DRC: MSF preparing large-scale response to Ebola outbreak in Ituri province

Following the official declaration of an Ebola Virus Disease outbreak by the Ministry of Health in the Democratic Republic of Congo on 15 May, Doctors Without Borders (MSF) is preparing to rapidly scale up its medical response in Ituri province, in the country’s northeast.

On the weekend of 9 and 10 May, MSF received alerts of an increased number of deaths from a suspected viral haemorrhagic fever in Mongwalu health zone, an area northwest of Bunia, the capital of Ituri province. In collaboration with the Ministry of Health, a team went to assess the situation and found that 55 people had died since the beginning of April. MSF also received subsequent reports of cases identified in the Bunia and Rwampara health zones.

On the 4th of September 2025, a new outbreak of Ebola Virus Disease (EVD), Zaire strain, was declared in the remote Bulape Health Zone, KasaÏ province. An Ebola Treatment Centre (ETC) was established within the hospital compound, where MSF, MoH, and WHO teams jointly provided care. Photographer: MSF | Date: 07/09/2025 | Location: DRC

According to the Congolese authorities, a total of 246 suspected cases and more than 80 deaths have been reported across the three health zones. This outbreak has been caused by the Bundibugyo Ebola virus. The Bundibugyo strain is distinct from the more common Zaire strain in that there is no approved vaccine, and no approved treatment.

On 15 May, health authorities in neighbouring Uganda also confirmed one case of Ebola Bundibugyo Virus Disease in a 59-year-old Congolese male, who died on 14 May. MSF has informed the Ugandan Ministry of Health that it is ready to support the public health authorities’ response.

“The number of cases and deaths we are seeing in such a short timeframe, combined with the spread across several health zones and now across the border, is extremely concerning,” says Trish Newport, MSF Emergency Programme Manager. “In Ituri, many people already struggle to access healthcare and live with ongoing insecurity, making rapid action critical to prevent the outbreak from escalating further.”

MSF currently has teams in the affected areas of Ituri to assess medical needs, and is coordinating closely with the Congolese health authorities. In MSF’s Salama clinic in Bunia, ​ we have three suspected cases who have now been isolated.

Right now, MSF is mobilising more teams comprising medical, logistical, and support staff experienced in responding to viral haemorrhagic fever outbreaks, along with essential supplies, to launch a large-scale response as quickly as possible. ​ MSF will also work to ensure that strict prevention measures are in place in its existing projects to protect our staff, our patients, and their access to healthcare.

Outside view of the Ebola treatment centre set up in Bulape. Photographer: MSF | Date: 15/10/2025 | Location: DRC

The estimated case fatality rate of the Bundibugyo strain is between 25 and 40 per cent. This is the third detected outbreak involving the Bundibugyo strain, following outbreaks in Uganda in 2007-2008 and in DRC in 2012.

Ebola is an infectious viral haemorrhagic fever, transmitted to humans through direct contact with blood, secretions, organs, or other bodily fluids of infected animals. Human-to-human transmission occurs through close contact with the bodily fluids of infected individuals

MSF has responded to multiple Ebola outbreaks in DRC over the past years. This outbreak marks the country’s seventeenth since the first case was discovered in 1976.

Learn more about our activities in the DRC

MSF DRC Ebola Press Release_18052026.docx

DOCX 14 KB
Jane Rabothata

Jane Rabothata

Communications Specialist, Doctors Without Borders

About Doctors Without Borders (MSF)

Doctors Without Borders (MSF) is a global network of principled medical and other professionals who specialise in medical humanitarian work, driven by our common humanity and guided by medical ethics. We strive to bring emergency medical care to people caught in conflicts, crises, and disasters in more than 70 countries worldwide.

In South Africa, we currently run a non-communicable diseases (NCDs) project in Butterworth, Eastern Cape province, where we support the Department of Health (DoH) in improving care for patients with diabetes and hypertension. The project focuses on improving screening, diagnosis, management, and prevention of NCDs through advocacy, research, health promotion, training, and mentorship of Community Healthcare Workers.

MSF is also recognised as one of the pioneers in providing antiretroviral treatment (ART) in the public sector. It started the first HIV programme in South Africa in 1999. The organisation's earlier interventions in the country have primarily been on developing new testing and treatment strategies for HIV/AIDS and Tuberculosis (TB) in Eshowe (Kwa-Zulu Natal) and Khayelitsha (Western Cape). The Eshowe project was handed over to DoH in 2023 after 12 years of operations. The Khayelitsha project was closed in 2020 after 22 years of activities and campaigning for improved HIV and TB treatment.

Other projects we have been involved in include our Migrant Project in the country's capital, Tshwane, which was handed over to authorities and a local Community-Based Organisation after building the capacity to work with undocumented populations. We also previously offered free, high-quality, and confidential medical care to survivors of sexual and gender-based violence in Rustenburg, North West province.

To learn more about our work in South Africa, please visit this page on our website (www.msf.org.za). To support MSF’s work:

  • SMS “JOIN” to 42110 to donate R30 Once-off
  • Visit https://www.msf.org.za/donate

 

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