Congo’s Ebola death toll passes 1,500 as it struggles to halt spread

DRC has now recorded 3,442 cases of the virus and 1,521 deaths, a government update said on Thursday. The data marks a 50 percent increase in the death toll over the past week, with authorities continuing to struggle to rein in the outbreak in the east of the country, where decades of conflict with rebel groups have left government control and infrastructure lax or absent.

The Africa Centres for Disease Control and Prevention (Africa CDC) said that the sharp rise since last week partly reflects a backlog of cases and deaths that had not yet been confirmed or recorded.

The lack of a proven vaccine for Bundibugyo, which is the rarest of the four variants of Ebola known to affect humans, and the fact the epidemic is unfolding in an area of active hostilities between armed groups, producing a shortage of public health resources, has helped to allow the virus to spread “like wildfire”, a public health consultant who helped establish Africa CDC told Al Jazeera earlier this month.

Africa CDC added that delays in contact tracing, difficulties accessing affected areas, and mistrust from communities have hindered an effective response.

The outbreak is mostly concentrated in eastern Congo’s remote Ituri province, which accounts for nearly 90 percent of cases, but five other provinces have confirmed cases, including one of the country’s largest cities, Kisangani.

Neighbouring Uganda declared itself free of Ebola on Tuesday following the discharge of the country’s last patient in mid-June.

Africa CDC Director-General Dr Jean Kaseya said 63 percent of confirmed deaths in the last two weeks occurred outside treatment centres.

This is largely due to the “unsafe handling of infected bodies” by residents, including touching the remains of the deceased, whose bodies remain highly infectious.

Earlier this month, some healthcare workers in Ituri went on strike over unpaid wages and unsafe working conditions, which has also impeded efforts to hold back the disease’s rapid spread.

In Ituri’s Nyakunde health zone, international partners supporting the Ebola response had to temporarily relocate after a July 15 attack on a hospital and a treatment centre, prompted by a patient’s death. Officials said this disrupted surveillance, contact tracing and supplies.

Despite the accelerated death toll in DRC, the World Health Organization has said the risk of a global spread remains low because Ebola does not travel through the air, making it much harder to spread than respiratory viruses.

Cases detected outside the DRC have so far been quickly identified and contained without leading to sustained transmission, the agency said.