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"The scale of the outbreak is at least two to four times the number of cases that we have found," said WHO emergencies director Chikwe Ihekweazu.
The Ebola outbreak sweeping the Democratic Republic of Congo is the fastest-growing ever, the World Health Organization warned Tuesday, as a shortage of funding, strained health infrastructure, and a strike by frontline medical workers threaten efforts to contain the deadly virus.
“We've seen the fastest growth in a single month since the outbreak started, and of all the Ebola outbreaks that we have managed,” WHO Health Emergencies Program executive director Dr. Chikwe Ihekweazu told reporters in Geneva. “Over the last few days, we've seen some of the highest numbers of new infections in a single day."
“A few days ago, we saw over 80 cases confirmed in a single day,” he added.
Experts are particularly alarmed that the majority of new infections—roughly 80%—are coming from what the WHO called “unknown chains of transmission."
“You have to imagine that this is a fire,” Ihekweazu said. “There's something driving the fire in its heart, and it's also expanding at the same time.”
The WHO said that 95% of all new Ebola cases are in Ituri province, where the outbreak started in May, but the virus is now spreading to two new provinces, Haut-Uele and Tshopo.
The Ebola virus causes widespread and often catastrophic damage to the body’s blood vessels, immune system, and organs and typically kills between 25% and 90% of infected people, depending upon the strain of the virus and quality of available medical care.
Democratic Republic of Congo (DRC) government figures show nearly 2,000 confirmed infections and more than 700 deaths, but WHO officials say the true scale could be two to four times higher because many infections and deaths are going undetected.
Wessam Mankoula, an epidemiologist with the Africa Centers for Disease Control and Prevention in Ethiopia, noted during a press briefing last week that 112 healthcare workers have been infected with Ebola in DRC, 32 of whom have died.
There have also been around 20 Ebola infections and at least two deaths during the current outbreak in neighboring Uganda.
“Perhaps the most alarming finding is that many newly reported cases are individuals who died in their communities, without ever reaching a health facility and receiving care," Ihekweazu said.
There is some good news, with Ihekweazu noting that "treatment capacity now exceeds 700 beds and continues to increase each week; laboratory capacity has expanded dramatically... and contact follow-up rates are approaching 80%."
However, frontline health workers at an Ebola treatment at Rwampara General Hospital in Ituri province have gone on strike over unpaid salaries and bonuses, poor working conditions, and shortages of protective equipment.
Congolese Health Minister Roger Kamba assured workers that the government has "the means to sort this out."
Critics say US President Donald Trump’s ideologically driven decision to withdraw the US from the WHO, his administration’s dismantling of the US Agency for International Development (USAID), and reduced funding for the US Centers for Disease Control and Prevention’s global public health efforts have also adversely affected the response to the current Ebola epidemic, compared with 2014 and 2019 outbreaks.
The current Ebola outbreak comes in a region already ravaged by armed conflict, displacement, and other challenges. Health officials stress that getting a grip on the outbreak will require not only medical intervention but also rebuilding trust with communities rife with fear and misinformation, and ensuring health workers are paid and protected.
"This outbreak requires resources that match the scale of the challenges that we are facing," Ihekweazu stressed Tuesday. "And this is not a burden DRC can be allowed to carry alone."
While we should all fear and work to stop this outbreak, we should also be willing to fear and confront the conditions that enabled its devastation.
As Congo faces the world’s third-largest Ebola outbreak, treatment centers have been attacked, masks and boots are running out, and entire communities are left vulnerable amid ongoing conflict and international neglect. This disaster is possible due to centuries of exploitation that amplifies the spread. The trail of inhumanity and structural violence is very scary and needs to end.
History shows that this country has been ravaged by colonial violence and foreign profiteering. Under King Leopold II of Belgium, an estimated 10 million Congolese people were murdered, mutilated, and terrorized as rubber and ivory were extracted for enormous profit. As a matter of policy and to enforce quotas, colonizers cut off limbs and heads.
Congo was also plundered by the transatlantic slave trade, which kidnapped, displaced, and enslaved millions of Congolese people.
Later, global demand for diamonds, gold, coltan, and other conflict minerals remade the region into a site of ongoing wars and labor exploitation. Much of this extraction still occurs through artisanal mining, a form of labor whereby individuals risk their lives to extract these valuable and raw natural resources under dangerous conditions.
The extreme situation in Congo did not develop in a vacuum; rather, it has formed from centuries of cruel and callous structural-based and enduring violence.
Cobalt, a rare and toxic metal essential to smartphones, electric vehicles, AI, and other technologies, reveals this contradiction at the center of our global economy. Our demand for these goods relies on the same brutal dynamics that have played out for centuries in this land: environmental harm, contamination of land and water, child labor, gender and sexual-based violence, and the exploitation of class under-resourced people of color in Congo. Wealthier people get the goods while the output biases in our systems of production allow us distance and plausible deniability in the face of untold suffering. When we look at our own commodity chains, the often hidden trails of our batteries and other electronic products in time and space before they got into our hands, we can trace many of our products to Congo. We are materially connected, whether we acknowledge it or not.
Congo has an estimated $24 trillion in untapped natural reserves. It is one of the most inherently valuable places on Earth. Yet, due to these longstanding and asymmetrical power relations, it is simultaneously extremely vulnerable. In 2020, 85.3% of the population in Congo lived on less than $3 a day. By 2026, projections estimate that fully 94.9% of the population will be at or below this international poverty threshold.
But, it doesn't have to be this way. We can do more than express fear and enforce travel bans and restrictions.
We can understand the Ebola outbreak as a medical crisis shaped by structural violence in which we are all complicit.
