How Ebola became the deadliest outbreak in DR Congo’s history

Conflict, delayed detection, and mistrust are complicating efforts to contain the virus in eastern DR Congo.

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A hygienist works at an Ebola treatment centre in Bunia, Ituri Province, Democratic Republic of the Congo [Prosper Heri Ngorora/Al Jazeera]

For people living in affected communities, the figures represent personal losses.

“Only God can spare us from this disaster,” says Furaha Gisèle, 35, whose uncle died of Ebola in Rwampara, about 10km (6.2 miles) from Bunia, the capital of Ituri Province.

“Coping with insecurity, poor governance, and poverty all at once is difficult, and I fear we will also suffer from this deadly epidemic.”

Health officials say transmission was already taking place before the outbreak was officially declared on May 15. By the time authorities identified the virus, it had spread through communities, allowing chains of infection to grow before response teams were fully deployed.

WHO said the outbreak was initially concentrated in Mongbwalu Health Zone in Ituri before expanding to other provinces.

Racing against transmission

The DRC has recorded Ebola outbreaks since 1976, and has developed extensive experience responding to the disease.

But in Ituri, health workers say experience alone cannot overcome the challenges they face: conflict, difficult terrain, delayed detection, and mistrust among some communities.

Congolese authorities have acknowledged that delays in identifying cases contributed to the spread of the virus.

Professor Pierre Akilimali, head of the DRC’s Ebola response, says laboratory capacity has expanded in Ituri since the outbreak hit.

“When we first started, we didn’t have any laboratories. Today, we have more than 12 laboratories here in Ituri Province,” he told Al Jazeera.

He said reliance on laboratory facilities outside the province slowed confirmation of cases during the early stages of the outbreak.

Conflict and mistrust

In Ituri, Ebola response teams are operating in a province that has endured decades of armed conflict.

Armed groups have fought for influence and control over mineral-rich areas, making movement difficult and limiting access to some communities.

The Africa Centres for Disease Control and Prevention (Africa CDC), the continent’s public health agency, says it is supporting the response through surveillance, laboratory work, infection prevention, patient care and community engagement.

“As for Ituri, the situation is not very favourable. We are in a war zone, and the province is under a state of siege,” Dr Justus Nsio, Africa CDC’s field incident manager for the DRC’s Ebola response, told Al Jazeera.

View of Mongbwalu, Ituri Province, Democratic Republic of the Congo, where the Ebola outbreak was first detected in May 2026 [Prosper Heri Ngorora/Al Jazeera]

“We are making do with what we have to show our solidarity with the communities.”

Dr Thierno Balde, WHO incident manager for Bundibugyo virus disease in the DRC, says movement between affected areas has helped the virus spread.

“The geographical spread of the outbreak is mainly linked to the uncontrolled movement of people, particularly those who are ill, between localities that are already affected and neighbouring areas,” he told Al Jazeera.

For health workers in Ituri, stopping Ebola is not only a medical challenge; it is also a race against conflict and access.

“When there are problems, particularly gunfire, nobody can hold their position,” says Dr Charles Kashindi, head of Nyakunde Hospital, nearly 40km (25 miles) southwest of Bunia.