FT : Ebola outbreak becomes DR Congo’s deadliest World Health Organization warns

Ebola outbreak becomes DR Congo’s deadliest
World Health Organization warns country has entered ‘intense transmission’ phase of the virus

The Ebola epidemic in the Democratic Republic of Congo has become the deadliest in the country’s history, with the World Health Organization warning that it is in “a phase of intense transmission”.

The DR Congo National Institute of Public Health on Sunday confirmed the total fatalities from the outbreak, which started about six months ago, at 2,325. That is still far short of the epidemic from 2014 to 2016 in west Africa which killed 11,310 people.

The number of reported cases and deaths hit a record during the most recent reporting week, according to the WHO. “The broader geographic spread and continued high mortality demonstrate the rapidly changing scope of this public health emergency,” it said.

The confirmed number of Ebola infections reached 4,945 on Sunday, including 101 new cases in the previous 24 hours, according to DR Congo health authorities.

The true number of infections could be much higher. London health analytics company Airfinity estimates infections during this outbreak to be five times above the officially reported figures.

“The 2014-16 west Africa outbreak remains the only meaningful comparator for where this could go if the trajectory is not reversed within weeks,” Airfinity said on Monday.


The Ebola epidemic in the Democratic Republic of Congo has become the deadliest in the country’s history, with the World Health Organization warning that it is in “a phase of intense transmission”.

The DR Congo National Institute of Public Health on Sunday confirmed the total fatalities from the outbreak, which started about six months ago, at 2,325. That is still far short of the epidemic from 2014 to 2016 in west Africa which killed 11,310 people.

The number of reported cases and deaths hit a record during the most recent reporting week, according to the WHO. “The broader geographic spread and continued high mortality demonstrate the rapidly changing scope of this public health emergency,” it said.

The confirmed number of Ebola infections reached 4,945 on Sunday, including 101 new cases in the previous 24 hours, according to DR Congo health authorities.

The true number of infections could be much higher. London health analytics company Airfinity estimates infections during this outbreak to be five times above the officially reported figures.

“The 2014-16 west Africa outbreak remains the only meaningful comparator for where this could go if the trajectory is not reversed within weeks,” Airfinity said on Monday.


Speaking last week after a visit to DR Congo, WHO director-general Tedros Adhanom Ghebreyesus said: “The outbreak had a big head start, it is still way ahead of us, and we are playing catch-up.”

“There are chains of transmission we don’t know about, and until we know about — and break — every chain of transmission, we will not stop the outbreak,” said Tedros.

Manenji Mangundu, Oxfam’s country director in DR Congo, said that the collapse of sanitation and hygiene infrastructure was making it harder to contain the crisis, which had been deepened by conflict and aid cuts.

“Most deaths continue to occur within communities, which shows that too many cases still go undetected,” he said. “This is a disaster unfolding right before our eyes, and it is the result of political choices. We urgently need proper funding to be restored.”

The first two vaccines designed specifically to protect against Bundibugyo virus recently started phase 1 safety trials in human volunteers. Both are based on technology used first to develop Covid-19 vaccines.

One candidate was developed by Moderna, the US-based mRNA company. The other candidate comes from the University of Oxford. The Serum Institute of India (SII) has already manufactured 620,000 doses of the Oxford vaccine candidate for potential future use.

In addition, the WHO plans to start a trial of an existing vaccine made by the US company Merck to prevent the Zaire strain of Ebola to assess its effectiveness against Bundibugyo.

Although none of these vaccines can be deployed in the immediate future, an effective one would make a big difference, said Jean-Nicolas Armstrong Dangelser, a veteran of MSF campaigns against Ebola. In the 2018-2020 outbreak “being able to deploy vaccination campaigns and strategies changed the dynamic of our response,” he said.