If we can recognize how we are connected to these systems, then we can take responsibility and action to change them. We can reinvest in funding the United Nations and support long-term healthcare infrastructure. We can become more socially and environmentally sustainable by holding corporations and governments accountable for exploitative labor and harmful environmental practices. We can demand more ethical and transparent supply chains. We can recognize that racism and environmental racism enable this disproportionate harm and take steps to do better. We can vote for people who have a world systems view, who understand that global trade, politics, and public health are connected. Leaders of this era need to understand that what we do, and how we do it, matter in life-and-death ways for people beyond our local contexts.
The extreme situation in Congo did not develop in a vacuum; rather, it has formed from centuries of cruel and callous structural-based and enduring violence. This cycle can end, if only we can align our shared values of more sustainable and equitable practices with our political will.
A virus with a potential mortality rate of 90% should concern us all. We should all fear and work to stop this outbreak. We should also be willing to fear and confront the conditions that enabled its devastation. And, we need to engage in the transformative justice required to facilitate sustainable social and environmental ways rather than those of depravity.
Kenya's largest medical professionals union, which welcomed the ruling, argued that if setting up an Ebola quarantine facility "is too dangerous for America, it is too dangerous for Kenya."
A day after US officials said Kenya had approved a request to open a quarantine center for Americans exposed to a rare strain of the Ebola virus, a court in the East African nation on Friday temporarily blocked the plan amid a growing outbreak in neighboring Uganda and the Democratic Republic of Congo.
The High Court prohibited the Kenyan government from establishing or operating any Ebola exposure, quarantine, isolation, or treatment facility in the country under any agreement with the United States or any other foreign government or agency.
The court also blocked Kenya's government from allowing anyone infected with or exposed to Ebola into the country pending the outcome of the case, which was filed by the Katiba Institute, a civil rights group.
“At its core, the case is about preserving constitutional accountability, protecting public health, and ensuring that no government may place expediency above the lives and safety of the people of Kenya,” Katiba Institute executive director Nora Mbagathi said Thursday.
A 50-bed Ebola quarantine center was set to open Friday at Laikipia Air Base in Nanyuki, located approximately 125 miles north of Nairobi. The facility would have been operated by members of the US Public Health Service, a uniformed branch of the Department of Health and Human Services.
US Secretary of State Marco Rubio said Thursday during a Cabinet meeting that “we cannot and will not allow any cases of Ebola to enter the United States."
However, US public health officials strongly criticized the plan to quarantine Americans in Kenya instead of repatriating them, with one emergency physician accusing the Trump administration of “a dramatic abdication of what we owe our own."
Elected leaders in Laikipia County welcomed the High Court's ruling. They had opposed the US quarantine center, and had asked in a joint statement prior to the decision, "Why Laikipia?"
"What does the US government know about this that they are not accepting their own affected citizens into their soil but are ready to have them elsewhere?" the officials added.
The Kenya Medical Practitioners, Pharmacists, and Dentists Union (KMPDU), which had strongly opposed the quarantine center and had threatened to strike, also welcomed the High Court ruling.
"We are utterly disgusted by the government’s apparent willingness to trade national biosecurity and the lives of its citizens for foreign aid," KMPDU secretary general Davji Bhimji Attelah said in a statement Thursday, referring to the $13.5 million the Trump administration pledged for Ebola preparedness in Kenya, part of a broader $125 million US commitment toward fighting the disease.
Kenyan healthcare workers are pushing back hard against reported plans for the U.S. to establish Ebola quarantine/treatment facilities in Kenya for exposed American personnel during the ongoing Bundibugyo Ebola outbreak in Central/East Africa.
[image or embed]
— BK. Titanji (@boghuma.bsky.social) May 28, 2026 at 11:31 AM
"We will not sit back and watch Kenya be treated as a containment colony for a lethal pathogen that we did not generate," Attelah added. “We will not tolerate an apartheid healthcare model on Kenyan soil. If it is too dangerous for America, it is too dangerous for Kenya."
Critics say President Donald Trump’s ideologically driven decision to withdraw the US from the World Health Organization (WHO), his administration’s dismantling of the US Agency for International Development, and reduced funding for the US Centers for Disease Control and Prevention’s global public health efforts have adversely affected the response to the current Ebola epidemic, compared with 2014 and 2019 outbreaks.
The WHO said Friday that there were a total of 906 suspected Ebola cases and 223 suspected deaths reported in the Democratic Republic of the Congo as of Wednesday, and 125 confirmed cases in the DRC and 9 in Uganda, with 18 deaths among the confirmed cases in both countries.
Ebola—which typically kills between 25% and 90% of infected people, depending upon the strain of the virus and quality of available medical care—causes widespread and often catastrophic damage to the body’s blood vessels, immune system, and organs. The virus is transmitted to people from wild animals, including fruit bats, porcupines, and non-human primates, and then spreads between humans through direct contact with the blood or bodily fluids of infected people.
The administration is currently setting up a facility in Kenya where US citizens will be not only monitored, but also treated, for Ebola in a major departure from previous responses.
In what one emergency physician and public health expert called “a dramatic abdication of what we owe our own,” the Trump administration is reportedly preparing to send Americans with suspected and confirmed cases of Ebola to a facility in Kenya, instead of repatriating them and treating them in the state-of-the-art quarantine and treatment facilities the US has for dangerous diseases that pose a threat to public health.
The facility is currently being set up, The New York Times reported, and several dozen Public Health Service officers—whose agency operates under the Department of Defense—are training to deploy to Kenya. The PHS also deployed to Liberia during the 2014 Ebola outbreak in West Africa.
"This is unbelievable and infuriating," said Dr. Craig Spencer, a professor of public health at Brown University.
According to the Times, the PHS officers in Kenya were initially going to monitor any Americans, such as healthcare workers who have gone to the Democratic Republic of Congo (DRC) to help contain the outbreak that was declared a public health emergency of international concern earlier this month. Those who showed symptoms would be transferred to European hospitals; at least seven Americans have been sent to facilities in Germany and the Czech Republic in recent weeks.
