SitRep 031
Report date 2026-06-14
Machine translation from the French original with Google Gemini. No person has reviewed it.
Every number on this page was compared against the French transcription, and the page is published only if they match. The wording carries no such check. Before relying on any figure, read it in the original PDF.
[PHOTO]
Public Health Emergency Operations Centre “COUSP (public health emergency operations centre) RDC” Incident Management System MVE-17
Situation Report on the 17th EBOLA Virus Disease Outbreak /RDC SitRep No. 31/MVB_14/06/2026
Affected provinces (3) ITURI, NORD-KIVU & SUD-KIVU
Affected Health Zones (31)
Ituri (20/36): Aru, Aungba, Bambu, Bunia, Damas, Gety, Kilo, Komanda, Lita, Logo, Mambasa, Mangala, Mongbwalu, Nizi, Nyankunde, Rimba, Rwampara, Tchomia, Kambala, Nia-Nia.
Nord-Kivu (10/34): Beni, Butembo, Goma, Kalunguta, Katwa, Kyondo, Oicha, Masereka, Vuhovi and Mabalako.
Sud-Kivu (1/34): Miti-Murhesa
Reporting date 14 June 2026
Publication date 15 June 2026
Cumulative confirmed cases for the 3 provinces 808*
Cumulative deaths among confirmed cases and case fatality rate 192(23,8%)
Patients in isolation - hospitalisation 363(83,8%)
Cumulative number of recovered patients 48
Suspected cases of the day 165(54 deaths) **
Contact follow-up rate for the 3 provinces 63,1%
*Data currently being harmonised to integrate confirmed cases still in the community as well as escape cases into the overall count.
**Suspected deaths occurring in the community are subject to in-depth investigation with a view to possible reclassification (Non-cases, probable cases).
1. HIGHLIGHTS
Twenty-six (26) new confirmed cases including 11 deaths, were reported during the day of 14 June 2026 in 2 provinces (Ituri: 21 and Nord-Kivu: 5).
These confirmed cases are distributed in the ZS (health zone) Mongbwalu (11), Nyankunde (4), Bunia (3), Rwampara (3) in the province of Ituri and the ZS Butembo (4) and Katwa (1) for the province of Nord-Kivu.
Eight (8) patients suffering from Ebola virus disease were declared recovered, including 3 in Bunia and 5 in Rwampara (Ituri province).
Holding of a meeting chaired by the Director General of the INSP (National Institute of Public Health) with the response team, in the presence of the new military Governor.
2. EPIDEMIOLOGICAL AND OPERATIONAL CONTEXT
The province of Ituri, located in the North-East of the Democratic Republic of the Congo, shares a long and porous border with Uganda and South Sudan.
For more than two decades, it has been facing a chronic humanitarian crisis linked to armed conflicts and recurrent population displacements.
Its population is estimated at more than 8 million inhabitants, including more than one million internally displaced persons.
The Mongbwalu health zone, considered the starting point of the outbreak, is located in the territory of Djugu 70 km from Bunia.
This zone is characterised by the presence of armed groups, frequent population movements towards Uganda, and numerous artisanal mining sites attracting migrant workers.
In September 2018, the province of Ituri had already been affected by the 10th MVE (Ebola virus disease) outbreak that was then raging in Nord-Kivu.
The current outbreak, caused by the Bundibugyo ebolavirus, was officially declared on 15 May 2026 by the Minister of Public Health.
The three affected provinces have a total population estimated at nearly 15 million inhabitants, with massive internal displacements and cross-border flows towards neighbouring countries.
[FIGURE: Figure 1. Chronology of events of the Ebola-Bundibugyo virus disease outbreak.]
3. DETAILED EPIDEMIOLOGICAL ANALYSIS
3.1 Spatial distribution and active hotspots as of 14 June 2026
| Province | Confirmed cases | Deaths (confirmed) | Case fatality | Affected health zones | New confirmed cases (24h) |
|---|---|---|---|---|---|
| Ituri | 738 | 153 | 20,7% | 20 out of 36 (55,5 %) | 21 |
| Nord-Kivu | 67 | 38 | 56,7% | 10 out of 34 (29,4 %) | 5 |
| Sud-Kivu | 3 | 1 | 33,3% | 1 out of 34 (2,9 %) | 0 |
| Total | 808 | 192 | 23,8% | 31 out of 104 (29,8 %) | 26 |
For the day of 14 June 2026, no new health zone was affected.
The number of affected ZS remains 31/104 (section 3.1).
Approximately 91,3% of confirmed cases reported in the 3 affected provinces are located in the province of Ituri, making it the epicentre.
