分类： health

A new Ebola outbreak in the Democratic Republic of the Congo’s eastern Ituri Province has claimed at least 80 lives, pushing public health authorities into a race against time to scale up border screenings, contact tracing and outbreak containment measures as of Saturday, local officials confirmed.

Authorities first publicly declared the emergency on Friday, when they initially reported 65 fatalities and 246 suspected cases across affected areas of the province. As of Friday evening, Congolese Health Minister Samuel-Roger Kamba confirmed that eight cases had received positive laboratory confirmation, four of which have resulted in death. Genomic sequencing has identified the pathogen as the Bundibugyo strain, a less common Ebola variant that has not been the primary cause of past large-scale outbreaks in the country. This event marks the 17th Ebola outbreak the country has grappled with since the disease was first detected in Congolese territory in 1976.

Ebola is an extremely contagious viral pathogen that spreads through direct contact with infected bodily fluids including blood, vomit, and semen. While the disease is classified as rare, it causes severe, acute illness that carries a high fatality rate for most infected patients.

According to Minister Kamba, health investigators believe the suspected index case, or first patient to trigger the outbreak, was a nurse who died at a Bunia hospital three weeks prior, on April 24. Kamba noted the patient showed classic Ebola symptoms, though he did not confirm whether the nurse’s samples were tested for the virus.

Local residents in Bunia, the capital of Ituri Province, described a growing climate of fear to Associated Press journalists on the ground, as communities face repeated burials of suspected Ebola victims. “Every day, people are dying … and this has been going on for about a week. In a single day, we bury two, three, or even more people,” said Jean Marc Asimwe, a long-time Bunia resident. “At this point, we don’t really know what kind of disease it is,” Asimwe added.

The outbreak has already crossed Congo’s northern border, with Ugandan health authorities confirming an imported Ebola case from Congo on Friday. The infected patient died at Kampala’s Kibuli Muslim Hospital on May 14. The Uganda Ministry of Health later confirmed the patient’s remains were returned to Congo for burial, and no secondary locally transmitted cases have been detected in the country to date. As of Saturday, routine health screenings have been activated at the entrance of Kibuli Muslim Hospital to prevent further transmission.

The Africa Centres for Disease Control and Prevention has issued a statement warning of high risk of further cross-border spread, due to the close proximity of affected Congolese areas to both Uganda and South Sudan. Some regional neighbors have already activated emergency preparedness measures: Kenya, a neighbor of Uganda, announced Saturday that it assesses the current risk of Ebola importation as moderate, driven by frequent regional travel and cross-border movement. In response, the Kenyan government has convened a dedicated Ebola preparedness task force and boosted public health surveillance at all border entry points.

For many Ugandans, the new outbreak has stirred painful memories of past public health emergencies. “I really get scared because I remember burying my father without looking at his body during the COVID-19 pandemic,” said Kampala resident Ismail Kigongo.

While the DRC has decades of experience responding to and containing Ebola outbreaks, the response to this latest emergency faces steep structural challenges. The country is the second largest on the African continent by land area, with vast distances between provinces that are frequently disrupted by ongoing armed conflict. Ituri Province, where the outbreak is concentrated, sits roughly 1,000 kilometers (620 miles) from the national capital Kinshasa, and has been ravaged by years of violence from insurgents affiliated with the Islamic State group.

To date, the outbreak has been confirmed in three Ituri health zones: Bunia, Rwampara, and Mongwalu, with the bulk of cases concentrated in the latter two areas. The National Institute of Biomedical Research has only been able to process 13 blood samples from suspected cases, according to Kamba; eight returned positive for the Bundibugyo strain, while the remaining five could not be analyzed due to insufficient sample volume.

Despite the growing death toll, daily life in central Bunia remained largely unchanged as of Friday, with businesses open and public activity continuing as normal. Local resident Adeline Awekonimungu called on national authorities to prioritize a rapid, coordinated response. “My recommendation is that the government take this matter seriously and that it takes charge of the hospitals so that this matter can be brought under control,” she said.

Reporting for this article included contributions from Associated Press journalists Chinedu Asadu based in Abuja, Nigeria; Patrick Onen in Kampala, Uganda; and Evelyne Musambi in Nairobi, Kenya.

