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Aid cuts and poor sanitation are deepening fears that Ebola is spreading through displacement camps.

Seventeen medics have died from Ebola in the Democratic Republic of the Congo (DRC) as the death toll surpasses 200 in an outbreak tearing through a health system already weakened by years of conflict, displacement and chronic underfunding.

A senior World Health Organization (WHO) official confirmed the death toll on Friday and said that 75 healthcare workers had contracted the virus since Congolese authorities declared the outbreak on May 15 .

“The outbreak remains serious” and is “evolving so fast”, said WHO emergency director Marie Roseline Belizaire.

“It is a really high price that the system, the healthcare system, is paying, because we don’t have enough of healthcare workers in DRC,” she told reporters by video link from the outbreak epicentre in eastern DRC.

Health officials believe the rare Bundibugyo strain of Ebola had been spreading for months before the government formally announced the outbreak, leaving doctors, nurses and other medical staff exposed before they knew the virus was present.

Even now, basic protective equipment remains in short supply, with some facilities struggling to secure gloves, masks and other essentials needed to limit infection.

The DRC has one of the world’s lowest ratios of healthcare workers to population, with about 11 health workers for every 10,000 people, according to WHO data. Belizaire said China and Uganda were sending medical teams to support the response.

She added that the WHO was providing psychological support to medics who feared treating patients after seeing colleagues fall sick.

“When they are explaining to you how they live it, how they were infected … [it] can break your heart.”

Outbreak yet to reach its peak

Congolese authorities said on Thursday that the outbreak has killed 232 people and infected 896 others across 31 health zones in the country.

African Union member states have pledged nearly $1bn to respond to the emergency in eastern DRC and neighbouring Uganda, which has confirmed 19 cases and two deaths.

Health officials warn that the outbreak has not yet reached its peak.

The crisis is also raising alarm in camps for displaced people, where overcrowding, poor sanitation and resistance to testing could allow the virus to spread undetected.

At least 30 people have died since early May in Kigonze camp in Bunia in Ituri province, the epicentre of the outbreak. Camp officials described the death rate as unprecedented.

Authorities could not confirm the causes of death because patients and relatives had refused testing of both the living and the dead until Thursday, according to a camp spokesperson and aid organisation Caritas.

But witnesses and aid sources told Reuters that the dead had symptoms linked to Ebola, including headaches, fever and vomiting.

“People didn’t just die like this before,” camp spokesperson Desire Grodya Bapi told Reuters.

Kigonze is home to more than 15,000 people. The rising number of deaths there has increased fears that Ebola may be spreading among the more than five million displaced people in eastern DRC.

Aid workers say funding cuts have made the emergency more dangerous. Donors, including the United States under President Donald Trump, have reduced support for water, hygiene, and sanitation programmes, which are vital in fighting the disease spread through bodily fluids.

UN data shows funding for toilets and handwashing stations in DRC more than halved between 2024 and 2025, falling to about $38m. This year’s $80m appeal is only 21 percent funded.

DRC has hundreds of displacement camps, some housing up to 100,000 people. Ebola deaths have already been recorded in another camp in Ituri province, which accounts for more than 90 percent of nearly 900 confirmed cases.

WHO chief, Tedros Adhanom Ghebreyesus, urged all countries to monitor passengers who were on the MV Hondius cruise ship.

The World Health Organization has urged countries to continue monitoring passengers for hantavirus after a case was detected among a Dutch crew member of the ship at the centre of the outbreak.

Tedros Adhanom Ghebreyesus, the WHO chief, told a news conference in Geneva on Friday that he urges all countries to monitor the passengers who were on board the MV Hondius cruise ship and “move carefully for the remainder of the quarantine period”.

Tedros said a Dutch crew member had tested positive and was now in isolation, taking the total positive cases to 12.

So far, three people have died due to the virus.

Tedros reiterated that no deaths have been reported since May 2, when the outbreak was first reported to the WHO.

“More than 600 contacts continue to be followed in 30 countries, and a small number of high-risk contacts are still being located,” he added.

Dutch authorities also confirmed that the infected crew member had been taken to hospital.

“The Andes virus has been detected in one person who was in quarantine in the Netherlands. The patient has since been admitted to the hospital as a precaution and is in isolation,” said the Dutch National Institute for Public Health and the Environment (RIVM).

“The RIVM understands that this news may raise questions or concerns. However, the chance of further spread in the Netherlands remains very small,” the statement said.

According to the RIVM, everyone who had evacuated from the Dutch-flagged ship to the Netherlands is tested every week, and two separate laboratories confirmed the positive test.

It added that the person who had tested positive had been isolating at home.

The initial cruise ship had departed on April 1 from Ushuaia, Argentina, before heading to Cape Verde and then Tenerife in Spain’s Canary Islands.

While the WHO is investigating how the virus got on board the ship, it is believed that the first person to contract it could have been exposed to rodents during a bird-watching expedition.

While rodents spread hantavirus, the Andes strain is the only known strain capable of spreading from human to human.