A fast-moving Ebola outbreak in eastern Congo has become the third largest on record, overwhelming health teams with no vaccine at hand.
Within days of its public identification, the Ebola outbreak centred on the Ituri province of the Democratic Republic of the Congo has grown into one of the most alarming health emergencies in years. Figures released by the World Health Organization on Friday placed confirmed and suspected cases at nearly 750, with 177 deaths and roughly 1,400 individuals now under active contact tracing — numbers that already rank this event as the third largest Ebola outbreak ever recorded.
The speed of expansion has forced WHO to revise its national risk assessment upward from "high" to "very high." Director-General Tedros Adhanom Ghebreyesus confirmed at a press briefing that the virus is still "spreading rapidly," and officials have been frank about a critical lapse: by the time response teams reached Ituri, the outbreak had been smouldering silently for weeks. WHO representative Dr. Anne Ancia, speaking from the DRC, said responders found the virus "already rampant and silently disseminating for a few weeks already" upon their arrival. The earliest suspected case has since been traced to a health worker who fell ill on 24 April in Bunia, Ituri's capital city, yet WHO did not receive word of a potential outbreak until 11 days later, following the deaths of four health workers from an unidentified illness.
By the time a WHO team was deployed, the caseload had already reached 80. "Now we are sprinting behind the virus so that we can really try to control this outbreak," Dr. Ancia said, acknowledging that case numbers will continue to climb until the full response infrastructure is firmly in place.
The challenge is compounded by the nature of the pathogen itself. The causative agent is the Bundibugyo strain of Ebola virus — a comparatively rare variant for which no licensed vaccine or proven therapeutic currently exists. That forces responders to rely exclusively on epidemiological tools: rigorous case finding, strict isolation, and painstaking contact tracing. Ituri's broader context makes each of these tasks harder still. The region is scarred by armed conflict, characterised by intense population movement, served by fragile health infrastructure, and home to millions facing acute food insecurity — conditions that historically allow outbreak viruses to thrive.