Ebola

Burning of a Ebola-hit transit camp sends 19,000 fleeing, illustrating the difficulties of controlling epidemic.

The Democratic Republic of Congo’s Ebola outbreak has now killed more than 4,000 people, according to government data, making it the worst epidemic in the country’s history.

Figures released on Friday showed that the death toll has risen to 4,018, and confirmed cases had ⁠reached 8,300 across seven provinces, as the government continues to struggle to contain the outbreak.

Weak infrastructure, the remoteness of the region in eastern DRC, and ongoing conflict with armed groups near the borders with South Sudan, Uganda, and Rwanda have hindered efforts to respond to cases quickly and effectively.

The United Nations reported on Friday that an Ebola-hit camp housing a transit centre for infected patients was burned by soldiers earlier this week as they were looking for weapons on the outskirts of Bunia, capital city of Ituri Province, which is at the epicentre of the outbreak.

The incident forced 19,000 people to flee the camp.

“The enormous challenge of halting the spread of Ebola in the Democratic Republic of the Congo (DRC) just became even harder after a key transit centre for patients requiring treatment burned down in Ituri province,” the UN said.

People’s mistrust and anger towards health workers and authorities have also contributed to the obstacles the government faces in its efforts to contain the outbreak.

A senior ‌member of DRC’s governing Union for Democracy and Social Progress (UDPS) party was beaten to death days ago after taking part ⁠in a radio programme to raise awareness about the epidemic.

The attack on Marie-Celestin Karondwa, a local official with UDPS, took place last Sunday at his home in Butembo, an Ebola hotspot in the eastern North Kivu province. His house was set on fire afterwards, and he died at hospital from his injuries.

The World Health Organization has warned that the epidemic is “far from over” and on track to surpass the regional 2014-2016 West Africa Ebola outbreak, which killed more than 11,000 people, primarily in Guinea, Liberia, and Sierra Leone.

Caused by the Bundibugyo strain of Ebola, the current epidemic became the largest and deadliest in the DRC after surpassing the 2018-2020 epidemic.

Several treatments and vaccines are being trialled against Bundibugyo, but currently, there is no approved vaccine or treatment.

The current outbreak, which is the DRC’s 17th, has spread rapidly since it was officially declared on May 15.

More than ⁠2,000 patients have recovered from the Ebola epidemic so far. The Africa Centres for Disease Control and Prevention said in its latest news conference that the number of confirmed cases is falling, although that could be attributed to insecurity and challenges in getting communities to cooperate in some of the hotspots.

Fatalities reached 3,901 across the DRC as health workers battle community anger and a vaccine-resistant strain.

The Democratic Republic of the Congo (DRC) has recorded over 8,000 cases of Ebola, including almost 4,000 deaths, amid the worst outbreak in the country’s history, according to government data.

The latest report, published on Monday by the DRC’s public health institute, put the number of cases at 8,067 ⁠⁠and deaths at ⁠⁠3,901, representing a fatality rate of 48.4 percent.

People’s mistrust and anger towards government policies have become a major obstacle in limiting the outbreak since it was officially declared on May 15. A senior ‌‌member of the ruling UDPS party was beaten to death after raising awareness about the epidemic on radio, a party representative said on Monday. The ⁠⁠killing happened on Sunday in Butembo in North Kivu province, which has become a hotspot in the ongoing Ebola outbreak.

The number of cases has levelled off after a rapid increase, according to the African Union’s health agency, Africa CDC, though it still considers the outbreak “not under control”.

Several treatments and vaccines are being trialled against the Bundibugyo strain of the Ebola virus, for which there is no approved vaccine or treatment.

The current outbreak, which is the DRC’s 17th, has spread rapidly. Experts say that weak health infrastructure, the region’s remoteness and ongoing conflict near the DRC’s borders with South Sudan, Uganda and Rwanda have damaged efforts to respond to cases quickly and effectively.

Those issues have also hindered the government’s efforts to fight the outbreak, increasing public mistrust and anger towards its suggested prevention measures.

Marie-Celestin ⁠⁠Karondwa, acting president of the UDPS party’s federal executive committee in Butembo, was attacked by local residents after appearing on a radio show where he discussed Ebola prevention measures, according to the Congolese health authorities.

In their latest case report, authorities highlighted a “low capacity” to treat cases at health centres in Ituri province and described a “complete shortage” of stocks of an experimental vaccine against the Bundibugyo strain in the northeastern province of Tshopo, where cases have been recorded.

The World Health Organization has said the outbreak is “far from over” and on track to surpass the regional 2014-2016 West Africa Ebola outbreak. It killed more than 11,000 people, primarily in Guinea, Liberia and Sierra Leone.

The United States announced last week that it was releasing a further $267 million to help fight Ebola. It is hoping for pledges from other countries to meet a target of $2 billion to fight the disease, mainly found in the DRC.

