Congo Ebola Hits 60 Zones, 2,786 Dead
Congo Ebola Hits 60 Zones, 2,786 Dead
The News
The fastest-growing Ebola outbreak in history spread to two more health zones in eastern Congo, bringing the total to 60 affected areas, according to Congolese government figures published Friday.
The Health Ministry says the outbreak has recorded 5,794 confirmed cases and 2,786 deaths, with an overall case fatality rate of 48%.
The two new zones are Biena and Manguredjipa in North Kivu province, where the fatality rate is much higher than the national figure — in part because the response arrived late, the ministry said.
The World Health Organization says the outbreak remains out of control and is on track to surpass the 2014-2016 West Africa outbreak, the deadliest on record, which killed more than 11,000 people in Guinea, Liberia and Sierra Leone.
Why It Is Hard to Stop
The virus driving this outbreak is Bundibugyo, a rare type of Ebola with no approved vaccine and no approved treatment. Clinical trials of candidate vaccines and treatments have begun in the region.
On Thursday, Congo began vaccinating health workers and other front-line staff with Ervebo, a vaccine that worked in past outbreaks caused by the more common Zaire type of the virus.
The outbreak is spreading amid insecurity, mass displacement, a health workers' strike and heavy population movement. Most cases and deaths are occurring outside the network of monitored contacts — inside communities, where trackers are not looking.
Northeastern Ituri province accounts for more than 83% of cases, according to the latest government figures. Ituri has also been ravaged by rebel violence.
Schools Are the Next Fight
Schools across Congo are set to reopen Sept. 1, and parents and teachers in Ituri — the epicenter — are asking the government to delay it.
Children aged 4 and under have the highest case fatality rate of any age group in this outbreak, at 60%, according to available health data.
"We want to resume classes, but not at the cost of our lives," Fazila Rebecca, a teacher in Ituri's capital of Bunia, told the Associated Press. "As long as the disease is circulating and protective measures remain inadequate, returning to the classroom means taking a risk we cannot ignore."
The Ituri teachers union met Tuesday in Bunia to press authorities to assess the outbreak first. "We are not opposed to the resumption of classes, but we believe that the health and safety of teachers and students must be a priority," union representative Budju Lobo Isaac said.
Authorities in Ituri did not immediately respond to an AP request for comment.
Timeline
Officials now believe the virus was already circulating.
The outbreak is formally declared, starting in three health zones.
Neighboring Uganda declares itself free of Ebola.
WHO warns the risk of cross-border spread remains.
Congo begins Ervebo vaccinations for front-line workers. U.N. Secretary-General Antonio Guterres says another $1.1 billion is urgently needed.
Government figures add Biena and Manguredjipa, taking the count to 60 health zones and 2,786 deaths.
Reactions
Guterres said Thursday that international attention and money are lagging behind conditions on the ground, warning that "without additional funding, vital operations will run out of money just when they need to expand." The U.N.'s $2.13 billion response plan is only 48% funded — a level reached largely because of a major contribution from the United States.
Greg Ramm, Save the Children's director in Congo, said community trust is the missing piece: "Beyond the practical challenges, community acceptance remains critical. The immediate priority is to ensure that every school, teacher and family has the information and resources they need to make the start of the school year as safe as possible for children."
Prof. Pierre Akilimali, who leads Congo's Ebola response, told The Guardian that beating the disease requires trust and respect, and that behind every case is a person, not a number.
Espérance Dz'venga, shopping for school supplies at Bunia's central market Wednesday, said she wants her children back in class but fears the cost: "As a parent, I want to see my children in school, but — like many other parents — what I want most is for them to come home healthy."
What's Next
Congo's Sept. 1 school reopening is the immediate decision point, and Ituri officials have not said whether they will delay it.
WHO said Wednesday that the Central African Republic is now the country at highest risk of spillover, followed closely by South Sudan, as the outbreak pushes toward border areas. WHO expert Marie Roseline Belizaire delivered that assessment.
Vaccine and treatment trials for the Bundibugyo strain continue, with no licensed product yet. And the U.N. is still $1.1 billion short of what it says the response needs.
More
Control measures — limits on public gatherings, social distancing, airport closures — have disrupted daily life across the six affected provinces. The government says it has installed health and sanitary equipment at some sites; advocacy groups say far more is needed to win community trust, which is what actually stops an Ebola outbreak.
The Week noted the near-silence around an outbreak of this scale, calling it "astounding."
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