SitRep 048

Report date 2026-07-01

Published

July 1, 2026

Caution

Machine translation from the French original with Google Gemini. No person has reviewed it.

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Centre des Opérations d’Urgence de Santé Publique (COUSP — public health emergency operations centre) « COUSP-RDC » Incident Management System MVE-17 (MVE — Ebola virus disease)

Situation Report on the 17th Epidemic of EBOLA Virus Disease /DRC SitRep N°48/MVB_01/07/2026

Affected provinces (3) Ituri, Nord-Kivu, Sud-Kivu Affected Health Zones (ZS — health zone) (36) - Ituri (24/36) : Aru, Aungba, Bambu, Bunia, Damas, Drodro, Gety, Kilo, Komanda, Lita, Logo, Mambasa, Mangala, Mongbwalu, Nizi, Nyankunde, Rimba, Rwampara, Tchomia, Kambala, Nia-Nia, Fataki, Mandima and Lolwa. - Nord-Kivu (11/34) : Beni, Butembo, Goma, Kalunguta, Katwa, Kyondo, Oicha, Masereka, Vuhovi, Mabalako and Musienene. - Sud-Kivu (1/34) : Miti-Murhesa Reporting date 1 July 2026 Publication date 2 July 2026

1 460 Cumulative confirmed cases for the 3 provinces 452(30,9%) Cumulative deaths among confirmed cases and case fatality rate 641(97,8%) Patients in isolation - hospitalisation 213 Cumulative number of recovered patients 150(41 deaths) ** Suspected cases of the day 82,7 Contact follow-up rate for the 3 provinces

**Suspected deaths occurring in the community are subject to in-depth investigation with a view to possible reclassification (Non-cases, probable cases).

1. HIGHLIGHTS

  • Fifty-four (54) new confirmed cases including 9 deaths were reported during the day of 01 July 2026, in the provinces of Ituri (50 cases including 9 deaths) and Nord-Kivu (4 cases). These confirmed cases come from the ZS of Bunia (29), Rwampara (7,) Mongbwalu (6), Nizi (4), Lita (1), Komanda (1), in Ituri and from Katwa (2), Beni (2) in Nord-Kivu.

  • Fourteen (14) deaths were recorded among patients with MVE in the CTE (Ebola treatment centre) of Ituri province. Five notified deaths distributed as follows: (3 at the Bunia CTE, 1 at the Mongbwalu CTE and 1 at the Rwampara CTE) and 9 community deaths.

  • Twenty-one (21) patients with Ebola virus disease including 19 in Ituri province (7 at the Elikya CTE, 6 at the Mongbwalu CTE, 4 at the ISTM CTE and 2 at the CME CTE) and 2 at the Katwa CTE in Nord-Kivu province were declared cured after obtaining negative control tests.

  • Security incident at PK51 in the Nia-Nia ZS in Ituri.

2. EPIDEMIOLOGICAL AND OPERATIONAL CONTEXT

The province of Ituri, located in the north-east of the Democratic Republic of the Congo (DRC), shares a long and porous border with Uganda and South Sudan. For more than two decades, it has faced 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 ZS, considered the starting point of the epidemic, is located in Djugu Territory, 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, Ituri province was already affected by the 10th MVE epidemic that was then raging in Nord-Kivu.

The current epidemic, caused by 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: Chronology of events of the MVE (Ebola-Bundibugyo) epidemic]

3. DETAILED EPIDEMIOLOGICAL ANALYSIS

3.1. Spatial distribution and active hotspots as of 01 July 2026

Table 1: Distribution of confirmed cases and deaths by affected province as of 01 July 2026.
Province Confirmed cases Confirmed deaths CFR Affected health zones New cases (30 June 2026)
Ituri 1 333 380* 28,5% 24 out of 36 (66,7 %) 50
Nord-Kivu 124 71 57,3% 11 out of 34 (32,3 %) 4
Sud-Kivu 3 1 33,3% 1 out of 34 (2,9 %) 0
Total 1 460 452 30,9% 36 out of 104 (34,6 %) 54
  • Five (5) deaths in Ituri and 5 deaths in Nord-Kivu were recorded among patients with MVE (previous confirmed cases) in the CTE/CT (transit centre).

