Nigeria's Ebola Emergency Operations Center
After an infected traveler reached Lagos in July 2014, Nigeria joined federal and state authority, polio-program staff, field epidemiologists, laboratories, clinicians, contact tracers, and international partners in one incident-management system. The system shortened coordination and feedback paths, but it operated only because clinicians acted before it existed, workers accepted grave risk, contacts submitted to intrusive monitoring, and communities negotiated fear, stigma, privacy, and quarantine.
How can an emergency organization turn incomplete reports into coordinated action quickly enough to interrupt transmission without losing trust, worker safety, privacy, or correction?