r/publichealth • u/nytopinion • 1d ago
NEWS [News] Opinion | I’ve Worked in Congo for Decades. I’ve Never Seen an Ebola Crisis Like This.
“I have worked in humanitarian health in this region for decades and helped lead responses to several Ebola outbreaks. I have never seen one get this far ahead of us,” Heather Kerry, the country director of the International Rescue Committee in the Democratic Republic of Congo, writes in a guest essay for Times Opinion. More than 140 days after the outbreak was declared, the threat is still spreading, and much of it is happening outside of what is being tracked.
Controlling the outbreak has been made significantly harder by U.S. government funding to surveillance, preparedness and treatment drying up in 2025. “Budget reductions forced my organization, the International Rescue Committee, to cut funding to the health facilities focused on primary care in Ituri Province, where this outbreak began,” Heather says. At the same time, however, “the challenge is not only a lack of resources. It is also a lack of trust.”
Heather continues:
Decades of violent conflict, corruption and institutional neglect have fueled public distrust of health care providers, international actors and government institutions. Rumors that the Ebola outbreak is a hoax or was fabricated by humanitarians seeking to make money are widespread. My colleagues working on community outreach in Bunia told me that a mother did not take her children to a clinic to be checked for Ebola when they had a fever because she believed the Ebola response was a moneymaking scheme.
In some cases, that distrust has turned violent. At least a dozen health facilities have been attacked during this outbreak. In July, a health center was stormed by an armed group who threw stones at the center. Several Ebola patients fled. When I visited a few weeks after the attack, International Rescue Committee colleagues and health workers recounted hiding during the attack. Several told me that their main worry was their families, whom they could not reach until they got out.
More broadly, distrust has made it harder for health workers to track the virus. Contact tracing, a key tool in slowing the spread of the virus, has improved significantly, although it’s still short of what’s needed. The bigger problem is that most people who have contracted Ebola in this outbreak were never on a contact list in the first place. Just over a third of confirmed cases so far were known contacts of people infected; the rest emerged outside any known chains of transmission. Health workers told me that this is in large part because many people who think they have Ebola are choosing to stay home.
Read the full piece here, even if you’re not a Times subscriber.