But two people familiar with the plans told the Times that the administration now plans to see to the patients' treatment in the Kanya facility as well.
"When Americans will need us most—especially those who go abroad to help end this outbreak at its source—the US government plans to send them to a hospital it is standing up from scratch in Kenya," wrote Spencer on Substack on Tuesday. "I find it incredibly difficult to believe that we can stand up a facility in the next few weeks—or even months—with the staff, the supplies, and the experience we’ve built over the past decade in more than a dozen hospitals across the US."
Dr. Krutika Kuppalli, who helped treat Ebola patients in Sierra Leone in 2014, said the plan does not make sense "from a preparedness, operational, or ethical standpoint."
"How are public health officers going to take care of persons who get sick?" said Kuppalli. "These are not persons who have experience in providing high levels of care for persons with this infection. Also, why would a PHS officer deploy knowing if they had an exposure that they wouldn’t be repatriated?"
Spencer raised concerns that the plan "could push people to hide potential exposures, or incentivize individuals or organizations to downplay those exposures. If you know that any 'high-risk' exposure will get you shipped to Kenya instead of sent home, it’s not hard to imagine people not being fully forthcoming about what may have happened to them. That is exactly backwards from how you contain a disease."
"This will also discourage Americans from joining as part of the response," he wrote. "I know of multiple healthcare providers who are considering deploying with humanitarian organizations, and we need a cavalry to help support the on-the-ground response if we have any hope of ending this outbreak. But programs and policies like this are exactly the reasons people will hesitate to sign up."
Spencer, who contracted Ebola after deploying to West Africa in 2014 and was quarantined and treated at Bellevue Hospital in New York City, emphasized that the strain of Ebola that began spreading in Ituri Province, DRC and is confirmed to have spread to Uganda does not have an approved treatment or vaccine.
"Survival depends heavily on the quality of the system and the people around you," wrote Spencer. "We have that system—I survived Ebola and am here today partly because of it—but we are choosing not to use it."
The news of the plan to send infected Americans to Kenya comes as suspected cases have ballooned to at least 906, according to the World Health Organization's (WHO) latest Weekly External Situation Report, released on Sunday. The report said there have been 223 suspected deaths from the current Ebola strain, which is caused by the Bundibugyo virus, as opposed to the Zaire strain, for which a vaccine and treatments have been approved. More than 100 cases and 10 deaths have been confirmed in DRC, while seven cases and one death have been confirmed in Uganda.
The report emphasized that following up with contacts of people who have developed Ebola symptoms is a "major challenge," with just 19.3% of contacts seen by health professionals within the previous 24 hours as of May 23.
"Constraints include insecurity, movement restrictions, highly mobile populations linked to mining communities, and
difficulties tracing contacts across dispersed and cross-border populations, as well as limited trained contact tracers to
date," reads the report.
Low levels of trust in the affected communities—a major impediment to an effective response—also appear to be raising the risk of transmission. As Reuters reported on Monday, at least three attacks on Ebola treatment facilities in the northeastern DRC have caused dozens of patients to flee the hospitals.
"The attackers are reportedly motivated by a desire for the hospitals to release the bodies of deceased Ebola patients for burial—unsafe given that the virus remains transmissible after death—or by suspicion or doubt about the virus," reported Reuters.
Dr. Richard Lokudu, medical director of the Mongbwalu General Referral Hospital in Ituri, told Reuters that "there is denial of the disease within the population."
While US Secretary of State Marco Rubio blamed WHO for being "a little late" to identify that outbreak, public health experts have pointed to the Trump administration's massive cuts to foreign assistance and global public health initiatives, including the dismantling of the US Agency for International Development (USAID), as a major factor that likely allowed cases to spread for an extended period of time before international officials realized the outbreak was occurring.
As Common Dreams reported last week, USAID's Ebola prevention work was largely halted by the Department of Government Efficiency, run last year by tech billionaire Elon Musk—despite Musk's insistence that funding for Ebola efforts was maintained. USAID had more than 50 staffers dedicated to responding to and preparing for disease outbreaks like Ebola and Marburg virus, but DOGE's cuts reduced the workforce to about six people.
With Rubio insisting that "we can’t have Ebola cases" in the US and that keeping the disease out of US borders is the top priority for the country, the administration has invoked Title 42 to keep travelers from the DRC, Uganda, and neighboring South Sudan from entering the US if they were in any of the three countries in the previous 21 days. WHO has warned that travel bans and restrictions are not based in science.
Cuts at the CDC have also led the agency to put out a call to its workforce, seeking volunteers to conduct public health screenings at airports.
The State Department said last week it had mobilized about $23 million to help the DRC and Uganda respond to the outbreak and is "mobilizing CDC staff and resources."
But Spencer said Sunday that the administration's travel bans and focus on keeping those affected by Ebola out of US borders are "a policy you put in place when you have nothing else meaningful to add. It gives the appearance of doing ‘something’ while effectively doing nothing of value at all. And it takes away attention from where the real problem is."
We lived through another pandemic nightmare with this president, but the warnings about what he was unleashing with his 2025 assault on USAID and CDC were not heeded. Once again, people are paying with their lives.
The current, rapidly metastasizing Ebola outbreak in East and Central Africa is a sobering reminder of how unprepared we remain for the inevitability of the next pandemic that is always sure to come. Especially when the US continues to hamstring the global efforts needed to contain deadly eruptions.
As of Sunday, May 24, there were 231 deaths and more than 1,000 cases reported, primarily in the Democratic Republic of Congo (DRC), though 10 African countries are now considered at risk. “You cannot cut the systems that detect and stop outbreaks early— then act shocked when they spiral. Pathogens exploit weak systems,” said Krutika Kuppalli, MD FIDSA, in a post on Sunday.
On Monday, Dr. Tedros Ghebreyesus, director-general of the World Health Organization (WHO), told the world that the outbreak was “outpacing us."
