WHO declares DR Congo Ebola outbreak the deadliest on record
BiosecurityAccording to Al Jazeera, confirmed cases reached 3,532 with 1,556 deaths, surpassing the roughly 3,470 cases recorded during the 2018-2020 outbreak that had previously been the country's worst. Only the 2014-2016 West Africa epidemic, which killed more than 11,300 people, remains larger. Carl Skau, acting head of the UN World Food Programme, told Reuters it is "the fastest spreading Ebola epidemic that we have ever seen," adding that "the world needs to pay much more attention."
The speed of the spread has alarmed epidemiologists as much as the toll itself. CNN reported that the first 1,000 cases in this outbreak were confirmed within 40 days of the response being activated, compared with roughly 235 days to reach the same milestone during the 2018-2020 epidemic. The US Centers for Disease Control and Prevention has confirmed similar figures, noting the outbreak is spreading substantially faster than any previous one on record.
The outbreak is driven by the Bundibugyo strain of the Ebola virus, one of the rarest of the four variants known to infect humans, for which there is no proven vaccine. The Ervebo vaccine, developed and deployed successfully against the Zaire strain during the 2018-2020 DRC epidemic and the earlier West Africa outbreak, targets a different variant, and researchers have only limited data on whether it offers protection against Bundibugyo. According to a summary of the outbreak, a macaque study suggested Ervebo might offer partial protection, but the WHO judged the evidence insufficient and has recommended against its use in the current response. A clinical trial of two experimental treatments for the strain began in early July, and the WHO has granted emergency authorisation for the first molecular diagnostic test for the virus, according to Al Jazeera.
The epidemic is concentrated in Ituri province in the conflict-scarred east of the country, which accounts for nearly 90 percent of cases, though the virus has also reached North Kivu and South Kivu, where the Rwanda-backed M23 armed group controls large areas, and the city of Kisangani. Public health officials have attributed the rapid spread partly to the security situation: attacks on health facilities, mistrust among communities, and, as one Africa CDC-linked consultant told Al Jazeera, conditions that have allowed the virus to spread "like wildfire." Foreign aid cuts have further stretched the resources available to responders. Uganda, which recorded cases linked to the outbreak, declared itself Ebola-free in late July after its last locally transmitted case recovered, though the WHO has said the country remains at risk given the continuing spread next door.