Ebola virus (EBOV) has now started an epidemic in Nigeria. This was initiated by the Liberian man who flew into Lagos, collapsed at the airport, was hospitalised and died. Six secondary cases have been detected and one, a nurse who cared for the Liberian, has died. The West African Ebola epidemic is very serious. Not only is the virus still spreading in all 4 countries, but it will start to adapt to transmission in an urban environment. WHO reports a cumulative total of 1,172 cases with 932 deaths, a case fatality rate of 54%.