The Trump administration, previously the WHO's largest funder, is the biggest reason of these failures and need to play catch up. Assistance from the US to the DRC reportedly fell from $1.4 billion in 2024 to just $21 million in 2026, said Kuppalli.
“Many of the international systems created or strengthened after earlier Ebola crises have been weakened,” the Washington Post reported last week. While the US once "played a central coordinating role in previous Ebola response efforts,” the newspaper noted, "that infrastructure has been significantly diminished following Trump administration cuts" in early 2025.
With the US pulling out of the WHO and eviscerating the US Agency for International Development (USAID), which routed money and supplies quickly, the ability to help organizations on the ground pivot from prevention "to contact tracing and communications" has vanished, said Stephanie Psaki, US coordinator for global health security in the Biden administration.
The Trump administration has even barred key infectious disease officials from communicating with the WHO. “The whole disaster response capability at USAID no longer exists,” said Jeremy Konyndyk, the former lead of USAID’s Ebola response team.
On May 20, National Nurses United, issued a statement admonishing the Trump administration for making everyone less safe in the face of the outbreak.
“Nurses understand the life-or-death importance of prevention, and when it comes to infectious diseases, that means having strong infrastructure in place to rapidly detect and respond to new outbreaks before they are out of control," said NNU. "The Trump administration has purposely taken a sledgehammer to that infrastructure over the past year.”
Nurses are prominent among the health workers, and health policy researchers, who have long warned of the danger of sudden outbreaks that can lead to massive, deadly pandemics.
“The arrival of the next great pandemic has always been a ‘when,’ not an ‘if,’ and firewalls for stopping it are getting thinner,” journalists Conn Hallinan and Carl Bloice wrote in 2005 in the California Nurses Association’s Revolution magazine. That piece was written amid concern for the spreading of avian flu, but the warning signs of a failing prevention and response system were already evident. “Public health budgets in this nation and across the globe are being systematically starved of funding,” they wrote.
Four years later, H1NI, also known as swine flu, brought the fears to life. The Centers for Disease Control and Prevention (CDC) estimated there were 60.8 million cases and an estimated range of between 151,700 to 575,400 deaths worldwide its first year alone. Deborah Burger, RN, then president of the California Nurses Association, warned, “We should learn the lessons of the 1918-1919 flu pandemic, one of which was the enormous mitigating effect on mortality of adequate nursing care.”
Those working on the frontlines to care for infected patients are particularly vulnerable. Speaking to Hallinan and Bloice, University of Minnesota researcher Michael Osterholm predicted back in 2005 that “health care workers would become ill and die at rates similar to, or even higher than in the general public" in the face of a pandemic.
On July 17, 2009, Karen Ann Hays, a cancer care RN at Mercy San Juan Medical Center in Carmichael, CA near Sacramento, and a healthy triathlete and marathon runner, became the first health care worker in California to die of H1N1. Only after the union announced plans for a one-day strike affecting 16,000 RNs in California and Nevada, did then-Gov. Schwarzenegger and major hospitals implement new safety protocols.
In March 2014, the largest outbreak of the deadly Ebola virus was reported in West Africa. By August, the WHO declared a public health emergency as it spread in Africa, and reached Europe and the US. As noted, the outbreak was particularly dangerous for healthcare workers exposed to Ebola patients.
Recalling the spread of H1N1, NNU urged federal, state, and local officials to adhere to strict infectious disease guidelines to protect patients, healthcare workers, and the public. Seeing little done by September 2014, more than 1,000 nurses held a march and die-in during a convention in Las Vegas to alert the public to inadequate US preparations to stop the spread of Ebola and similar pandemics.
Days later, a patient recently returned to the US from Liberia, was diagnosed with Ebola in a Dallas hospital and died. Within two weeks, two Dallas nurses in that hospital, Nina Pham and Amber Vincent, were infected. NNU called on President Barack Obama to “invoke his executive authority” to order all US hospitals to meet the highest “uniform, national standards and protocols” to “safely protect patients, all healthcare workers and the public.”
Burger testified to the House Committee on Oversight and Government Reform on the lack of mandated protections for nurses and patients. “The risk of exposure to the population at large merely starts with front-line caregivers like registered nurses, physicians and other healthcare workers—it does not end there," Burger told lawmakers. "If we cannot protect our nurses and other healthcare workers, we cannot protect anyone.”
A two-day strike the next month at 86 hospitals and clinics over the lack of Ebola preparedness again helped spur needed measures. Within weeks, the federal government, and some states, including California, enacted reforms to improve pandemic protections in US facilities, and as NNU was also urging, escalated support for global protections in West Africa.
Cuba was in the forefront of providing direct frontline care in West Africa in 2014, sending 165 Cuban nurses and doctors, risking their own lives. At a time today with the US threatening an invasion of Cuba following months of an illegal blockade that has had a debilitating impact on its health care system, it’s worth recalling that as recently as 2024, Cuba had dispatched more than 20,000 medical staff to more than 50 countries in humanitarian missions.
When Trump first came into office, he ignored the preparedness lessons. Beginning the morning after his 2017 inauguration, Trump systematically dismantled a pandemic infrastructure response program put in place by Obama. By January 2020, when the WHO had begun warning of the outbreak known as Covid-19, the Trump administration was caught flatfooted. As the initial US infections appeared, Trump’s first public statement that month was this: “We have it totally under control. It’s one person coming in from China. It’s going to be just fine.”
In contrast, NNU had already begun to press Trump to implement national and safety protocols and measures, with public accountability. Instead, Trump’s response was months of denials, deflections, and promotion of false cures while dismissing the best protective measures. By June 2020, with 110,000 dead Americans, Trump insisted, “It is dying out, it’s going to fade away.”
By February 2024, the US counted nearly 7 million cases, and over 1.1 million deaths. So many lives could have been saved with advance preparedness and rapid implementation of the proper safety measures.
