(Bloomberg) — Congo suspended flights to the eastern city of Bunia and regional health ministers warned of escalating cross-border risks from Ebola as the outbreak spread across three provinces and overwhelmed contact-tracing efforts.
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Authorities in the Democratic Republic of Congo reported 91 confirmed Ebola infections, 867 suspected cases and 204 probable deaths as of Friday. Health workers had managed to trace only a fifth of the 1,745 identified contacts under monitoring — a surveillance gap officials described as “alarming.”
The worsening outbreak prompted Congo’s transport ministry to halt commercial, private and special flights to and from Bunia, one of the outbreak’s epicenters in Ituri province near the Ugandan border. Humanitarian and medical flights may still receive special authorization, the ministry said Saturday.
The measures underscore how rapidly the Bundibugyo strain of Ebola is spreading through eastern Congo and into neighboring countries. That’s straining already fragile health systems and forcing authorities to rely heavily on basic public health measures because there is no approved vaccine or antibody treatment for the rare virus type.
The US expanded its Ebola response Saturday, announcing enhanced airport screening requirements for travelers arriving from Congo, Uganda and South Sudan, along with new emergency funding, medical supply shipments and the deployment of disaster response teams to affected areas.
Africa’s top public health official said the latest Ebola outbreak in eastern Congo is being fought without one of the most important tools in epidemic response: vaccines.
Jean Kaseya, director-general of the Africa Centres for Disease Control and Prevention, said response efforts to the disease are now heavily dependent on community outreach and behavioral change campaigns to slow transmission.
The outbreak, now the “second largest” after the 2014-2016 West Africa epidemic, is caused by the rare Bundibugyo strain of the virus and has no approved vaccine or antibody treatment. Kaseya said hopes that existing vaccine options could provide even partial protection have faded in recent weeks.
“It’s like you are a soldier,” he said in an interview. “You go to fight without ammunition. We have to rely on public health measures.”
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