How the deadliest Bundibugyo Ebola outbreak can be stopped

Each time we travel to the Democratic Republic of the Congo (DRC), we first go to listen.

In Bunia, we have met dozens of community representatives: survivors, women, young people, local organisations, health workers and leaders from affected areas. Their message is direct: involve us. We know our communities. We know where families seek care, how information moves and why trust is breaking down. Give us the means to help drive the response. They are right.

Ebola spreads through communities and communities hold the knowledge required to stop it. They can identify illness early, alert health teams, help identify and trace contacts, challenge dangerous rumours and support families through access to treatment and safe, dignified burials. The response always moves faster when communities lead alongside national authorities and health workers.

One hundred days ago, the government of the DRC declared the country’s 17th Ebola outbreak, following confirmation of the Bundibugyo virus. WHO subsequently declared a Public Health Emergency of International Concern, followed by Africa CDC’s declaration of a Public Health Emergency of Continental Security.

The scale of the emergency is immense. As of August 21, the DRC has reported 5,290 confirmed cases and 2,516 deaths across 56 health zones. This is now the second-largest Ebola outbreak ever recorded and it is moving faster than any previous one. It is being fuelled by insecurity caused by decades of armed conflict that have undermined law, order and social services, and displaced more than a million people.

At the centre of the response are the people who show up every day. Health workers care for patients. Laboratory teams identify the virus. Contact tracers follow its path. Community health workers build trust where fear and misinformation have taken hold. Burial teams help families honour their loved ones safely and with dignity.

They are working under extraordinary pressure, often in insecure and hard-to-reach areas. Some have contracted Ebola in the line of duty.

Their service must be met with action: safety, protective equipment, training, sufficient medical supplies, timely payment, psychosocial support and access to rapid diagnosis and high-quality supportive care if they fall ill. The safety of frontline workers is central to stopping transmission.