Hospital employers and numerous state governments, especially in GOP-controlled states, took their lead from the Trump administration to slow walk or ignore critical protections. Workers in essential front-line occupations, from public transportation to nursing homes and hospitals, as well as lower income jobs in grocery and drug stores, poultry and other meat processing, and service industries generally, paid a high price, especially workers of color.
Through August 2023, the Covid death count hit 5,753 for health care workers overall, including 501 RNs. Filipinos, 4 percent of all RNs, accounted for 21 percent of the deaths among nurses.
In the 2014 outbreak, 881 doctors, nurses, and midwives were infected in West Africa, and 513 died. The crisis created a severe shortage of healthcare workers across the region.
By May 21 in the current Ebola outbreak, at least four health worker deaths have been reported in the DRC. Three Red Cross volunteers have also died. One doctor evacuated from the DRC, waiting in a specialized hospital room in Prague to see whether he has Ebola, said his former colleagues in the DRC are beginning to die of the deadly disease.
The International Rescue Committee warned on Tuesady that thus outbreak is spreading faster than responders can contain it and risks becoming "the deadliest on record."
As the NNU warned last week, neither the nation nor the world can afford another public health mismanagement disaster from the like of Trump. “Nurses have already lived through one bungled, global health emergency response during the first Trump administration," said the union, "and we are appalled to know that when it comes to Ebola, hantavirus, or any other infectious disease, the United States under Donald Trump is now even less prepared than in 2020.""The delay in detecting the outbreak means that we are now playing catch-up with a very fast-moving epidemic."
World Health Organization Director-General Tedros Adhanom Ghebreyesus warned Monday that the swiftly spreading Ebola outbreak in the Democratic Republic of Congo and Uganda "will get worse before it gets better," as a deadly delay in detecting infections has responders to the epidemic "playing catch-up."
"The outbreak is spreading rapidly," Tedros said during a virtual ministerial meeting on the matter. "So far, 101 cases have been confirmed in DRC, with 10 confirmed deaths. But we know the epidemic in DRC is much larger. There are now more than 900 suspected cases and 220 suspected deaths."
"Countries bordering DRC are at especially high risk and should take immediate action," he asserted. "In Uganda, there are five confirmed cases and one death."
Tedros pointed out that "there are several aspects of this outbreak that make it especially challenging."
"First, the delay in detecting the outbreak means that we are now playing catch-up with a very fast-moving epidemic," he said. "We are urgently scaling up operations, but at the moment, the epidemic is outpacing us."
"Second, as you know, the provinces of Ituri and North Kivu are highly insecure, with intensified fighting in recent months, causing more than 100,000 people to be newly displaced," the WHO chief continued. "There is also significant distrust of outside authorities among the local population. In the past week, there have been two security incidents at health facilities."
"WHO is fully committed to working under the leadership of the governments of DRC and Uganda, side by side with Africa [Centers for Disease Control and Prevention] and all other partners," Tedros added. "We will not rest until we bring this outbreak under control."
Ebola—which typically kills between 25% and 90% of infected people, depending upon the strain of the virus and quality of available medical care—causes widespread and often catastrophic damage to the body’s blood vessels, immune system, and organs.
Critics say US President Donald Trump's ideologically driven decision to withdraw the US from the WHO, his administration's dismantling of the US Agency for International Development (USAID), and reduced funding for the US Centers for Disease Control and Prevention's global public health efforts have adversely affected the response to the current Ebola epidemic, compared with 2014 and 2019 outbreaks.
After US Secretary of State Marco Rubio said last week that the WHO was "a little late" in identifying new Ebola infections, Tedros retorted that "we don’t replace the country’s work, we only support them," and suggested that Rubio's comments could be rooted in "a lack of understanding" of the agency and countries' responsibilities.
While Rubio said that “our number-one objective on Ebola, before anything else... has to be, we can’t have it affect the United States,” public health experts warn that Trump administration actions could make it more likely that the virus will make its way to the country.
There is currently no confirmed CDC director, Food and Drug Administration commissioner, or surgeon general.
Taking aim at Trump's evisceration of key public health agencies and programs, Congresswoman Rosa DeLauro (D-Conn.) said last week: “Ebola does not wait for bureaucratic reorganizations. It spreads when surveillance systems are weakened, health workers are laid off, clinics lack protective equipment, and communities lose the trusted partners who help detect and contain outbreaks before they become public health emergencies."
"This is the perfect storm President Trump created," she continued. "He recklessly dismantled USAID, withheld and slashed other United States assistance to the region, fired critical staff, and created global health chaos. This is not efficiency. It is dangerous neglect."
"The United States spent years building the relationships, supply chains, laboratories, and community health networks that help stop deadly diseases at their source," DeLauro added. "The Trump administration tore into that capacity and now wants to pretend the consequences were unforeseeable.”
"Unsure how any US citizen would feel comfortable deploying" to help fight the outbreak, said one doctor, "knowing our government would not make sure they are okay if something happened."
The United Nations' emergency relief office on Thursday was mobilizing $60 million to fight the rapidly spreading Ebola outbreak in the Democratic Republic of Congo, with the body's under-secretary-general for humanitarian affairs saying relief teams are "fully mobilized" and "applying lessons from previous outbreaks," with a focus on building community trust and communicating with governments.
But with the Trump administration having dismantled the US Agency for International Development (USAID) and slashed funding and staffing for the Center for Disease Control and Prevention's (CDC) global efforts, the response is largely missing a key feature that helped with containment during the 2014 and 2019 outbreaks—the involvement of the US government and public health teams—and Secretary of State Marco Rubio signaled on Thursday that was unlikely to change.
In comments to the press, Rubio said the Trump administration's top priority is that Ebola doesn't reach the US—even if that means imposing travel restrictions against the guidance of the World Health Organization (WHO)—and described an approach that one disaster relief leader said was antithetical to the actions the US took in previous Ebola outbreaks.
