Ebola in Ituri is doubling in some places. 1,801 people have died so far
WHO counted 3,973 confirmed cases in the Democratic Republic of the Congo to 4 August, across five provinces. Frontline health workers in the epicentre have walked out over pay.
Three months after the first alert, the Ebola outbreak in the north-east of the Democratic Republic of the Congo has become the largest ever recorded in the country. The World Health Organization’s figures for this outbreak stood at 3,973 confirmed cases and 1,801 deaths on 5 August, with data closed on the 4th.
It started in May in a single health zone, Mongbwalu, in Ituri. It has now reached five provinces and 49 health zones, adding North Kivu, South Kivu, Haut-Uélé and Tshopo. Ituri still accounts for almost all of it, with 3,460 cases and 1,464 deaths spread across 28 of its 36 health zones.
The virus involved is Bundibugyo, one of the Ebola species with no licensed vaccine and no specific treatment. Candidates are in trials. Nothing can be rolled out at scale today. That is why the WHO declared a public health emergency of international concern back on 17 May.
Why the response keeps falling behind
The WHO’s director-general travelled to Congo this week and put it bluntly: the outbreak is spreading faster than the effort to stop it. In some hotspots case numbers are doubling. Around 80 per cent of new patients are not being picked up through contact tracing, which means transmission is running well outside the teams’ line of sight.
Then there is something more mundane and just as decisive. In Ituri, many frontline workers have gone on strike over wages that only began arriving in the past few weeks, and they are still pushing for better pay. In a region already dealing with armed conflict and roads that barely function, every day without staff in the treatment centres has a body count.
When the outbreak passed a thousand cases in a month back in June, epidemiologists were already warning the curve was steepening. Two months on, the total has quadrupled.
Map: Profoss, after an original by NordNordWest / Wikimedia Commons (CC BY-SA 3.0)