CAPE TOWN, South Africa – African public health authorities have confirmed a new Ebola outbreak in the Democratic Republic of the Congo’s northeastern Ituri province, reporting at least 246 suspected infections and 65 fatalities as authorities move to contain the spread of the highly lethal pathogen.

First identified nearly 50 years ago following two back-to-back outbreaks in what is now South Sudan and the Democratic Republic of Congo (then known as Zaire), Ebola has remained an endemic threat almost exclusively to sub-Saharan Africa, with all major recorded outbreaks concentrated in West and Central African regions, according to the World Health Organization (WHO).

The disease is triggered by a group of RNA viruses within the Filoviridae family, with three strains — Ebola virus, Sudan virus, and Bundibugyo virus — responsible for all large-scale public health emergencies in recorded history. Researchers trace the virus’s natural reservoir to fruit bat populations native to the African continent, though other wild animals including gorillas, chimpanzees, and monkeys can also carry and transmit the pathogen to humans. Human-to-human transmission occurs exclusively through direct contact with infected bodily fluids — such as blood, feces, or vomit — or contact with contaminated surfaces and materials, making frontline health workers particularly vulnerable to infection during outbreaks.

According to the U.S. Centers for Disease Control and Prevention (CDC), Ebola symptoms develop between two days and three weeks after initial exposure, with most patients showing signs of infection roughly one week after contact. Early infection presents with flu-like indicators including fever, muscle aches, general fatigue, and sore throat, progressing in severe cases to gastrointestinal distress, organ damage, skin rashes, seizures, and internal or external bleeding. WHO data puts the average Ebola fatality rate at around 50%, though historical outbreaks have recorded mortality rates ranging from 25% to as high as 90% depending on the viral strain and speed of public health response. While approved vaccines and targeted treatments exist for the Ebola virus strain, no comparable medical countermeasures are currently cleared for other pathogenic Ebola strains.

This new outbreak marks the latest in a long history of Ebola emergencies across Central Africa, with the most severe event on record occurring just over a decade ago between 2013 and 2016 across West Africa. That epidemic, which began when a young child in southeastern Guinea came into contact with infected fruit bats according to researcher estimates, spread across Guinea, Liberia, and Sierra Leone, causing more than 28,000 confirmed and suspected cases and over 11,000 deaths. A small number of secondary cases were also recorded in Europe and the United States, linked to returning travelers and healthcare workers who had responded to the outbreak.

The second-largest Ebola outbreak in history took place between 2018 and 2020, centered in Congo’s North Kivu, South Kivu, and Ituri provinces, with a small number of cases spreading across the border to Uganda. Caused by the Ebola virus strain, that outbreak recorded more than 3,400 cases and over 2,200 deaths, resulting in a 66% fatality rate per CDC data. Congo has recorded more than a dozen major Ebola outbreaks in modern history, including one as recent as late 2024.

A notable 2000-2001 outbreak in Uganda, caused by the Sudan virus strain, resulted in 425 reported cases and 224 deaths. Ugandan public health authorities were widely commended for their rapid, community-centered response, which included widespread public education on transmission risks and efforts to counter dangerous misinformation, limiting the outbreak’s geographic spread. The East African nation has also faced multiple smaller Ebola events in the decades since.

The first officially recognized Ebola outbreaks were recorded back in 1976, 48 years before the current event. The first, in what was then Sudan (now part of South Sudan), was traced to a cotton factory where workers came into contact with roosting bats, and was later identified as the Sudan virus strain. That initial outbreak caused 284 confirmed cases and at least 151 deaths, with many secondary infections among healthcare workers who treated patients before the unknown virus was identified. Just months later, a separate outbreak in a remote village near the Ebola River in northern Zaire (now the Democratic Republic of Congo) resulted in 280 deaths and an extremely high fatality rate, leading scientists to identify and name the Ebola virus. The first recorded Ebola infection outside Africa occurred the same year, when a British laboratory technician accidentally pricked himself with a contaminated needle while studying virus samples; he ultimately recovered. To date, only a tiny handful of Ebola cases have been recorded outside of the African continent.

Public health teams have not yet released additional details on the current outbreak’s genetic sequencing or ongoing containment efforts as of the initial announcement.

Africa’s leading regional public health authority has officially declared a new Ebola outbreak in the Democratic Republic of the Congo’s (DRC) northeastern Ituri province, triggering urgent coordinated response efforts across Central Africa amid alarming early mortality figures.

