spreading

Nairobi, Kenya – The death toll from the latest Ebola outbreak in the Democratic Republic of Congo has surged above 1,309, an extraordinary rise of more than 40 percent in just five days, government figures show, as a leading public health consultant says the virus is “spreading like a wildfire”.

Updated data released by the government on Saturday showed that as of Thursday, the total number of confirmed cases, including deaths, had climbed to 2,973. This was a 27 percent rise from the figure last Saturday.

The unprecedented rate at which cases are increasing and deaths are mounting has made the DRC epidemic the fastest-spreading Ebola outbreak ever documented.

Compounding the danger, the virus spreading in the DRC is Bundibugyo, which is the rarest of the four variants of Ebola known to affect humans and currently has no approved vaccines or treatments.

Abdulsalami Nasidi, a public health consultant who helped establish the Africa Centres for Disease Control and Prevention (Africa CDC), the African Union’s public health agency, told Al Jazeera the lack of a proven vaccine meant the virus was “spreading like a wildfire.”

Nasidi said the epidemic was unfolding in an area of active hostilities, compounding the shortage of public health resources common to African governments confronting outbreaks.

Scientists are racing to find a way to slow the epidemic, and the University of Oxford’s Oxford Vaccine Group said a volunteer had received the first dose of a rapidly developed experimental vaccine on Friday.

“This is an important milestone for the trial, and marks the next phase in our multinational collaborative journey to develop a Bundibugyo ebolavirus vaccine,” said the Oxford team’s chief investigator, Katrina Pollock.

The largest and deadliest Ebola outbreak in history killed more than 11,000 people out of at least 28,000 cases between 2013 and 2016, primarily in West Africa across Guinea, Liberia and Sierra Leone.

That outbreak took about eight months to reach the first 1,000 deaths. The latest epidemic in the DRC has done so in less than 10 weeks.

“We must act now,” Africa CDC Director-General Jean Kaseya wrote in a post on X last week. “If we do not stop it today, this will become the worst outbreak the world has ever documented.”

Al Jazeera’s Alain Uaykani, reporting from the DRC city of Goma, said the government’s response had lacked coordination and urgency, leaving medical personnel overstretched and working in poor conditions.

He said the death toll among health workers continued to climb on Saturday, with a doctor and a health worker among the latest victims.

More than 100 health workers have been infected since the outbreak was declared in May, and around 35 have died, a toll compounded by shortages of protective equipment and, in some communities, hostility from residents who question whether the disease is real.

An increasing number of healthcare workers at several medical facilities in the northeastern province of Ituri, the epicentre of the outbreak, have gone on strike over unpaid wages and unsafe working conditions.

Last week, dozens of workers at Rwampara General Hospital near Bunia went on strike. The hospital operates a major Ebola treatment centre, parts of which were set ablaze in May by angry residents who also chased after health workers fleeing in trucks.

The latest strike began on Saturday at the Elikya Ebola Treatment Centre in the provincial capital of Bunia. Activities were largely paralysed as doctors, nurses and security staff stopped work.

Approximately 100 workers held a protest outside the centre, saying unpaid bonuses were undermining morale and disrupting patient care.

“We need to be paid, because in the meantime the disease is spreading at the treatment centre,” Martin Bolombi, one of the striking workers, told The Associated Press. “I’ve already had five people die who are still inside there. A solution must be found for us,”

WHO Director-General Tedros Adhanom Ghebreyesus has warned that the true number of cases could be more than double the official count, as insecurity continues to restrict access to affected communities.

Contact tracing now reaches roughly 80 percent of known contacts, he said, but response teams still cannot reach every village or deploy where they are needed most.

The United States and Canada have both restricted entry for travellers who have recently been in the DRC, measures that run counter to the WHO’s own guidance issued in May, when it declared the outbreak a global health emergency.