Health workers struggle as new Ebola cases are found in border regions of South Ubangi and Haut-Uele.

The Ebola virus caused by the Bundibugyo strain has spread to two new health zones in the Democratic Republic of the Congo, according to the World Health Organization (WHO).

New cases were found in Bulu in South Ubangi governorate on the border with the Central African Republic and Dungu in Haut-Uele province on the border with South Sudan, the WHO said on Friday.

The additional cases bring the number of health zones affected to 63 across seven provinces as authorities struggle to control the outbreak.

As of September 23, the Democratic Republic of the Congo, or DRC, has reported 7,890 confirmed cases and 3,799 deaths, according to the WHO. That means that almost half the people who contracted the infection have died.

WHO Director-General Tedros Adhanom Ghebreyesus said conflict and population displacement were making it more difficult for health workers to reach ‌‌affected communities and trace people who may have been exposed to the virus.

“It’s very difficult to see Ebola in isolation because even our response to Ebola is affected by the conflict, because there is displacement and there is an access problem to some areas,” Tedros said.

The Bundibugyo strain is difficult to treat because there are no approved vaccines, Tedros said, adding that the WHO is accelerating clinical trials of vaccines and treatments.

Contact tracing falling short

Meanwhile, health workers looking for people who may have been exposed to the Bundibugyo strain are falling short of their targets.

According to Dr Jean Kaseya, the director-general of the Africa Centres for Disease Control and Prevention (Africa CDC), the more than 7,000 confirmed cases should translate to about 420,000 contacts.

“But currently, we have just 30,000 people in the contact list,” Kaseya said.

“When the outbreak is at community level, we cannot talk about control,” he added.

Ituri province in northeastern DRC continues to be the epicentre of the outbreak, accounting for 6,032 confirmed cases since the start of the epidemic in May, including 868 new confirmed cases reported in the last 21 days.

North Kivu is the second most affected province, with 1,480 new cases, including 567 reported in the last 21 days. The province now accounts for around a third of newly confirmed cases and deaths, the WHO said in a report on Sunday.

Nearly 60 percent of people diagnosed in North Kivu died, significantly higher than the national average of 48 percent, the data show.

Medical staff say patients are avoiding health facilities until it is too late.

“Patients think that if they arrive at the hospital, they will be immediately sent to the treatment centre to die,” said Dr Michel Paluku Mukuloli, who works at a hospital in North Kivu’s Butembo.

That complicates efforts to identify cases and start treatment before the disease reaches its most dangerous stages.

North Kivu was the epicentre of three previous Ebola outbreaks, including one in 2018-2020, which until this year was the DRC’s largest and deadliest. Those outbreaks, however, were caused by a different type of Ebola virus, known as the Zaire strain.

Much less is known about the Bundibugyo strain. But responders say in the early stages of infection, patients often experience milder symptoms easily mistaken for more common diseases such as malaria and typhoid fever.

50,000 frontline staff to receive a jab for a different Ebola strain, with 20,000 enrolled in a one-year clinical trial.

Health workers in parts of the Democratic Republic of the Congo (DRC) have begun to receive a vaccine that many hope will provide a level of protection against the Ebola virus.

The vaccine rollout started on Saturday in Bunia, the capital of Ituri province in the northeastern DRC. Ituri is the epicentre of the fastest-growing outbreak of Ebola in history.

The provincial governor, Major-General Gaby Kasongo Mulumba, said health workers there “are particularly exposed and deeply involved in the response”.

The operation, backed by the World Health Organization and Doctors Without Borders, known by its French initials MSF, will also target North Kivu, where cases have been rising sharply, health authorities said.

Some 50,000 health and other frontline workers will be injected with the Ervebo vaccine, which was developed for use against the more common Zaire strain.

Its effectiveness against the current Ebola strain caused by the Bundibugyo virus will be monitored in 20,000 recipients for up to one year.

Clinical trials are ongoing to find a licensed vaccine for the latest outbreak, which has no licensed vaccine or proven treatment.

“We don’t know to what degree it might be effective against the Bundibugyo strain,” Steve Ahuka, a Congolese official who is part of the health task force against the Ebola outbreak, said.

Dr Jeannot Elua said at a health facility in Bunia the vaccine was “beneficial”.

“We healthcare workers don’t really have a choice. We are going to receive it,” he told the Associated Press news agency. “Some people here had already received the previous vaccine. I received it myself, because it was mandatory.”

WHO experts have said that early data on the Ervebo vaccine, notably from animal trials, suggested it could offer some protection in the current outbreak.

The virus has killed at least 3,639 and infected some 7,541 people since May. Some 1,823 people have recovered, according to the latest figures from local authorities.

The WHO said in August that 70,000 doses of Ervebo were approved for use in the DRC.

The vaccine is being used under a compassionate-use programme, which allows a medical product to be used in a serious disease situation even though it has not been specifically approved for that particular use.

