WHO Says Congo Ebola Outbreak on Track to Become Deadliest in History

The ongoing Ebola outbreak in the Democratic Republic of the Congo is on track to eclipse the West African Ebola outbreak of 2014 to 2016, which killed more than 11,000 people, according to the World Health Organization. World Health Organization Director-General Tedros Adhanom Ghebreyesus told reporters that the current crisis is the fastest-growing in history.

Congo Ebola Outbreak on Track to Eclipse Historic Toll

Government data published overnight into Tuesday showed the outbreak has recorded 4,381 confirmed cases, including 2,011 deaths. The grim milestone comes nearly three months after the outbreak was formally declared on May 15. Genetic sequencing later revealed that the virus had actually begun circulating months earlier, in February.

While it took about nine weeks for the outbreak to record its first 1,000 deaths, the figure doubled in just around three weeks. The outbreak has already become the second-largest in history, trailing only the 2014–2016 West Africa outbreak, which recorded more than 28,000 cases and over 11,000 deaths.

Challenges Hampering Response Efforts

Containment efforts have been severely hindered by the region’s remoteness, poor infrastructure, ill-equipped health centers, and ongoing rebel conflict near the borders with South Sudan, Uganda, and Rwanda. Most new cases and deaths are being reported in communities outside the reach of health workers.

WHO Says Congo Ebola Outbreak on Track to Become Deadliest in History
Photo: CNN

According to Al Jazeera, the response has been further slowed by weak infrastructure, circulating misinformation in communities wary of outsiders, and strikes by health workers over unpaid wages. The World Health Organization stated that some early cases were wrongly attributed to malaria and typhoid, while early testing focused on a more common type of Ebola, giving the virus a significant head start.

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The outbreak had a big head start, still way ahead of us, and we’re playing catch-up, Tedros said.

Dr. Mohamed Yakub Janabi, the WHO regional director for Africa, noted that officials are chasing a virus that remains ahead of them. In response to the spread, authorities in eastern Congo have restricted public gatherings and shut the main airport in Ituri province, though mass movements from trade, mining, and conflict displacements continue.

Characteristics of the Bundibugyo Strain

Unlike most recent outbreaks, this crisis is driven by the rare Bundibugyo strain of the virus, for which no approved vaccines or treatments currently exist. The ongoing outbreak has registered a case fatality rate of 45.9%, surpassing the 39.6% rate recorded during the 2014–2016 epidemic.

DR Congo Ebola outbreak set to become deadliest on record, WHO warns
Photo: Al Jazeera

Ebola is rare but highly contagious, transmitted through bodily fluids such as blood, vomit, or semen, as well as contaminated materials like bedding and clothing. The disease is severe and frequently fatal, especially when patients report symptoms late or fail to receive timely care in secure facilities.

Clinical Trials and Projections

Clinical trials for two possible treatments began last month in Ituri, the most affected of the five provinces where cases have been reported. Tedros announced that two vaccines developed specifically for the Bundibugyo virus are now being tested in humans for the first time. Additionally, the WHO plans to test whether an existing Ebola vaccine might offer protection following promising animal studies.

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A study published in impartialreporter.com provided evidence that the outbreak began when the virus jumped from an infected animal to a person, with genetic differences distinguishing it from the 2007 and 2012 Bundibugyo outbreaks.

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Dr. Abdirahman Mahamud, WHO’s director for health emergency alert and response operations, stated that the agency’s moderate scenario projects the outbreak to peak within six months. However, under a more severe scenario, the outbreak could persist for nine to 12 months.

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