Tedros has called for a ceasefire in the conflict gripping eastern DRC, arguing that medical resources alone are not enough to tackle the crisis, and political action is needed to open up access for responders before the virus takes hold in provinces not yet affected.

July 21 (UPI) — Conditions from Tropical Storm Bertha will continue to spread into Wednesday across parts of the north Gulf Coast, the National Hurricane Center said. Tropical storm conditions are possible in Louisiana by late Wednesday.

The storm, which isn’t expected to become a hurricane before fizzling out, formed Monday night.

The epicenter of the storm was located about 120 miles west-southwest of Panama City, Fla., and 105 miles south-southeast of Mobile, Ala., the NHC said in its 7 p.m. CDT update. The storm was traveling west at 6 mph and had maximum sustained winds of 60 mph.

Winds must reach at least 74 mph for a storm to be considered a hurricane.

There was a tropical storm warning in effect from the Bay/Gulf County line in Florida west to Morgan City, La., metropolitan New Orleans and Lake Pontchartrain. A tropical storm watch was in place from Morgan City, La., west to Cameron, La., and Lake Maurepas. This marked no change from the 4 p.m. CDT update.

“Little change is strength is expected tonight, and gradual weakening is forecast Wednesday through Friday,” the NHC said.

Bertha is expected to produce total rainfall amounts of 2 to 4 inches with isolated higher totals through Thursday along the central Gulf Coast from western Florida into southern Louisiana. This could produce isolated flash flooding, especially in urban areas, the NHC said.

Surf conditions caused by Bertha will continue spreading west along the northern Gulf Coast, with swells likely to cause life-threatening surf and rip current conditions.

WASHINGTON — For Mary Fisher–mother, artist, philanthropist and HIV-positive woman–the moment is now.

She tries hard not to think about the future: her future, or the possibility that her children will face their future without her. When she feels the fear, it comes “in that reflective place you find yourself in at night, when you’re forced to find a quiet time,” she said.

“I allow my work and my children to fill my time, so I don’t have to think about those things on a daily or hourly basis,” she said. “I couldn’t get through the days if I did.”

Nor does Fisher dwell on her medical situation with her two young sons, who are now 6 and 4. Neither of them is infected with the human immunodeficiency virus, which causes AIDS.

“The best thing I can do for them is be with them, look them straight in the eye, answer their questions as best I can and be here, be involved in their lives as best I can,” she said. “They know I have a disease. I don’t know if they’re relating it to what their dad had–and I don’t know if I want them to relate to it, because I’m not sick.

“I don’t want to instill my fears–if I have them–in my children,” she added.

It has been nearly two years since Fisher, 45, seared the public consciousness with her speech before the Republican National Convention.

Standing before her fellow Republicans, she spoke in calm, gentle tones–but delivered a personal story that shocked the hall into silence.

“I think she reaches people that activists like myself can never reach, which is people who respond to maternal warmth and not to yelling,” said playwright Larry Kramer, a close friend of Fisher’s who is a founding member of ACT UP (AIDS Coalition to Unleash Power).

“That’s why she is as important as we are, maybe more so,” he said. “We’re a funny pair because she’s always saying to me: ‘Larry, I wish I had some of your anger.’ And I’m always saying to her: ‘Mary, I wish I had some of your compassion.’ I see her speeches on TV and say: ‘Mary, why don’t you get angrier?’ And she says: ‘Larry, I can’t.’ But I think she’s exceedingly effective being as she is, and I don’t want her to change a decibel.”

Fisher challenged the Republican Party to confront the AIDS epidemic with candor and compassion and to make the issue its own.

Since then, she has traveled the nation, speaking in churches, schools, prisons–wherever there is an audience that can learn from her message: If it can happen to me, it can happen to you.

In many quarters, “people perceive AIDS as a depressing subject and don’t want to take personal responsibility,” Fisher said from the home she now rents in a Maryland suburb outside Washington, where she moved her family from Boca Raton, Fla., last summer.