Furthermore, the province of Nord-Kivu remains the most affected regarding case fatality (56,7%) whilst the province of Ituri shows a low case fatality (20,7%) despite the significant number of deaths recorded.
On the other hand, the province of Sud-Kivu has not notified any confirmed case since 26 May 2026.
3.2 Distribution by health zone (Cumulative as of 14/06/2026)
Province of Ituri (738 cases): Bunia (215), Rwampara (152), Mongbwalu (175), Nyankunde (42), Nizi (11), Bambu (7), Komanda (6), Lita (6), Mangala (5), Kilo (4), Damas (4), Rimba (3), Aru (3), Aungba (2), Mambasa (2), Logo (2), Tchomia (2), Gety (1), Kambala (1) and Nia-Nia (1 case).
(Ninety-four (94) additional cases are currently being broken down.
Province of Nord-Kivu (67 cases): Katwa (25), Butembo (19), Beni (14), Oicha (2), Kyondo (2), Kalunguta (1), Goma (1), Masereka (1), Vuhovi (1) and Mabalako (1).
Province of Sud-Kivu (3 cases): Miti-Murhesa (3).
3.3 Temporal analysis:
An increasing number of confirmed cases is observed from one week to the next, reflecting ongoing transmission of the disease in the community.
A sudden geographical expansion of the outbreak is to be feared if public health actions are not implemented quickly.
[FIGURE: Number of confirmed cases by week of notification]
3.4 Epidemic mapping
[FIGURE: Figures 2 & 3. Spatialisation of confirmed MVE cases by affected health zones and in the three affected provinces as of 14 June 2026]
| Province / Health zone | Cumulative confirmed cases (n) | Cumulative confirmed deaths (n) | Case fatality (%) |
|---|---|---|---|
| ITURI Bunia | 215 | 20 | 9,3% |
| ITURI Rwampara | 152 | 27 | 17,8% |
| ITURI Mongbwalu | 175 | 80 | 45,7% |
| ITURI Nyankunde | 42 | 4 | 9,5% |
| ITURI Bambu | 7 | 2 | 28,6% |
| ITURI Aru | 3 | 1 | 33,3% |
| ITURI Kilo | 4 | 1 | 25,0% |
| ITURI Nizi | 11 | 1 | 9,1% |
| ITURI Mangala | 5 | 3 | 60,0% |
| ITURI Damas | 4 | 0 | 0,0% |
| ITURI Aungba | 2 | 1 | 50,0% |
| ITURI Gety | 1 | 0 | 0,0% |
| ITURI Komanda | 6 | 0 | 0,0% |
| ITURI Lita | 6 | 0 | 0,0% |
| ITURI Logo | 2 | 0 | 0,0% |
| ITURI Mambasa | 2 | 1 | 50,0% |
| ITURI Rimba | 3 | 0 | 0,0% |
| ITURI Tchomia | 2 | 0 | 0,0% |
| ITURI Kambala | 1 | 1 | 100,0% |
| ITURI Nia-Nia | 1 | 1 | 100,0% |
| ITURI Other ZS (unventilated data) | 94 | 10 | 10,6% |
| ITURI Subtotal Ituri | 738 | 153 | 20,7% |
| NORD-KIVU Katwa | 25 | 16 | 64,0% |
| NORD-KIVU Beni | 14 | 10 | 71,4% |
| NORD-KIVU Butembo | 19 | 7 | 36,8% |
| NORD-KIVU Oicha | 2 | 2 | 100,0% |
| NORD-KIVU Kalunguta | 1 | 1 | 100,0% |
| NORD-KIVU Kyondo | 2 | 1 | 50,0% |
| NORD-KIVU Goma | 1 | 0 | 0,0% |
| NORD-KIVU Masereka | 1 | 0 | 0,0% |
| NORD-KIVU Vuhovi | 1 | 1 | 100,0% |
| NORD-KIVU Mabalako | 1 | 0 | 0,0% |
| NORD-KIVU Subtotal Nord-Kivu | 67 | 38 | 56,7% |
| SUD-KIVU Miti-Murhesa | 3 | 1 | 33,3% |
| SUD-KIVU Subtotal Sud-Kivu | 3 | 1 | 33,3% |
| TOTAL | 808 | 192 | 23,8% |
4. RESPONSE ACTIONS BY PILLAR
4.1 Coordination
National / Ituri:
Holding of a meeting chaired by the Director General of the INSP/COUSP with the response team, in the presence of the new military Governor
Conclusion of the training of chief medical officers of health zones and AC for the Aru pool.
Conclusion of the cross-border meeting between the DRC and Uganda on the coordination of MVE response actions.
