taken to a government hospital, but the doctors at all the government-owned health facilities were on an indefinite industrial action, so he was taken to the FCMC.

The first FCMC doctor to see Mr Sawyer diagnosed him with malaria. However, when Dr Ameyo Adadevoh saw him in her ward the next day, she suspected Ebola despite the initial diagnosis of malaria and the fact that neither she nor any other doctor in Nigeria had ever diagnosed Ebola virus disease before.

ebola-virus-disease
More than 1,552 people across West and Central Africa died as a result of the deadly Ebola virus disease in 2014-2016.

Adadevoh asked Mr Sawyer if he had any contact with Ebola, which he denied. As a diligent clinician she was, she immediately contacted the Lagos State and the Federal Ministry of Health and had him checked for Ebola.

Adadevoh’s Heroic Acts

While awaiting the test results, the patient and other Liberian government officials began demanding that Adadevoh discharge Sawyer so that he could attend the ECOWAS meeting, but she declined vehemently.

They threatened to sue her for abduction and breach of his human rights (restraining him against his decision because she did not have a confirmed diagnosis), but she managed to resist their relentless pressure and said that “for the greater public good” Sawyer would not be released.

However, Adadevoh and her team did what they could with the limited resources and supplies they had in the hospital to treat Sawyer. His Ebola diagnosis was later confirmed, and he died at FCMC.

Adadevoh had strongly turned down a request by Sawyer’s employers to have him discharged from the hospital so that he could catch a flight to Calabar, a coastal city that is 750 kilometres from Lagos, where he had been due to attend a conference.

When the swine flu spread to Lagos in 2012, Ameyo Adadevoh was the first doctor to diagnose and notify the Ministry of Health. Two years later, in 2014, she was again the first doctor to recognise another infectious virus – Ebola.

Dr Adadevoh’s precise and timely diagnosis of Sawyer resulted in the Nigerian government mobilising the resources needed to deal with the outbreak of Ebola in record time.

ameyo-adadevoh
When the swine flu spread to Lagos in 2012, Ameyo Adadevoh was the first doctor to diagnose and notify the Ministry of Health. Two years later, in 2014, she was again the first doctor to recognise another infectious virus – Ebola.

Its efforts have led to a much more strategic control of the virus across the region, and the Nigerian government has been able to successfully monitor all potential connections from the patient index, Patrick Sawyer.

In all, there were 20 cases of Ebola. Eleven of them were health workers, of whom six survived while five succumbed to death, including Dr Ameyo Adadevoh.

Death and Legacy

For a long time, Ameyo Adadevoh’s noble and patriotic deeds will be remembered. She took it upon herself to help prevent the further spread of the virus in the country by reporting to the government. She put her foot down and stopped Sawyer from leaving the hospital when it was reported that he had Ebola.

Her sacrifice averted a national or even a global catastrophe, as the story would have been different if Sawyer had ended up in another hospital under the care of another doctor.

In her last hours, Ameyo Adadevoh received intravenous fluids and oxygen assistance and was closely monitored by physicians from the World Health Organisation (WHO). Eventually, she died of the virus on August 19, 2014. She was 57.

ameyo-adadevoh-posthumous
President Muhammadu Buhari presents a posthumous ECOWAS Award of Excellence to Mr. Bankole Cardoso, on behalf of his mother, the late Dr. Ameyo Adadevoh, June 29, 2019.

Ameyo Adadevoh was a member of the Nigerian Medical Association (NMA), Medical Women Association of Nigeria (MWAN), British-Nigerian Association, and National Postgraduate Medical College. She served as a non-executive Director of Learn Africa PLC and a writer for the first-ever “Ask the Doc” column in Today’s Women Magazine, among other accomplishments.

As of today, Dr Ameyo Adadevoh is a recipient of 19 awards and honours, albeit posthumously. She was survived by her husband, Afolabi Cardoso, and their only son, Bankole Cardoso.

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