Ebola outbreak remains out of control in Congo six months into response

Six months after an Ebola outbreak was declared in Congo, the disease remains out of control and efforts to contain it are faltering. More than 11,000 cases have been recorded, and nearly half of those infected have died, according to Government data.

It is the deadliest of Congo's 17 outbreaks and is on track to surpass the death toll from the West African outbreak that killed 11,000 people between 2014 and 2016. Basic containment measures, including contact tracing and isolation, remain inadequate, raising doubts about authorities' ability to halt the outbreak.

Experts say there is little chance of bringing it under control within the next year. By the time the outbreak was announced in mid-May, 43 deaths had already been recorded, suggesting the virus had circulated undetected for an extended period.

It has since spread to eight of the country's 26 provinces, moving at a pace aid groups have likened to wildfire. New hotspots continue to emerge, stretching an already strained health care system. Community transmission remains high.

According to the Africa Centres for Disease Control and Prevention, 80% of new cases are being detected outside health surveillance, meaning most infections have not been tracked by authorities. Experts warn of wider spread as Ebola outbreak reaches plateau DR Congo Ebola outbreak exceeds 11,000 cases, causes 5,387 deaths Congo's Ebola outbreak tops 11,000 cases as disease keeps spreading One-third of deaths occur at home or elsewhere in the community, where burials and other procedures are often conducted without specialist supervision, increasing the risk of transmission.

Health workers have repeatedly gone on strike over pay that is months overdue, sometimes leaving patients with confirmed infections without treatment. Aid groups have also questioned how the response is being managed. Last month, the Africa CDC raised concerns about more than $700 million in Ebola aid that remains unaccounted for.

“A troubling disconnect between the considerable resources mobilised for the response and what is actually reaching patients, frontline workers, and communities continues,” said the humanitarian organisation Doctors Without Borders, known by its French acronym MSF.

Most children affected by the disease have not received specialised care, contributing to high death rates. According to UNICEF, children accounted for 35% of deaths recorded through November 4. Children under 5 accounted for 21% of all deaths, and nearly 72% of infected children in that age group have died.

Since the outbreak began, health workers have been attacked, some fatally, adding to the dangers of working in an already volatile region. Health facilities have also come under attack. The outbreak has been concentrated in eastern Congo, particularly Ituri and North Kivu, where communities face both the epidemic and armed conflict.

Fighting between Government forces and hundreds of rebel groups, including the Rwanda-backed M23, had already helped create one of the world's most severe humanitarian crises. The Allied Democratic Forces, an Islamic State-affiliated rebel group, also attacks civilians.