"Our number-one objective on Ebola, before anything else, and we think it's terrible what's happening there to the people... Our number-one thing has to be, we can't have it affect the United States," said Rubio. "We can't have Ebola cases coming here."
Rubio: "We can't have ebola cases here. In fact, I think we had a flight last night headed to Detroit that was diverted." pic.twitter.com/S84FmWIq5b
— Aaron Rupar (@atrupar) May 21, 2026
The secretary of state noted that an Air France flight that had been headed for Detroit was diverted to Montreal on Wednesday after a passenger from Congo was found to have boarded the plane "in error."
The Department of Homeland Security announced new restrictions this week saying that all travelers who have been in the DRC, Uganda, and South Sudan in the past 21 days—including US citizens and permanent residents—can only enter the US through Washington Dulles International Airport.
When WHO declared the Ebola outbreak a public emergency of international concern last weekend, the agency noted that "no country should close its borders or place any restrictions on travel and trade."
"Such measures are usually implemented out of fear and have no basis in science," said WHO in its guidance, which also noted "state parties should be prepared to facilitate the evacuation and repatriation of nationals (e.g. health workers) who have been exposed" to Ebola.
Jeremy Konyndyk, president of Refugees International and a former USAID disaster relief official, said the message sent by Rubio was "insanely counterproductive."
By sending the message that the US is prioritizing that Ebola stays outside US borders above all, said Konyndyk, the Trump administration is telling "any US health workers that if they get infected trying to contain the outbreak, they won't be allowed home."
"In the 2014 outbreak we did the opposite, because we knew that posture would undermine the response and extend the outbreak," he said.
Dr. Krutika Kuppalli, who specializes in infectious diseases and deployed to West Africa in 2014 to help fight the Ebola outbreak that killed more than 11,000 people, said she did so "with the understanding that if something happened my government would take care of me."
"Unsure how any US citizen would feel comfortable deploying, knowing our government would not make sure they are okay if something happened," said Kuppalli.
The Trump administration's refusal to directly help US healthcare workers impacted by the outbreak has already resulted in two doctors being sent to European countries including Germany and the Czech Republic for treatment.
As he emphasized that Ebola cannot reach US shores, Rubio sent out messages of thanks to German and Czech officials for admitting the two medical workers to their hospitals.
With more than 170 deaths and about 750 infections suspected in the "rapidly" spreading Ebola outbreak and cases reported in Uganda as well as the DRC, public health experts are warning that the crisis is likely to "get worse before it gets better" and that its impact has likely already reached farther than initial numbers show due to a lack of surveillance on the ground.
Former CDC Director Robert Redfield told NewsNation on Thursday that "normally when we have these Ebola outbreaks, and I had three of them when I was CDC director, all of which were in the DRC, normally we recognize them when we have five, 10 cases, you know, at most."
"This one really wasn’t picked up until there was over 100 cases," he said.
WHO Director General Tedros Adhanom Ghebreyesus said Friday that the risk assessment for Ebola is "very high at the national level, high at the regional level and low at the global level."
As Common Dreams reported earlier this week, experts have pointed to President Donald Trump's cuts to foreign assistance and public health initiatives as reasons the outbreak had already spread as far as it did when the emergency was declared this week.
The State Department announced on Monday it was mobilizing $13 million in assistance to help contain the outbreak; the US spent more than $5 billion to fight to 2014 epidemic that hit several countries in West Africa.
"The United States cannot quickly reverse our abdication of leadership on the global health stage," wrote Dr. Craig Spencer, an emergency medicine physician who helped treat Ebola patients in 2014 and survived the disease himself. "But we can bolster our response to this crisis. There should be a steadfast commitment to working closely and coordinating with essential partners like the WHO. We need to mobilize funding and experts, speed up the development of new treatments, and increase resources for protective equipment and expanded testing."
"Trump has deliberately left us the opposite of prepared by gutting Ebola and pandemic-preparedness infrastructure at home and abroad," said one public health advocate.
As predicted in early 2025, when US President Donald Trump unleashed the world's richest man Elon Musk to enact ill-informed and devastating cuts to key federal agencies and programs, those decisions would have real and deadly consequences for the nation and the world.
With a new outbreak of the Ebola virus already claiming over a 131 lives as it sweeps through the Democratic Republic of Congo and Uganda, and with World Health Organization (WHO) Director General Tedros Adhanom Ghebreyesus hosting an emergency media Tuesday to stem the global threat, videos of Musk bragging about how Trump's so-called Department of Government Efficiency (DOGE) targeted programs related to Ebola prevention efforts are resurfacing this week.
In February of 2025, for example, this clip shows Musk telling Trump's cabinet that DOGE "accidentally" cancelled Ebola prevention funding.
Elon Musk: "We will make mistakes. We won't be perfect ... so for example, with USAID, one of the things we accidentally canceled very briefly was ebola prevention." pic.twitter.com/bq4Ipp4Zvj
— Aaron Rupar (@atrupar) February 26, 2025
While Musk claims in his remarks that the mistake was quickly identified—"I think we all want Ebola prevention," he said—and that the funding was restored "immediately" and that there were "no interruptions" in the prevention efforts or program, later reporting found this was not the case.
As the Washington Post later reported, "current and former USAID officials said that Musk was wrong: USAID’s Ebola prevention efforts have been largely halted since Musk and his DOGE allies moved [...] to gut the global-assistance agency and freeze its outgoing payments."
Dr. Craig Spencer, an emergency physician and professor at Brown University School of Public Health who worked on Ebola for more than a decade and responded to Ebola outbreaks in Africa, spoke about the issue with NPR at the time.
"I disagree fully, completely, wholly, that they recognized the mistake and put it back," Spencer told NPR.
