DAKAR, Senegal — A university student infected with Ebola evaded health surveillance for weeks as he slipped into Senegal, carrying the deadly virus to a fifth West African nation showing how quarantines, border closures and flight bans have failed to contain the outbreak.
Now health officials must try to identify and monitor all of his contacts in Senegal's capital of Dakar — no small feat in a metropolitan area with more than 2 million people that serves as a major transportation hub and popular destination for European tourists.
The student from Guinea finally showed up at a hospital in Dakar on Tuesday, seeking treatment but concealing that he had been in contact with other Ebola victims, Health Minister Awa Marie Coll Seck said.
The next day, an epidemiological surveillance team in neighboring Guinea alerted Senegalese authorities that they had lost track of a person they were monitoring three weeks earlier, and that the person may have crossed into Senegal.
The student, who is in satisfactory condition, was tracked down in the Dakar hospital the next day and immediately quarantined, Seck said. Authorities also sent out a team to disinfect the home where he was staying.
Senegal is among the African nations banning flights from Guinea, Sierra Leone, Liberia and Nigeria, where the accelerating outbreak has killed more than 1,500 people. Senegal also has closed major border crossings, but West Africa's frontiers are so porous that it would be impossible to seal borders altogether.
Doctors Without Borders and other public health organizations say such measures hamper relief efforts and further stigmatize people from infected countries.
"The Senegal case is not unexpected; all countries in the region should be getting ready for a possible case of Ebola," said Peter Piot, a co-discoverer of Ebola who directs the London School of Hygiene and Tropical Medicine.
"I think it illustrates the ineffectiveness of closing borders and canceling flights. People will still find a way to get around," Piot said. Health officials instead call for checking travelers' symptoms at airports and land crossings.
More the 500 new cases were recorded this week, far outpacing the 400 cases from the week before, WHO announced Friday.