4.2 Epidemiological surveillance
| Indicator | Ituri | Nord-Kivu | Sud-Kivu | Total |
|---|---|---|---|---|
| Alerts escalated | 241 | 329 | 18 | 588 |
| Alerts investigated | 158 | 329 | 18 | 505 |
| Investigation rate | 65,6% | 100,0% | 100,0% | 85,9% |
| Validated alerts Alive | 67 | 41 | 3 | 111 |
| Validated alerts Deceased | 43 | 11 | 0 | 54 |
| Total suspected cases of the day | 110 | 52 | 3 | 165 |
During the course of the day of 14 June 2026, 588 alerts were escalated in the three affected provinces, 505 (85,9%) of these alerts were investigated.
Thus, 165 suspected cases (54 deaths) were recorded.
[FIGURE: Figure 4. Trend of alerts notified, investigated and the proportion of validated alerts over the last 7 days (08-14 June 2026).]
| Province | Contacts under follow-up (n) | Contacts seen (n) | Follow-up rate (%) |
|---|---|---|---|
| Ituri | 4 828 | 3 098 | 64,2% |
| Nord-Kivu | 1 212 | 684 | 56,4% |
| Sud-Kivu | 80 | 80 | 100,0% |
| Total | 6 120 | 3 862 | 63,1% |
Continuation of in-depth investigations and exhaustive listing and follow-up of contacts around confirmed cases in the ZS (narratives of confirmed cases, number of contacts listed and followed up per case).
314 new contacts were listed in 4 ZS of Ituri province.
Update on the activities of points of control and points of entry (PoC/PoE)
Guided visit to the PoEs OFOO/RDC and Vurra/Uganda following the cross-border meeting.
Supervision of activities at the PoEs Aéro Bunia, PoCs Mudzibala and Dele.
Supervision of hut construction works.
| Indicators | Results |
|---|---|
| Proportion of PoC activated | 60,0% (27/45) |
| Number of travellers who passed through | 47 369 |
| % of travellers screened | 94,0% |
| % of travellers who washed their hands | 92,6% |
| % of travellers sensitised | 94,0% |
| Number of alerts notified | 7 |
| % of alerts investigated or lifeless bodies swabbed within 24h | 0,0% |
| Number of validated alerts | 7 |
| % of results available within 24h | 0% |
| Number of alerts transferred to CT/CTE or for EDS | 0 |
| Number of contacts intercepted this day | 0 |
4.3 Laboratory
Ituri: 101 new samples collected and analysed (positivity 20,8%; n=21).
Sud-Kivu: 3 samples collected and analysed, all returned negative.
Nord-Kivu: 38 samples collected and analysed (Bundibugyo strain); 5 returned positive (13,1%).
A total of 66 samples remains pending.
4.4 Infection Prevention and Control (PCI)
Ituri: Provision of a PCI (infection prevention and control) kit for decontamination in the ZS of Mongbwalu (BCZ and ESS); briefing of 44 providers in the different AS (health area) of the ZS of Bunia on general information on MVE, handwashing; briefing of 14 providers from the ZS of Mambasa on standard precautions; decontamination of households of confirmed cases in the ZS of Rwampara, ZS of Bunia and ZS of Bambu.
Nord-Kivu: Meeting with partner Medair on the need to improve the triage circuit of the HGR (general referral hospital) Katwa, compliance with SOPs for decontamination, donning and doffing of PPE; briefing of 61 health providers in the ZS of Butembo, Katwa, Beni, Goma and Karisimbi on various PCI topics in the context of MVE; continuation of the provision of PCI supplies to priority ESS in the ZS of Butembo, Katwa and Beni; decontamination of 2/3 ESS (HSR Matanda & CH Emmanuel d’Alzon) in the ZS of Butembo; decontamination of CH Antabuse (gap of 3/6 ESS remaining to be decontaminated) in the ZS of Katwa, assessment of the risk of exposure of 5/10 providers at CH st Joseph and CH Antabuse in the ZS of Katwa: the 5 providers classified as high risk; supervision of CH la VERITE/ZS of Butembo having received 5 suspected cases; decontamination of two ESS: CHE Beni in the AS of Malepe and Thwamahavuka in the AS Kanzulinzuli/ZS of Beni; assessment of 6 ESS using the scorecard tool in the ZS of Beni.
Sud-Kivu: Development of the distribution plan for 4600Kg/8,652m3 of supplies (PPE and PCI) to the 15 priority ZS of Sud-Kivu; score card evaluation of a scorecard; theoretical and practical briefing of 65 providers on standard precaution measures and the 3-bucket decontamination technique; provision of 60 handwashing kits in 3 schools (EP Kabindi, EP Murhanga, EP CIBATI-COMBO).
