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Ebola death toll in Congo passes 4,000 in history's fastest-growing outbreak

Militia violence, strikes by unpaid health workers and deep community mistrust are hampering the response to an outbreak of a rare, untreatable Ebola strain that has now infected more than 8,000 people across Congo.

PW
By PressTemps World DeskPublished Today, 09:04 ET · 3 min read
Ebola death toll in Congo passes 4,000 in history's fastest-growing outbreak
Electron micrograph of the Ebola virus, showing its characteristic filamentous structure. Photo: CDC/Dr. Frederick A. Murphy, public domain, via Wikimedia Commons.
What to know
Congo's Ebola outbreak has killed more than 4,000 people among over 8,200 confirmed cases, the fastest-growing such outbreak on record.
The rare Bundibugyo strain has no approved vaccine or treatment, and militia violence near Bunia has scattered contact tracers and burned a treatment center.
More than 50 health workers have died, and unpaid surveillance staff have gone on strike, further hampering the response.

The death toll from Congo's Ebola outbreak has passed 4,000, health authorities confirmed this week, cementing its status as the fastest-growing outbreak of the disease ever recorded. The country's health ministry reported more than 8,200 confirmed cases and over 4,000 deaths, a crude fatality rate of roughly 48%, according to CBS News. More than 2,000 patients have recovered, but hundreds remain hospitalized or in isolation.

The outbreak, declared a public health emergency on May 15, is caused by the Bundibugyo species of Ebola virus, a rare variant for which there is no approved vaccine or specific treatment. The World Health Organization's background on the disease notes the virus is zoonotic, likely originating in fruit bats, and spreads through contact with infected bodily fluids.

The outbreak, centered in Ituri province's Bunia area, has now spread across roughly five dozen health zones in seven provinces. According to Daily Sabah's reporting, a security operation at a displacement camp near Bunia triggered clashes that sent roughly 19,000 residents fleeing and scattered about 1,000 identified Ebola contacts, only a fifth of whom have since been traced. An Ebola transit center at the camp was burned down in the unrest.

Compounding the chaos, surveillance workers have staged strikes over unpaid wages. More than 50 health workers have themselves died after contracting the virus, including a staffer with the medical charity Médecins Sans Frontières. In some communities, residents dismiss the outbreak as a hoax, a legacy of mistrust built up over decades of mismanaged health crises.

The WHO has classified the outbreak's risk to Congo as "very high," warning that the virus continues reaching new health zones even as the Congolese health ministry, the WHO, Africa CDC and international partners scale up testing and treatment. With no vaccine available for this strain and violence continuing to disrupt contact tracing, officials say the outbreak shows no sign of slowing before year's end.

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