“They try to make me an exception,” she said. “I am not unusual. I am unusual only because I am speaking out. . . . The point is, there are a lot of me’s out there, women with small children who are (HIV) positive, women who are devastated, women who are scared to talk about it. I know, because they come to me when I am traveling. It’s truly amazing.”

In some ways, Fisher is wrong–she is unusual in the framework of the AIDS epidemic: She is wealthy — the daughter of longtime GOP fund-raiser and Detroit real estate mogul Max Fisher — and she works for herself at home (she creates art using handmade paper) so she has no “workplace problem” with AIDS.

And she has enough money to keep her children sheltered, although she has not isolated them.

Moreover, she is a longtime Republican with impeccable political credentials and connections.

Fisher includes former Presidents Gerald R. Ford and George Bush and their families among her closest friends. She once worked in the Ford White House, and photographs of Ford and her two sons, Max and Zachary, adorn her living room.

But AIDS is the great leveler, so she is also right–in many ways, she is no exception at all.

Fisher was infected by her former husband, Brian Campbell, who reportedly was at one time an intravenous drug user. He has since died of AIDS. Women infected through heterosexual contact have become a rapidly growing population.

Fisher said it took a long time for her to come to grips with her infection–and to speak about it.

“The discovery that we are HIV-positive tends to divide our lives into ‘before’ and ‘after,’ ” Fisher wrote in a newly published collection of her speeches, “Sleep with the Angels,” subtitled, “a mother challenges AIDS.”

The book, she says, “is not just about AIDS, it’s about children. It’s about religion. It’s about how we as a people deal with each other, and it’s about my life, my relationships with others and the unconditional love that’s out there.”

Kramer, who is quick to criticize others involved in AIDS activities, has only praise and affection for Fisher.

“It’s impossible not to like Mary because she is so caring and loving and motherly and interested, and because she puts her arms around you and gives you wonderful hugs,” he said.

Fisher learned in July, 1991, that she was infected, but she said it took six months before she was ready to tell her story publicly.

After she did, and after she spoke to the GOP convention, Bush appointed her to the now-defunct National Commission on AIDS, replacing Earvin (Magic) Johnson, the HIV-positive retired Los Angeles Lakers star who quit over what he said was an unresponsive Administration.

Fisher also founded the Family AIDS Network, a nonprofit organization dedicated to raising AIDS awareness nationwide.

The network, she says, plans to give “care-giver” awards this spring because “they are the people who take care of us. They are the people who do not leave this epidemic.” She also said she hopes that the organization can raise enough money for small AIDS research grants.

Currently, Fisher has no symptoms and takes no AIDS medication. “I feel really healthy, and am doing fine,” she said. “As far as I know, everything is good.”

Fisher said she intends to keep doing everything she is doing for as long as she can, speaking quietly and forcefully about the epidemic to whoever will listen.

“If we can create a dialogue and keep it going, I believe it’s the only way we can make a difference,” she said.

Uganda ⁠discharges last-remaining patient, as WHO says Ebola has ‘expanded faster than any previous outbreak’ in DRC.

The World Health Organization (WHO) has warned that Ebola is spreading in the Democratic Republic of Congo more quickly than in any previous outbreak.

WHO chief Tedros Adhanom Ghebreyesus told reporters on Thursday that the Ebola outbreak in the DRC in 2018-2020 “took more than 10 months to reach 2,000 confirmed cases”. But this time more than 2,000 cases were confirmed in only two months, including 796 deaths.

“It is now the third-largest Ebola outbreak on record,” Tedros said. “In the past month, it has expanded faster than any previous outbreak.”

The DRC reported 62 new cases on Thursday, increasing its total number of confirmed infections to 2,073, though the ⁠⁠WHO has said the ⁠⁠true tally could be at least double that.

The DRC’s 17th Ebola outbreak was declared on May 15 after several deaths in Ituri, the mineral-rich northeastern province patrolled by several armed groups.

