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Ebola Is Spreading in Congo — and the Virus Is Winning

Elena MarquezPublished 4d ago4 min readBased on 8 sources
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Ebola Is Spreading in Congo — and the Virus Is Winning
Photo by GeorgeLouis / CC BY-SA 3.0

The World Health Organization (WHO) has warned that the latest Ebola outbreak in the Democratic Republic of Congo (DRC) started spreading at least three months before it was officially declared on 15 May 2026. Research cited by WHO showed the virus began circulating in February but was initially mistaken for malaria or typhoid — two common diseases in the region that cause similar fevers. By the time the outbreak was declared, the virus had already spread deeply through communities in the country's east, an area long affected by violence and instability. BBC News

As of 7 August 2026, DR Congo's health ministry recorded 4,294 confirmed Ebola cases and 1,960 deaths, making this the second-worst Ebola outbreak ever recorded. BBC News WHO's own data shows the numbers climbing fast: 3,605 confirmed cases and 1,587 deaths as of 30 July, rising to 3,973 cases, 1,801 deaths, and 776 recoveries across 51 health zones in five provinces by 4 August. WHO About 44% of people who caught the virus in this outbreak have died from it. WHO DON The deadliest Ebola outbreak on record hit West Africa between 2014 and 2016 and killed 11,325 people. BBC News

This outbreak involves a type of Ebola called Bundibugyo, and there is no approved vaccine or drug to treat it. That is a major difference from the 2014–2016 West African outbreak, which was caused by a different type called Zaire — for that type, a vaccine existed and was used widely. Without a vaccine, the response depends on finding cases quickly, isolating sick people, providing basic medical care, and working with communities to stop the spread. These are the same basic steps that were hard to carry out in eastern DRC even when a vaccine was available during the 2018–2020 outbreak.

WHO Africa director Dr Mohamed Janabi was blunt about the situation. Speaking at a news conference in Bunia, he said: "We are chasing the virus, the virus is ahead of us." BBC News He reported that health workers are reaching only about 30% of cases. The rest are dying at home, unreported to health facilities and outside the formal response system. BBC News WHO raised the outbreak's national risk level to "very high" on 22 May 2026, when there were 177 suspected deaths and nearly 750 suspected cases. Reuters On 6 August, WHO warned that the outbreak is overwhelming the region's ability to respond. Reuters Connect

Two things have made the response even harder. First, traditional burial practices in some communities involve touching the body of the person who died, which creates a high risk of spreading the virus. Interrupting these practices without alienating communities is difficult. Second, suspicion of health authorities in some areas has weakened the trust needed for people to report cases, trace contacts, and follow safe burial protocols. BBC News On 6 August, Africa CDC and WHO jointly called for urgent, community-led action, signalling that clinical interventions from the top down are not enough on their own. WHO The outbreak was also confirmed to have crossed into Uganda in May 2026, raising concerns about spread to neighbouring countries. WHO

There are some signs of progress. Several dedicated Ebola treatment centres have been set up in eastern DRC, and the time it takes to diagnose cases has shortened, meaning cases are being identified more quickly than in the early weeks. BBC News

The broader context here is simple but sobering. Faster diagnosis alone cannot fix the core problem: if 70% of cases remain outside the health system, the virus keeps spreading without being detected.

The three-month delay between the virus starting to spread in February and the outbreak being declared in May is the defining failure of this episode. The early misdiagnosis as malaria and typhoid was not a one-off mistake. Ebola is hard to tell apart from those diseases in its early stages, and eastern DRC has limited laboratory infrastructure because of years of conflict. By the time the outbreak was formally recognised, WHO raised the risk to "very high" within a single week. That gap between the virus emerging and the response beginning meant the virus got a head start that the response has not been able to close.

The lessons from the West African epidemic are relevant here. A Sierra Leone official, reflecting on reforms his country made after that crisis, told WHO: "What we learnt from Ebola is rather than chasing a virus, you should strategically position yourself, so you are ahead of it." WHO Africa Janabi's admission that the virus is ahead of the response in DRC is, in effect, an acknowledgment that those lessons have not yet been put into practice there. The combination of a virus with no vaccine, a delayed declaration, active conflict zones, and community resistance has historically produced outbreaks that last a long time and kill many people. Whether the new treatment centres and the community engagement push led by Africa CDC and WHO can change the trajectory depends on one thing: reaching the 70% of cases that are currently invisible to the people trying to stop this.