In a formal statement released Friday, the Africa Centres for Disease Control and Prevention (Africa CDC) announced that health workers have already documented 246 suspected cases and 65 fatalities linked to the outbreak across the affected region. To date, only four of the recorded deaths have received full laboratory confirmation, but public health officials formalized the outbreak declaration following a sustained surge in suspected infections.

The outbreak is concentrated in the remote, under-resourced Mongwalu and Rwampara health zones of Ituri, a province located more than 1,000 kilometers (620 miles) from the DRC’s capital, Kinshasa. Suspected cases have also been identified in Bunia, Ituri’s provincial capital, highlighting early signs of geographic spread. The region’s underdeveloped road infrastructure and remote location have long complicated large-scale public health responses, a challenge that looms large over current containment work.

Public health leaders have flagged multiple high-risk factors that could accelerate the virus’s spread beyond DRC’s borders. Most notably, the affected zones sit in close proximity to the national borders with Uganda and South Sudan, while frequent cross-border population movement, including migration linked to regional artisanal mining operations, creates constant transmission risk. Compounding this danger is the ongoing security crisis in Ituri, where violent attacks by armed groups over the past year have killed dozens of residents and displaced thousands, disrupting health care access and contact tracing efforts. Africa CDC also noted critical gaps in contact listing, a core process for identifying and isolating people exposed to the virus, as local teams work to scale up response operations.

Despite these challenges, urgent action to contain the outbreak is already underway. The Africa CDC has partnered with Congolese national health authorities and global public health partners to launch a rapid, coordinated response. On the same day the outbreak was confirmed, the agency convened an emergency high-level coordination meeting bringing together health officials from DRC, Uganda, and South Sudan, alongside representatives from United Nations agencies, international donor nations, and global health organizations. The meeting focused on aligning priorities for immediate intervention, strengthening cross-border surveillance and coordination, establishing protocols for safe, dignified burials (a key step to reducing transmission), and mobilizing critical financial and logistical resources for the response.

While safe, effective vaccines for Ebola do exist, response teams face significant logistical and financial barriers that mirror challenges from past outbreaks in the region. The DRC, Africa’s second-largest country by land area, has a long history of struggling to deploy rapid vaccine distributions due to poor infrastructure and vast distances between population centers. During a 2023 Ebola outbreak, for example, the World Health Organization required a full week to deliver vaccine doses after the outbreak was formally confirmed. Funding gaps have also plagued past responses, with public health officials raising alarms last year over the impact of United States funding cuts to outbreak response programs, even after the U.S. Agency for International Development contributed up to $11.5 million to support regional Ebola response efforts across Africa in 2021.

This new outbreak marks the 17th recorded Ebola event in the DRC since the virus was first discovered in the country in 1976. It comes just five months after the DRC declared its previous Ebola outbreak over in December 2023, which claimed 43 lives. The 2022 outbreak in the country’s Equateur province killed six people, while the devastating 2018–2020 outbreak in eastern DRC killed more than 1,000 people — the deadliest Ebola event on record since the 2014–2016 outbreak across Guinea, Sierra Leone, and Liberia that killed more than 11,000 people.

First identified near the Ebola River in what is now the DRC, the Ebola virus is highly contagious and can jump to human populations from wild animal hosts. Once introduced to human communities, it spreads through direct contact with contaminated bodily fluids including blood, vomit, and semen, as well as contact with surfaces and materials such as bedding and clothing that have been exposed to these fluids. Ebola causes severe, often fatal illness in humans, with common symptoms including fever, muscle pain, vomiting, diarrhea, and in advanced cases, internal and external bleeding. The first documented outbreaks occurred in remote Central African villages near tropical rainforests, where human contact with wild animal populations put communities at risk.

The Africa Centres for Disease Control and Prevention (CDC Africa) has publicly confirmed a new Ebola outbreak in the Democratic Republic of Congo’s northeastern Ituri Province, marking the 17th recorded occurrence of the deadly viral pathogen in the Central African nation since the virus was first discovered in 1976.

According to the regional health body’s official statement released Friday, the outbreak has so far been linked to 246 suspected cases and 65 confirmed deaths, with the vast majority of infections concentrated in two gold-mining communities: Mongwalu and Rwampara. Preliminary laboratory analysis conducted by the Institut National de Recherche Biomédicale (INRB) in DR Congo’s capital Kinshasa has returned positive Ebola results for 13 out of 20 tested samples, with just four of the total fatalities recorded among lab-confirmed cases. Health officials are also awaiting test results for additional suspected cases that have recently emerged in Bunia, Ituri’s provincial capital.

