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2026 Ebola epidemic

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Through Misinformation, WhatsApp and Signs and symptoms

It is caused by the Bundibugyo ebolavirus (BDBV) pathogen, which has complicated efforts as existing treatments and vaccines are for the Zaire ebolavirus. The outbreak was declared a public health emergency of international concern (PHEIC) by the World Health Organization (WHO) on 16 May 2026.

There have been 4018 confirmed deaths in the DRC, and another 2 in Uganda, as of the third week of September. Poor health infrastructure and ongoing armed conflicts in the region hinder detection, treatment, and prevention; it is considered likely that the true scale of the outbreak exceeds the confirmed numbers, stressing a preexisting severe humanitarian crisis. This added instability provided a situation ripe for rebel groups to capitalise on.

The outbreak has spread beyond Ituri to six more provinces in the DRC, including North Kivu, South Kivu, Haut-Uélé, Tshopo, Bas-Uélé and Sud-Ubangi. Cases were also reported in Uganda's capital, Kampala, and in France following the return of a health worker on a humanitarian mission.

Background

There have been 16 known previous outbreaks of Ebola in the DRC. There have been two previous outbreaks of Bundibugyo virus, one in the Bundibugyo District of Uganda in 2007 and 2008, from which it got its name, and another in 2012 in Isiro, DRC.

Regional issues

The outbreak began in Ituri, a province of eastern DRC with a long history of ethnic conflict. The area is rich in valuable metals including gold, tin, tungsten and tantalum, which are predominantly extracted by small scale artisan mining. Armed groups such as the Islamic State-aligned Allied Democratic Forces (ADF-Baluku), the Cooperative for Development of the Congo (CODECO), and the Rwanda-backed March 23 Movement (M23)—the last of which belongs to the rebel group coalition, the Congo River Alliance (Alliance Fleuve Congo, AFC)—struggle for control of mining areas. Fighting and restrictions by armed groups restricts humanitarian access, obstructs aid operations, curtails civilian movement and limits access to essential services.

Large scale refugee movements and cross-border travel, as well as mining-related travel, complicate contact tracing. Ituri's status as a commercial and migratory hub greatly increases the risk of diseases spreading to the broader region.

Culture and misinformation

Traditional burial rituals in the region often span several days. They may involve washing and dressing the corpse, returning it to ancestral land, and touching it as part of the interment ceremony; these practices put mourners at risk of infection. In contrast, safe burial practices require that the body be immediately placed in a sealed bag and transported to a designated burial site. This potentially places health workers in conflict with cultural tradition.

There have been several attacks on health workers, particularly those involved with burials, fuelled by misinformation about the disease and the motives driving the humanitarian response. For example in late May 2026, a crowd at a hospital in Mongbwalu demanded the return of bodies for traditional burial and set fire to a tent used by Médecins Sans Frontières (MSF), prompting the organisation to withdraw its staff; during the unrest, 18 suspected Ebola patients absconded the hospital. A May 2026 survey by ActionAid in three health zones in Ituri found that only 64% of respondents believed Ebola was real and not caused by spiritual or mystical forces. Rumours included claims that the disease had been invented for financial gain, that health workers were spreading the virus, and that alcohol could provide immunity. Conspiracy theories also circulated on WhatsApp.

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