While WHO officials have cited “encouraging signs” that transmission may be slowing, MSF warned on Friday that there is no clear evidence the epidemic is coming under control.

DAKAR: Health officials battling the Ebola outbreak in eastern Democratic Republic of Congo are using anonymised mobile-phone ​data to map population movements and identify areas where the virus could spread next, according to the World Health Organization and researchers working with it. 

The approach, which has not been used before in an Ebola response, comes as authorities struggle to contain what the WHO has described as the fastest-growing Ebola outbreak on record. Cases have been confirmed in six provinces, with more than 6,250 people infected and 3,039 killed since the outbreak was declared on May 15, according to the latest government data. 

The outbreak, Congo’s 17th, is caused by the Bundibugyo species of Ebola, for which there are no approved vaccines or treatments. 

As the virus spreads, health officials are looking for ways to anticipate where cases could emerge next and direct limited surveillance and response resources. 

“Population movements have always been a factor in outbreaks, but they are particularly important in the ‌current epidemic,” said Olivier ‌Le Polain, head of epidemiology and analytics for response at the WHO Health Emergencies Programme. 

Traditional ​risk ‌assessments focus ⁠on outbreak ​hotspots ⁠and assume the virus is most likely to spread to surrounding areas.Analizing mobility data allows responders to identify risks in places that may be geographically distant but closely connectedthrough travel patterns. 

“It gives us a more nuanced understanding of risk,” Le Polainsaid, citing the example of Ituri province, in the northeast, where the virus is believed to have started circulating. 

“There are very significant population movements in Ituri linked to mining activities and trade. Understanding those movements is crucial to understanding how the outbreak spreads.” 

The analysis is produced by Swedish non-profit Flowminder, using anonymised records generated when mobile phone users connect to telecommunications networks. As people move around the country, their phones connect to different antennas on the network, generating records that show where those connections took place. Researchers use ⁠those records to estimate how people travel between different areas. 

The data is provided free of charge by ‌Vodacom, Congo’s largest operator. Vodacom did not respond to a request for comment. 

Flowminder says it ‌receives aggregated and anonymised records and does not have access to information identifying individual subscribers. 

“We seek ​to provide estimates of how people move, which in turn is ‌a predictor of how infectious people move,” Flowminderfounder Linus Bengtsson said. 

Flowminder’s first analysis, published in early June, focused on the three ‌areas where the outbreak is believed to have started: Bunia, Mongbwalu and Rwampara. Researchers tracked where people who had spent time in those areas between April 3 and April 23 later traveled. 

The largest flows were to nearby areas in Ituri province and North Kivu province. By the end of June, all 10 of the destinations receiving the largest flows of travelers from the original outbreak areas had reported confirmed Ebola cases. 

DRC detected the outbreak of the rare Bundibugyo virus in mid-May; nearly 3,400 people have since died.

More than 7,000 Ebola cases have been recorded in the Democratic Republic of the Congo’s (DRC) worst outbreak of the deadly disease, according to figures from Congolese authorities.

The DRC officially detected the latest outbreak in mid-May, but experts suspect it had been spreading under the radar for weeks before.

Of the 7,022 registered cases, 3,398 people have died, according to DRC authorities. Currently, 837 people are in isolation or receiving treatment.

The outbreak of the rare Bundibugyo virus, DRC’s 17th Ebola epidemic, began in the northeastern Ituri province.

It has since spread across conflict-plagued, remote eastern and northern regions where armed groups have roamed for decades, the presence of the state is weak and health infrastructure is largely lacking.

Earlier this week, one case of the disease was confirmed in a seventh province, South-Ubangi, which is in the northwest of the country bordering the Central African Republic and Congo-Brazzaville.

Most of the recorded cases remain in Ituri, where Ebola has been detected in schools in the days after the post-summer holiday return to classes, causing alarm among parents and health workers.

“We are very worried because we don’t know which child comes from which family or what the health status of the members of that family is,” Angele Magani, a mother of a schoolboy in Bunia, Ituri’s provincial capital, told the AFP news agency.

“We are so scared, even though the school authorities reassure us about the health measures that have been put in place,” she added.

Bunia school official Roger Mungimbo told AFP that “there is a mandatory hand-washing system with soap, and we have also done everything possible to have a maximum of 30 pupils per classroom”.

“We regularly make the children aware that they must not touch each other, must not greet each other and must wash their hands regularly,” he added.

Ebola, which has killed more than 15,000 people in Africa over the last 50 years, is transmitted through contact with bodily fluids and can cause severe internal and external bleeding and organ failure.

The world’s deadliest outbreak in West Africa in 2014-2016 was the Zaire Ebola virus. That epidemic killed more than 11,325 people, mainly in Guinea, Liberia and Sierra Leone.

The Bundibugyo strain currently seen in DRC has no approved vaccine or treatment currently, although several potential treatments and vaccines are being tested.