On 30th October 2020, an outbreak of a mysterious illness was reported from Idumesah ward, Ika North East LGA of Delta state, south south, Nigeria. Idumesah, Ute-Okpu and Owa Oyigbo wards are the most affected of the seven (7) wards in the LGA that have recorded cases. Date of onset of the first illness was 24th July, second reported case was 29th July and third was 23rd September, 2020.

The index case is a 16-year-old male who presented with fever, abdominal pains, jaundice, convulsions, and haematemesis. So far 48 suspected cases have been line listed with 30 deaths all in Ika North East LGA. Most of the suspected cases have been reporting with similar symptoms. Most of the suspected cases were within the 18 to 25 years bracket.