The number of Ebola cases in Nigeria rose to 18 after a fourth case surfaced in Port Harcourt, the capital city of Rivers State, Minister for Health, Onyebuchi Chukwu, said on Wednesday.

The virus, which has killed over 2000 people since it’s outbreak early this year, enter Nigeria  on July 20 when Patrick Sawyer, a Liberian-American, with the disease collapsed at Lagos airport.

Sawyer spread the virus to the hospital staff who treated him.

A man who had travelled with him then skipped quarantine and travelled to Port Harcourt, bringing the disease there. A doctor died in the oil city last week. Health Minister Onyebuchi Chukwu said a patient he had treated had also now died.

A total of 255 people were under surveillance in Port Harcourt, while 41 were in Lagos.

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