4.5 Holistic care
Eight (8) patients (Rwampara: 5, Bunia 3) suffering from Ebola virus disease were declared recovered after obtaining negative control tests.
Monitoring and nutritional care of patients in all CTE (Ebola treatment centre): 536 hot meals were provided (119 suspects, 103 confirmed, 281 PPL (person released from treatment (discharged patient)) and 33 companions).
| Indicator | Ituri | Nord-Kivu | Sud-Kivu | Overall |
|---|---|---|---|---|
| Patients in bed (D-1) | 312 | 42 | 7 | 361 |
| Total admissions (24h) | 44 | 8 | 2 | 54 |
| Discharges (24h) Deceased (Suspects/Conf.) | 9 | 0 | 0 | 9 |
| Discharges (24h) Non-cases | 25 | 6 | 3 | 34 |
| Discharges (24h) Recovered | 8 | 0 | 0 | 8 |
| Discharges (24h) Escaped (Suspects/Conf.) | 1 | 0 | 0 | 1 |
| Discharges (24h) Transferred to HGR | 0 | 0 | 0 | 0 |
| Total discharges | 43 | 6 | 3 | 52 |
| Patients in isolation (End of D) | 313 | 44 | 6 | 363 |
| of which confirmed (NC+AC) | 140 | 14 | 1 | 155 |
| of which suspects | 173 | 30 | 5 | 208 |
| Overall occupancy rate | 94,8% | 62,0% | 18,8% | 83,8% |
Mental health and psychosocial support activities
| KEY INDICATORS | ITURI | SUD-KIVU | NORD-KIVU |
|---|---|---|---|
| New confirmed cases admitted to the CTE having benefited from SMSPS interventions | 7(100 %) | 0 | 3(20%) |
| Confirmed cases under follow-up having benefited from SMSPS interventions | 35(42,7%) | 1 (100%) | 5(25%) |
| New suspected cases having benefited from SMSPS interventions | 13(59,1%) | 0 | 7(35%) |
| Suspected cases under follow-up having benefited from SMSPS interventions | 46(58,2) | 6(100%) | 10(47,6) |
| Laboratory results that were announced | 17 | 0 | 8 |
| Of which positive | 8 | 0 | 4 |
| No. Separated children in crèche having benefited from SMSPS interventions | 1(100%) | 1 (100%) | 3 |
| No. Separated children in community having benefited from SMSPS interventions | 0 | 4 | 8 |
| No. Companions at the CTE having benefited from SMSPS interventions | 62 | 8 | 30 |
| No. PPL having benefited from SMSPS interventions | 6 | 5 | 0 |
| No. Household and community members having benefited from SMSPS interventions | 38 | 7 | 7 |
| No. of SDB supported | 0 | 0 | 0 |
4.6 Continuity of services.
11 recovery plans for HGR and CSR
Preparation of drug requirement statements for ESS.
4.7 Risk communication and community engagement
Nord-Kivu: 210 (11 M and 199 F) Adventist worshippers from 7 districts sensitised in Matanda parish, on preventive measures against MVE, risk communication and the escalation of community alerts, referral of patients to FOSA; 35 young people from the association INTERADES and students briefed on MVE and rumour management in the AS Matanda; 2 reluctances lifted related to the transfer of patients in the ZS of Butembo; 159 people (67M and 92 F) reached by sensitisation on preventive measures against MVE during home visits in the AS Muyisa; 415 members (270 F and 145 M) of the church Polyglossa/ CBCA of Butembo sensitised on preventive measures for MVE under the theme.
“The responsible behaviour of the Christian of the Plyoussa church for the fight against MVE: no useless resistance, MVE exists.
Sud-Kivu: 3 radio stations broadcast messages on MVE prevention, 3 religious leaders engaged, 477 households visited, 1 480 people sensitised in households; mass sensitisation with 304 worshippers of the church CEPAC Buloho on prevention measures and signs of MVE; advocacy with the pastor of the CEPAC church so that he regularly sensitises worshippers of his church on MVE prevention measures.
Ituri: 43 family members of 9 new admissions to the CTE/CME Nyankunde; interviews with members of seven families.
Results: nine samples taken without refusal and 5 resistances to SDB broken; orientation meeting of 14 opinion leaders and group leaders responsible for supporting the prevention and management of community incidents on the sidelines of their deployment; mass sensitisation including 175 men and 311 women on preventive measures for MVE in various settings in the different affected health zones in Ituri; 4 615 (1 823 M and 2 792 F) people reached during 60 home visits; 4 mass sensitisations on preventive measures for MVE organised in 6 ZS with 963 people reached; 43 people briefed (31 traditional practitioners and 12 influencers) in the ZS Bunia, Mongbwalu and Rwampara.