Spencer described how officials with the Centers for Disease Control (CDC) were no longer "allowed to go to meetings with the [WHO], something they would have done in every single outbreak of Ebola—or other viral hemorrhagic fever disease–to date," Spencer says. "From top to bottom, none of the things that they have canceled have been put back in place."
Elon Musk says DOGE accidentally cut USAID's Ebola prevention efforts but then they were restored with "no interruption."
That's an outright LIE.
The state of USAID plainly shows that any disease prevention efforts supported by the U.S. at this point are merely symbolic. pic.twitter.com/cOKk6wWGFK
— Senator Patty Murray (@PattyMurray) March 1, 2025
Jeremy Konyndyk, the former lead of USAID's Ebola response team that handled an outbreak of the disease in 2024, said the same.
Konyndyk, now president of Refugees International, explained last year to NPR that nearly every member of highly-trained team focused on high risk outbreaks was "pushed out of the agency, and they have not been brought back."
"The whole disaster response capability at USAID no longer exists," he said. "All of those people are gone. The operation centers that they worked out of are shut down. They can't even access the Ronald Reagan Building where those operation centers sit. That lease has been handed over to Customs and Border Protection."
HealthDay News reported in March of 2025 that while USAID previously "had more than 50 staffers dedicated to outbreak response," the cuts enforced by DOGE "left just six people to handle Ebola, Marburg virus, mpox and bird flu" preparedness operations.
As Bloomberg reported Monday, the impacts of Trump's attack on foreign assistance and outbreak prevention likely had devastating consequences:
The Trump administration’s withdrawal of health funding that once helped support outbreak detection across parts of Africa represents the kind of cuts that contribute to the erosion of disease-surveillance systems.
Health officials say the Bundibugyo strain of Ebola may have circulated undetected for six to eight weeks in northeastern Congo before lab testing confirmed the virus.
By the time Ebola was identified, suspected cases and unexplained deaths had already spread across multiple health zones near the Ugandan border.
Such systems built with international aid often serve multiple purposes: tracking outbreaks, transporting laboratory samples and monitoring unexplained illnesses in remote regions. When funding disappears, those networks weaken quickly.
According to Leslie Dach, founder and chair of Protect Our Care and who served in the Obama administration as the Health and Human Services global Ebola coordinator, said Trump's failures are already plain to see and that the ongoing public health threat, whether abroad or in the United States, is dire.
“If history is any guide, the administration must be fully vigilant and prepared to deal with the potential of this deadly disease reaching America’s shores, or the situation could get ugly fast,” said Dach in a statement on Monday.
“Without proper procedures and guardrails in place, people could get very sick and die," Dach continued. "But Donald Trump has deliberately left us the opposite of prepared by gutting Ebola and pandemic-preparedness infrastructure at home and abroad. The CDC is now flying blind after Trump and Republicans shuttered USAID and cut themselves off from WHO’s global resources—destroying our disease surveillance and response capability just so billionaires could have another tax break."
"Whether it’s measles, Hantavirus, or Ebola," he said, "the deep Trump cuts to research, public health staff and infrastructure have left the nation ten steps behind–always putting out public health fires rather than preventing them.”
As Sen. Patty Murray said back in February of 2025: "If Ebola, Margurg, or any other infectious disease makes it to our shores, it will be thanks to Elon and Trump—two billionaires without a clue, who are positively smug about their own ignorance."
"Before the second Trump administration, USAID would have been on the ground," said one public health expert.
The World Health Organization's official designation of an Ebola virus outbreak in the Democratic Republic of Congo and Uganda as a public health emergency of international concern on Sunday came just a day after the world learned that the disease was spreading at all—a highly unusual chain of events, public health experts said, and one that suggested the virus has been circulating for weeks without the outbreak being detected.
WHO Director-General Tedros Adhanom Ghebreyesus said Sunday that eight laboratory-confirmed cases, 246 suspected cases, and 80 suspected deaths had been reported in at least three health zones across Ituri Province in the DRC. In Kampala, the densely populated capital of neighboring Uganda, two lab-confirmed cases and one death were reported within 24 hours of each other.
The victims in Kampala had no apparent link to one another; both had recently traveled from Congo.
The confirmed cases in Congo include some that have been reported in Kinshasa, the capital. The fact that the disease has been able to spread to two large cities with international airports, and the "clusters of deaths across the province of Ituri" point to "a potentially much larger outbreak than what is currently being detected and reported, with significant local and regional risk of spread," said WHO.
"At least four deaths among healthcare workers in a clinical context suggestive of viral haemorrhagic fever have been reported from the affected area, raising concerns regarding healthcare-associated transmission, gaps in infection prevention and control measures, and the potential for amplification within health facilities," the agency said.
Dr. Ashish Jha, who served as the White House Covid-19 response coordinator, said the numbers being reported could make the outbreak "one of the 10 biggest Ebola outbreaks in history."
"We're just hearing about this now? That makes no sense. Those numbers take weeks to accumulate," said Jha, adding that the fact that suspected cases have been detected in capital cities as well as Bunia, the provincial capital of Ituri, "matters enormously for spread."
Tedros emphasized that the outbreak is considered "extraordinary" because there is no approved vaccine or therapeutics for Ebola caused by the Bundibugyo virus, as this strain is. WHO sent a team to investigate in Ituri after first being notified of suspected Ebola cases on May 5, but initial samples tested negative, as available field equipment was only able to detect the Zaire strain of the disease.
The US Centers for Disease Control and Prevention (CDC) and global partners "need to surge resources in," Jha said. "A slow response creates unnecessary risks to people everywhere."
WHO, which President Donald Trump withdrew the US from last year, said the public health emergency designation was made to ramp up surveillance and infection prevention in the countries where the outbreak is occurring, enhance preparedness in bordering countries, and spread awareness in the international community.
The Ebola outbreak is the second to hit Uganda since Trump slashed foreign assistance funding, including by dismantling the US Agency for International Development. Earlier this month, CNN reported that the administration plans to divert $2 billion in global health program funding to cover the cost of closing USAID.