Cases of Ebola, which spreads through close contact and infected bodily fluids, have so far been found in five DRC provinces and neighbouring Uganda, though the vast majority are in Ituri.

The WHO chief highlighted that over 80 percent of new cases were being detected “outside known contact lists, showing that transmission chains are still being missed”.

He added that 377 people have recovered from Ebola in the DRC, “showing that with early diagnosis and safe care, this disease can be survived and stopped”.

To compound problems in Ituri, healthcare workers began a strike and blocked the entrance to Bunia General Hospital on Wednesday. Staff said they had not received any compensation for their work since the outbreak began, despite working under extremely difficult conditions.

In Uganda, things were looking up as its last remaining Ebola patient was discharged on Thursday, starting a 42-day countdown after which it can ⁠⁠be declared Ebola-free, said the East African nation’s health ministry.

Uganda had 20 cases of the rare Bundibugyo strain of Ebola since mid-May. Fifteen were people infected in the DRC who then travelled to Uganda.

Unlike the surging number of infections in DRC, Uganda has not reported a new case since June 22 .

“Today, Uganda has discharged the last Ebola patient, a Congolese national who has successfully recovered and [is] ⁠⁠ready to be with his family,” Uganda’s health ministry posted on X.

“Uganda starts ‌‌counting down. If 42 days pass without a single new case, WHO guidelines stipulate ‌‌that we will be declared Ebola-free.”

Walkout over late payments comes as public health officials confirm that the virus has reached two more provinces.

Staff at a hospital treating Ebola patients in the Democratic Republic of the Congo (DRC) have gone on strike, alleging they have not been paid for months, bringing the facility to a standstill.

Dozens of employees at Rwampara General Hospital in Ituri province, the epicentre of the outbreak, walked off the job on Monday. The strike action came as authorities revealed that the virus has spread to two further provinces in northern DRC.

The striking workers included epidemiologists, case investigators, drivers and gravediggers.

“We don’t know how it is possible to not have been paid for two months,” Bahati Claude, a health worker at the centre, told The Associated Press.

The outbreak, concentrated in northern DRC, is the worst in Africa’s history and has already caused severe economic damage, pushing nearly one million people into poverty, according to the United Nations.

Efforts to hold back the spread of the virus have been complicated by the presence of paramilitary rebels, who control parts of the region in a bid to access its valuable mineral deposits.

The response to the outbreak has also been complicated by misinformation, deeply rooted burial practices and a lack of trust in health officials.

Health workers have been attacked by communities that believe the disease is a form of witchcraft, while bereaved families have ignored safety protocols by holding traditional burial ceremonies.

DRC’s National Public Health Institute confirmed on Sunday that the virus has spread to two new northeastern provinces: Haut-Uele and Tshopo.

The World Health Organization has warned that an accelerated response from local, national and international partners is urgently needed to bring the outbreak under control.

DRC Health Minister Roger Kamba said last week that the government was working to resolve the payroll issues and ensure employees were paid.

“We must ensure that these payments reach the right people,” Kamba said. “We have faced a few challenges, notably changes to the lists, which have led to complaints from people saying they are not being paid even though they are working. We have the means to sort this out.”

According to the latest figures, the number of Ebola cases in the DRC has risen to 1,926, with 702 deaths. The spread of the disease to Haut-Uele and Tshopo means five provinces now have confirmed Ebola cases.

The International Rescue Committee (IRC) has warned that the situation is worsening in areas already affected as transmission accelerates, while the risk of the disease spreading to neighbouring South Sudan is increasing as the outbreak expands into new areas.

Meanwhile, a second United States citizen infected with Ebola was admitted to a special isolation unit at Frankfurt University Hospital in Germany on Monday. Timo Wolf, head of the special isolation unit, said the patient’s condition was “currently stable”.

The man, who is in his 60s, was confirmed to have contracted the disease on Friday while working for a Christian aid group in the DRC.