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Ebola Outbreak in Ituri, DRC: Attacks on Treatment Centers Undermine Response

5/25/2026, 9:16:36 PM

The Outbreak and Facility Attacks

The rare Bundibugyo strain of Ebola, first detected on 15 May 2026 in Ituri province, has generated more than 900 suspected cases and 101 confirmed infections, according to WHO. The WHO Director-General also reported 220 suspected deaths, while the Congolese Ministry of Communication listed 119 suspected deaths. Over the weekend of 25 May, the Mongbwalu General Referral Hospital was hit twice; unidentified individuals burned MSF-erected isolation tents, allowing 18 patients to flee on Saturday and seven more on Sunday. Laboratory testing of the escaped patients returned three negatives and one positive, leaving a confirmed case “circulating in the community.” A critically ill patient died while attempting to escape during the second attack.

Background and Conflict Context

Violence against health facilities is not new. During the 2018-2020 Ebola outbreak in eastern DRC, more than 25 health workers were killed. The current crisis unfolds amid ongoing insecurity: the Rwanda-backed M23 rebels control parts of North and South Kivu, while the Ugandan-linked Allied Democratic Forces (ADF) operate in Ituri. United Nations data estimate nearly 1 million people displaced in Ituri, and international aid cuts have reduced the capacity to detect and respond to outbreaks.

Key Figures and Groups

  • Dr Richard Lokodu, medical director, Mongbwalu General Referral Hospital
  • Tedros Adhanom Ghebreyesus, WHO Director-General
  • Medecins Sans Frontières (MSF), operating the burned tents
  • Physicians for Human Rights, providing the “devastating set of emergencies” assessment
  • Colin Thomas-Jensen, Aurora Humanitarian Initiative
  • Julienne Lusenge, Women’s Solidarity for Inclusive Peace and Development

Timeline of Recent Developments

  • 15 May: Outbreak confirmed in Ituri.
  • 23 May: 18 patients flee after tents burned; one positive test confirmed.
  • 25 May: Second wave of attacks; seven more patients escape; patient dies while fleeing.
  • 25 May: WHO announces > 900 suspected cases, 101 confirmed, and 220 suspected deaths; urges neighboring states to act.
  • 24-25 May: Uganda reports 7 confirmed cases linked to the DRC outbreak.
  • 26 May: WHO announces a senior team will travel to the epicentre.

Data and Statistics

  • Suspected cases: 904 (Congo ministry) / > 900 (WHO)
  • Confirmed cases: 101 (WHO) + 7 (Uganda)
  • Suspected deaths: 220 (WHO) vs 119 (Congo ministry)
  • Patients who fled: 25 total (18 Saturday, 7 Sunday)
  • Displaced persons in Ituri: ? 1 million (UN)

Impact and Why It Matters

Attacks impede contact tracing, safe burial, and treatment. Unsafe burials remain a primary transmission driver. Health teams report severe shortages of personal protective equipment, testing kits, and body-bag supplies, increasing the risk of spread to displacement camps near Bunia.

Official Statements & Responses

WHO declared the outbreak a public-health emergency of international concern, scaled up operations, and urged bordering countries to prepare. Dr Lokodu described community denial and demands for bodies, noting a confirmed case still evading response. Congolese authorities have banned funeral wakes larger than 50 people and deployed police and soldiers to guard burials. Physicians for Human Rights highlighted the convergence of multiple emergencies, while aid agencies emphasized critical supply gaps.

Criticism & Opposition

Local residents, angered by burial restrictions and past neglect, have accused aid groups of fabricating the crisis. Youth groups burned treatment centres while attempting to retrieve a friend’s body, reflecting deep mistrust.

On-the-Ground Reports

Witnesses described “unidentified individuals” setting fire to MSF tents, and a patient with hemorrhaging died while fleeing his bed during the second assault.

Conflicting Reports & Gaps

The death toll varies between 119 and 220 suspected fatalities, with officials unable to explain the revision. Data on total confirmed cases in Uganda remain limited.

Verbatim Quotes

  • “We are urgently scaling up operations, but at the moment the epidemic is outpacing us,” — Tedros Adhanom Ghebreyesus, WHO Director-General
  • “There is denial of the disease within the population, with some members wanting to claim the bodies of suspected and/or confirmed cases,” — Dr Richard Lokodu, medical director, Mongbwalu General Referral Hospital
  • “A devastating set of emergencies are converging,” — Physicians for Human Rights
  • “We only have hand sanitizer and a few masks for the nurses.” — Julienne Lusenge, president, Women’s Solidarity for Inclusive Peace and Development
  • “Colin Thomas-Jensen, director of impact at the Aurora Humanitarian Initiative, said the attacks may reflect the "built-in skepticism and anger" of people in eastern Congo over how the region has been treated, with years of violence from foreign-linked rebel groups and a failure of their government and international peacekeepers to protect them, he said.” — Colin Thomas-Jensen, director of impact, Aurora Humanitarian Initiative

What’s Next

A WHO delegation will visit the epicentre next week, while Congolese authorities continue to enforce burial bans and protect treatment sites with security forces. International partners are urged to supply protective gear, testing kits, and burial materials to prevent further spread, especially into displacement camps.