As of Friday afternoon, the Congolese national government had not yet issued an official declaration of the outbreak, with a senior government staffer confirming to the BBC that a formal press conference addressing the situation was scheduled for later the same day.

To contain the spread of the virus, CDC Africa announced it has convened an urgent coordination meeting with DR Congo’s national health authorities, alongside neighboring nations Uganda and South Sudan, and other global public health partners. The gathering will focus on aligning rapid response measures and strengthening cross-border disease surveillance, a critical step to prevent the outbreak from spilling into adjacent countries.

Ebola, which scientists believe originates in fruit bat populations, first emerged in what is now DR Congo in 1976. The virus spreads exclusively through direct contact with infected bodily fluids, and causes rapid onset of severe symptoms including fever, muscle aches, extreme fatigue, sore throat, and eventually progresses to widespread internal bleeding and organ failure. To date, no definitive cure for Ebola exists, though early supportive care significantly improves patient survival outcomes.

The current outbreak unfolds against a complex security backdrop in Ituri, which has been under direct military rule since 2021. The Congolese government imposed military governance on the region to counter a decades-long presence of dozens of armed insurgent groups, including the Islamic State-affiliated Allied Democratic Forces (ADF), which has carried out frequent attacks on civilian and government targets across the province for years. This security instability poses additional challenges to rapid deployment of public health response teams to affected communities.

DR Congo has a long history of Ebola outbreaks, with the country’s deadliest event on record occurring between 2018 and 2020, when the virus claimed nearly 2,300 lives. Just last year, an outbreak in the country’s central Kasai Province killed 45 people. Across all African nations, Ebola has killed approximately 50,000 people since it was first identified 50 years ago.

KINSHASA, Democratic Republic of the Congo — Africa’s leading public health authority, the Africa Centres for Disease Control and Prevention (Africa CDC), announced Friday the official confirmation of a fresh Ebola outbreak in the remote northeastern province of Ituri. As of the announcement, the emerging outbreak has recorded 246 suspected infections and 65 fatalities across affected areas.

Per the agency’s official statement, the vast majority of suspected cases and deaths have been concentrated in two local health zones: Mongwalu and Rwampara. Of the laboratory-confirmed cases identified to date, four have ended in death, while a small number of additional suspected cases detected in the regional city of Bunia are still awaiting confirmatory testing, Africa CDC added.

First identified in what is now the Democratic Republic of the Congo (DRC) in 1976, the Ebola virus is an extremely contagious pathogen that spreads through direct contact with infected bodily fluids including blood, vomit, and semen. While infections remain relatively rare, the disease it triggers causes severe, often life-threatening illness with a high fatality rate.

This latest public health emergency comes just five months after the DRC declared an end to its previous Ebola outbreak, which claimed 43 lives before being contained. Friday’s confirmation marks the 17th Ebola outbreak the country has faced since the virus was first discovered on its soil nearly five decades ago. The deadliest recent outbreak occurred between 2018 and 2020 in eastern DRC, killing more than 2,000 people.

Ituri, the epicenter of the new outbreak, is a remote region located more than 1,000 kilometers (620 miles) from the DRC’s capital Kinshasa, marked by underdeveloped, fragmented road infrastructure that complicates rapid response efforts. The challenge of containing the outbreak is compounded by long-running instability in eastern DRC, where the central government has battled multiple active armed insurgencies for years.

The M23 rebel group, which launched a large-scale offensive in early 2023, currently occupies key population centers in the region, while Ituri specifically faces ongoing attacks from the Allied Democratic Forces, a militant organization linked to the Islamic State that has killed dozens of civilians in recent months across the province.

As Africa’s second-largest country by land area, the DRC has long struggled with systemic logistical barriers to rapid disease outbreak response. During the 2023 Ebola outbreak, which spanned three months, the World Health Organization reported major early hurdles to rolling out vaccination campaigns, hobbled by limited access to affected communities and critical funding shortages.

Public health experts warn that the combination of poor infrastructure, ongoing conflict, and historical response gaps create significant risks that this new Ebola outbreak could spread faster than response teams can contain it, placing added strain on the already overstretched local health system.