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Tech & Science
Herz — Tech & Science Desk · · 30s summary · 4 min read
The Ebola outbreak in eastern Democratic Republic of the Congo has caused 1,521 deaths among 3,442 laboratory-confirmed infections since late April. According to Handelsblatt, it is now the third-deadliest outbreak on record and the fastest-growing by infections. Five provinces are affected, including an area on the busy border with South Sudan. More than 80% of new cases are not linked to known contact lists, making transmission difficult to trace. The World Health Organization estimates that the true number of infections could be two to four times the confirmed count.
The Congolese government has recorded 3,442 laboratory-confirmed infections and 1,521 deaths since late April, Handelsblatt reports.
Within a few months, the outbreak became the third-deadliest ever recorded. Infections are rising faster than in any other known Ebola outbreak.
Authorities estimate the case fatality rate at about 44%, meaning nearly half of detected infections have resulted in death.
The World Health Organization (WHO), the United Nations agency responsible for public health, estimates that the true number of infections could be two to four times the laboratory-confirmed count.
More than 80% of new cases are detected outside the contact lists of other patients. For most newly infected people, the place of transmission remains unknown.
New cases are increasing every week. The outbreak now affects five provinces, including an area directly on the busy border with South Sudan.
WHO declared a health emergency in mid-May. Experts nevertheless believe the virus may have been circulating in the region since February.
Staff from Médecins Sans Frontières (MSF), an international medical humanitarian organization, report that many patients arrive in critical condition, when their chances of survival are low.
According to WHO, two-thirds of those who die do so in their communities without treatment at a specialized facility. Relatives caring for them face particularly high exposure.
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Ebola spreads through physical contact, particularly contact with bodily fluids. It causes a potentially fatal fever accompanied by diarrhea and bleeding.
WHO counts nearly 950 beds in isolation and treatment centers across the affected area. Their distribution does not always match local needs.
Occupancy in North Kivu has reached 136%. In Ituri, one-third of beds remain vacant, while waiting times have been reported in Bunia.
Limited information, distrust of the health system and treatment centers, and attacks on response workers are hampering efforts to contain the outbreak.
In the east of the country, hundreds of thousands of displaced people have sometimes lived for years in makeshift camps with poor sanitation and limited healthcare.
Malaria and cholera are also widespread in the region. Some of their symptoms resemble those of Ebola.
Rebel groups control areas of North Kivu and South Kivu. In Ituri, the ADF, an armed group allied with the Islamic State organization, attacks villages.
The conflict-data organization Acled has recorded at least about 1,100 civilian deaths this year in North Kivu, South Kivu and Ituri.
The outbreak is caused by the Bundibugyo variant of the Ebola virus. No vaccine or medicine targeting this variant is yet available.
The first phase of human trials for an Oxford University vaccine against the variant began on July 24. Its developers say 620,000 doses are already available.
WHO recorded a 30% case fatality rate during an outbreak linked to this variant in Uganda in 2007. The rate reached 50% in Congo in 2012.
Carl Skau, deputy executive director of the World Food Programme, the UN food-assistance agency, describes it as the fastest-growing Ebola outbreak ever observed.
He noted on Wednesday that the West African outbreak took eight months to reach 1,000 deaths.
The 2014–2015 West African Ebola outbreak caused more than 11,000 deaths. The 2018–2020 outbreak in eastern Congo, the second-deadliest on record, caused about 2,300.
The total number of infections remains uncertain. WHO estimates that the true count is two to four times the number of laboratory-confirmed cases.
The place of transmission remains unknown for most new patients. The precise date when circulation began has not been established, although experts place it in February.
The Congolese government reports 3,442 laboratory-confirmed infections and 1,521 deaths since late April.
The outbreak affects five provinces, including an area directly on the busy border with South Sudan.
More than 80% of new cases are detected outside known contact lists. WHO estimates that actual infections could be two to four times the confirmed count.
No targeted vaccine is yet available. A first phase of human trials began on July 24, and the developers say 620,000 doses are available.
The virus spreads through physical contact, particularly contact with bodily fluids.