Infodemic management/Feedback: It has become recurrent that SDB teams arrive in very small numbers at the burial site and community members are obliged to help them without protection at the risk of contaminating themselves.
Action: answers and clarifications provided to communities.
Support to other pillars: Surveillance: Support to the listing of 14 contacts around 5 suspected cases (AS Mongbwalu, ZS Mongbwalu); PCI: preparation of the family for acceptance of SDB (AS Dele/ZS Rwampara).
Result: SDB carried out; Care: support for the referral of 6 patients admitted to the CTE CME Nyankunde and sensitisation of 26 persons accompanying them.
4.8 Logistics and Security
Receipt of 9 Radione machines and reagents.
Delivery of PCI supplies.
4.9. Security
The security situation remains calm but unpredictable in Bunia and surroundings.
Validation of the evaluation form for experts leaving the MVE outbreak area.
4.10. PSEA (Prevention of Sexual Exploitation and Abuse)
Continuation of sensitisation of local communities on complaints mechanisms.
5. MAIN CHALLENGES
| No. | Challenges | Impact | Required action |
|---|---|---|---|
| 1 | Reluctance towards post-mortem sampling (swabs) | Delay in confirmation; underestimation of cases | Intensive community engagement; involvement of religious leaders |
| 2 | Insufficient capacity in standard-compliant CTEs despite the opening of Rwampara | Potential saturation of existing CTEs | Acceleration of the construction of planned CTEs |
| 3 | Weak contact follow-up (overall rate 63,1%, target 95%) | Interruption of transmission chains compromised | Training, deployment and motivation of community relays |
| 4 | Lack of supply of Generic Essential Medicines (MEG) in targeted HGRs | Weakening of overall care | Advocacy for provision of MEG |
| 5 | Insufficiency of PCI supplies (PPE, DLM, chlorine) in Nord-Kivu | Nosocomial risk | Urgent supply |
| 6 | Low escalation of alerts in the provinces of Ituri and Sud-Kivu | Delay in case detection | Strengthening of community surveillance |
| 7 | Insufficiency of financial resources for all pillars | Slowdown of operations | Resource mobilisation (gap of 21,5 million USD) |
6. PERSPECTIVES AND PRIORITY ACTIONS (24-72h)
| Priority | Action | Responsible pillar | Deadline |
|---|---|---|---|
| 1 | Strengthen sensitisation and community engagement activities of local leaders | CREC | Continuous |
| 2 | Briefing of providers on MVE surveillance and SBC in affected and high-risk zones | Surveillance/CREC | D+3 |
| 3 | Briefing of community workers on MVE surveillance and SBC (Ituri province) | Surveillance/CREC | D+3 |
| 4 | Supervised support by the Director General of the INSP across technical pillars | Coordination | Continuous |
| 5 | Catch-up of contact follow-up in Ituri remains still low | Surveillance | D+7 |
| 6 | Strengthening PCI and training staff in Nyankunde and other nosocomial zones | PCI | D+2 |
| 7 | Deployment of a standardised daily dashboard with KPIs by pillar | Coordination | D+3 |
| 8 | Catch-up plan for samples pending analysis in Nord-Kivu | Laboratory | D+2 |
[PHOTO]
Guided visit of social media influencers from Bunia and Mongbwalu to the CTE Rwampara.
For the National Institute of Public Health (INSP) of the DRC
The Director General of the INSP
Dr MWAMBA KAZADI Dieudonné
E-mail: dieudonne.mwamba@insp.cd
Tel.: +243 816 040 145
The COU-SP Coordinator
Prof NGANDU Christian
E-mail: Christian.ngandu@insp.cd
Tel.: +243998091915
The Incident Manager
Prof Pierre AKILIMALI
E-mail: pierre.akilimali@insp.cd
Tel.: +243815800288
With the technical support of the World Health Organization (WHO) and Africa CDC
FOR ANY ADDITIONAL INFORMATION, PLEASE CONTACT
Source
- Original PDF (French), INSP
- French transcription
- 031_table_01
- 031_table_02_tableau_1_repartition_des_cas_confirmes_
- 031_table_03_tableau_2_gestion_des_alertes_epidemiolo
- 031_table_04_tableau_3_suivi_des_contacts_des_cas_con
- 031_table_05_tableau_4_suivi_des_indicateurs_au_point
- 031_table_06_tableau_5_mouvement_des_patients_dans_le
- 031_table_07_tableau_6_indicateurs_cles_des_activites
- 031_table_08
- 031_table_09