official (DRC Ministry of Health figures, released 1 Oct, via AP · WHO Disease Outbreak News DON618, 25 Sep · ECDC, 2 Oct · Africa CDC, 1 Oct, via AP · MSF statement and Dutch health ministry, 1 Oct · UN News, 1 Oct)

Congo's Ebola deaths pass 4,000 as a transit centre burns and an MSF doctor is flown to the Netherlands

Origin Lane: fractureDemocratic Republic of the Congo · Ituri (Bunia, Kigonze camp) · North Kivu (Butembo, Lubero) · patient evacuated to Leiden University Medical Center, Netherlands

Congo's Ebola outbreak has now killed more than 4,000 people, its health ministry says, and the slowdown in new cases may be a gap in the counting rather than a turn in the outbreak, according to Africa's top public health agency.

Key facts

Toll (DRC health ministry, released Oct 1)
8,300 cases and 4,018 deaths since the outbreak was declared in eastern Congo on May 15 (AP)
WHO (DON618, Sep 25)
7,890 confirmed cases including 3,799 deaths as of Sep 23, a crude case fatality ratio of 48.1% · 63 health zones in seven provinces
ECDC (Oct 2)
8,224 confirmed cases including 3,982 deaths reported by Congo on Sep 30 · next epidemiological update due 5 Oct 2026
Slowdown? (Africa CDC, Oct 1, via AP)
Newly confirmed cases are falling, but that could be due to insecurity and difficulty getting communities to cooperate in some hot spots · spread has slowed in some areas and sped up in others · AP: from about 850 cases and 470 deaths a week in mid-July to an average of 490 cases and 230 deaths a week in September
Kigonze, Ituri (UN)
A senior UN official says soldiers looking for weapons burned the displacement camp housing an Ebola transit centre in Kigonze, outside Bunia, forcing 19,000 people to flee
Leiden (MSF, LUMC)
An MSF doctor infected on the Congo response arrived in the Netherlands late Thursday on a special medical flight and is in a high-level isolation unit at Leiden University Medical Center · a planned evacuation of one patient, not spread in Europe
Responders
At least 50 health workers have died after contracting the virus (AP) · unpaid surveillance workers protested in Bunia ("No money, no data!") · two response workers were reportedly killed in Lubero, North Kivu, on Sep 27 and 28 (UN News)
Watch next
ECDC update Oct 5 · next WHO Disease Outbreak News · the patient's condition in Leiden

When we lose a center, that means we lose capacity, we lose investment, and we have to start again.

Julien Harneis, UN senior Ebola coordinator in Congo, to AP

Note

Congo's Ebola outbreak has passed 4,000 deaths. Figures released by the health ministry on Thursday, Oct 1, count 8,300 cases and 4,018 deaths since the outbreak was declared in eastern Congo on May 15, the Associated Press reported. WHO's last formal update, Disease Outbreak News 618 on Sep 25, gave 7,890 confirmed cases and 3,799 deaths as of Sep 23, a fatality ratio of 48.1%. ECDC, which posted 8,224 cases and 3,982 deaths reported on Sep 30, says its next epidemiological update is due on Oct 5.

The weekly numbers are coming down, and that may not mean what it seems. According to AP, confirmed cases fell from about 850 and 470 deaths a week in mid-July to an average of 490 cases and 230 deaths a week in September. Africa CDC said on Thursday the fall could be due to insecurity and difficulty getting communities to cooperate in some hot spots, and that spread has slowed in some areas while speeding up in others.

The response keeps losing ground. A senior UN official told AP that soldiers looking for weapons burned a displacement camp housing an Ebola transit centre at Kigonze, on the outskirts of Bunia, forcing 19,000 people to flee. "When we lose a center, that means we lose capacity, we lose investment, and we have to start again," said Julien Harneis, the UN's senior Ebola coordinator. In Bunia, unpaid surveillance workers protested with signs reading "No money, no data!", and two response workers were reportedly killed in Lubero, North Kivu, in late September, UN News reported. At least 50 health workers have died after catching the virus, according to AP.

One of the responders is now being treated in Europe. An MSF doctor infected while working in Congo arrived in the Netherlands late Thursday on a special medical flight and was taken to a high-level isolation unit at Leiden University Medical Center. It is a planned medical evacuation of one patient, not an outbreak in Europe.

Why it matters

Four thousand deaths puts this outbreak on a path WHO says could pass West Africa's 2014 to 2016 epidemic, which killed 11,000. Fewer confirmed cases sounds like good news, but Africa CDC warns it may mean fewer people are being reached and tested, while a treatment site burns and unpaid surveillance workers protest.

Sources

Primary + secondary attribution as listed.

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