US foreign spending dropped by 56.9% after Trump shut down the agency as well as smaller aid programs and pushed Congress to rescind previously approved foreign assistance. USAID played a critical role in responding to the 2014 Ebola outbreak in West Africa.
In March 2025, when an Ebola outbreak was reported in Uganda, US officials warned that Trump's actions on foreign assistance at that point, including the termination of USAID grants, was impeding the Ugandan government's ability to procure lab supplies, diagnostic equipment, and protective gear for medical workers.
Dr. Herbert Luswata, president of the Uganda Medical Association, told The New York Times at the time that the country's ability to respond to Ebola was notably different than it had been during a previous outbreak in 2022, when dozens of medical workers volunteered to help treat patients.
The lack of funds and protective equipment had "left many afraid to help this time," the Times reported.
“With no USAID money and CDC expertise, it was like Uganda was left to die," Luswata told the Times.
Dr. Craig Spencer, an emergency medicine physician who survived Ebola in 2014, told CBS Saturday that "before the second Trump administration, USAID would have been on the ground" to respond to the current outbreak.
"The CDC would have been on the ground at a moment's notice, maybe even before a moment's notice, of a new outbreak of Ebola because we were in a bunch of countries," said Spencer. "We created relationships beforehand."
Last year, Trump megadonor Elon Musk, who was then leading efforts to slash government spending at the Department of Government Efficiency, said DOGE had "accidentally" canceled US support for Ebola prevention but claimed the funding had been "restored...and there was no interruption.”
But a number of Ebola-related contracts were in fact cut, accounting for $1.6 million out of $2.2 million that had previously gone toward the prevention efforts.
In recent weeks, public health experts have also warned that Trump's cuts to the CDC and other public health programs have left the US ill-prepared to respond to the hantavirus outbreak that originated on a cruise ship.
Jeremy Konyndyk, president of Refugees International and former leader on USAID's Covid-19 and disaster relief response work, said the current Ebola outbreak is "very worrying" and appeared to be the result of a "massive surveillance failure."
"It is really unusual for an Ebola outbreak to get to this scale before being detected; particularly in DRC, which has a lot of Ebola experience," said Konyndyk.
"I can't help but wonder," said Konyndyk, "if the drawdown of USAID and CDC health interventions by DOGE undermined some of the surveillance and detection initiatives that might have helped to catch this earlier."
WHO emphasized that the current crisis in DRC and Uganda requires "international coordination and cooperation to understand the extent of the outbreak, to coordinate surveillance, prevention, and response efforts, to scale up and strengthen operations and ensure ability to implement control measures."
"This is pure stupidity that will only hurt us," warned one U.S. doctor and Ebola expert.
Public health experts pointed to the announcement of highly contagious hemorrhagic fever outbreaks in at least three central and eastern African nations this week to underscore what they say are the dangers of President Donald Trump's ideologically driven decision to withdraw the United States from the World Health Organization during a time of mounting pandemic threats.
Uganda Ministry of Health Permanent Secretary Diana Atwine said Thursday that a 32-year-old nurse died of Sudan Ebola virus the previous day in the capital Kampala amid the first new outbreak in two years. Atwine assured the public "that we are in full control" of the situation.
Uganda's alert followed reports of another potential Ebola outbreak, this one in the Western Democratic Republic of Congo. Additionally, health officials earlier this month announced an outbreak of suspected Marburg Virus Disease—a severe, often fatal illness similar to Ebola—in neighboring Tanzania. At least nine people have reportedly died.
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus said on social media Thursday that "a full-scale response is being initiated" by the Ugandan government and its international partners. In a statement, the WHO said it is "deploying senior public health experts and mobilizing staff from the country office to support all the key outbreak response measures."
During past outbreaks of Ebola—a severe viral disease spread via contact with infected bodily fluids, with a fatality rate of 50-90%—the U.S. Centers for Disease Control and Prevention (CDC) worked with the WHO to help stem the spread of the illness.
However, following Trump's January 20 executive order initiating a U.S. withdrawal from the WHO over its alleged "mishandling of the Covid-19 pandemic," CDC and other public health officials have been ordered to stop working with the United Nations body, effective immediately.
"The agencies that are statutorily responsible for protecting our health are unable to do that job because they are not able to pick up the phone and talk to people who might have information that could protect U.S. health and security," Jennifer Nuzzo, director of the Pandemic Center at Brown University's School of Public Health, told Stat this week.
"This is just one of the examples about how the United States loses access, loses the ability to protect American lives," Nuzzo explained. "We can't be everywhere, we can't have eyes and ears on the ground in every possible location [where] harm could be emerging. And this is what happens when we don't engage with institutions that can provide these lifesaving insights."
Experts said other existing or emerging epidemiological threats including bird flu underscore the lifesaving imperative of more, not less, international cooperation.
"Local health officials and doctors depend on the CDC to get disease updates, timely prevention, testing and treatment guidelines, and information about outbreaks," University of Southern California public health expert Dr. Jeffrey Klausner told The Associated Press in a recent interview.
"Shutting down public health communication stops a basic function of public health," he added. "Imagine if the government turned off fire sirens or other warning systems."
Dr. Ashish Jha, the former White House Covid-19 coordinator during the Biden administration, noted Thursday on social media that during Ebola outbreaks, the CDC "usually sends a team right away to help bolster staff that might already be there and support the ministry of health."
"There'd be clear communication from CDC and White House about what exactly is being done, what help we are sending, what American hospitals and others can do to be prepared should Ebola land here," Jha continued. "So what of this is happening? My sense is, not much—but we don't know."
"The communication freeze means CDC not sharing what if anything it is doing," he added. "Travel freeze means CDC staff likely not going. Directive to stop working with WHO means we're flying blind and don't have information about what is happening on the ground. None of this is good."