At the end of the day of 01 July 2026, no new health zone was affected. The number of affected health zones remains at 36/104 (section 3.1). Since 26 May 2026, Sud-Kivu province has recorded no confirmed cases, which suggests an absence of recent transmission.

Breakdown by affected ZS

  • Ituri Province (1 333 cases) : Bunia (416), Rwampara (308), Mongbwalu (270), Nyankunde (95), Nizi (65), Lita (32), Mangala (24), Komanda (19), Bambu (16), Tchomia (14), Nia-Nia (12), Kilo (9), Logo (7), Aungba (6), Damas (5), Rimba (3), Aru (3), Drodro (3), Kambala (2), Mambasa (2), Mandima (2), Gety (1), Fataki (1) and Lolwa (1). Seventeen (17) additional cases are awaiting precise breakdown by health zone in the province. Seventeen (17) additional cases are awaiting precise breakdown by health zone in the province.

  • Nord-Kivu Province (124 cases) : Katwa (49), Butembo (34), Beni (26), Oicha (3), Kyondo (3), Kalunguta (2), Musienene (3), Goma (1), Masereka (1), Vuhovi (1) and Mabalako (1).

  • Sud-Kivu Province (3 cases) : Miti-Murhesa (3).

3.2. Temporal analysis

An increasing number of confirmed cases is observed from one week to the next, reflecting continuous transmission of the disease in the community although during epidemiological weeks 23 and 24, the number of cases appeared to be stable. The intensification of public health actions regarding epidemiological and biological surveillance (decentralisation of diagnostic capacities) contributed to early detection, confirming continuous and increased community transmission in W25. Compared to all weeks where cases were recorded since the beginning of the epidemic, W25 and W26 represent the peak so far, namely more than 300 weekly cases.

[FIGURE: Confirmed cases by epidemiological week of symptom onset]

An increasing number of confirmed cases is observed from one week to the next, reflecting continuous transmission of the disease in the community although during epidemiological weeks 23 and 24, the number of cases appeared to be stable. The intensification of public health actions regarding epidemiological and biological surveillance (decentralisation of diagnostic capacities) contributed to early detection, confirming continuous and increased community transmission in W25. Compared to all weeks where cases were recorded since the beginning of the epidemic, W25 represents the peak so far, namely more than 300 weekly cases.

3.3. Epidemic mapping

[FIGURE: Spatialisation of confirmed MVE cases by affected ZS and in the three affected provinces as of 01 July 2026.]

Table 2. Distribution of confirmed cases and deaths of Ebola virus disease by province and ZS (01 July 2026)
Health zone Cumulative confirmed cases Cumulative confirmed deaths Case fatality (CFR%)
ITURI 1333 380 28,5%
Bunia 416 103 24,8%
Rwampara 308 63 20,5%
Mongbwalu 270 127 47,0%
Nyankunde 95 16 16,8%
Nizi 65 19 29,2%
Lita 32 11 34,4%
Komanda 19 5 26,3%
Bambu 16 5 31,3%
Kilo 9 1 11,1%
Mangala 24 12 50,0%
Tchomia 14 2 14,3%
Damas 5 0 0,0%
Aungba 6 2 33,3%
Rimba 3 0 0,0%
Aru 3 1 33,3%
Mambasa 2 1 50,0%
Logo 7 0 0,0%
Drodro 3 3 100,0%
Gety 1 0 0,0%
Kambala 2 2 100,0%
Nia-Nia* 12 5 41,7%
Fataki 1 0 0,0%
Mandima 2 1 50,0%
Lolwa 1 1 100,0%
Other zones not yet identified 17 0 0,0%
NORD-KIVU 124 71 57,3%
Butembo 34 15 44,1%
Katwa 49 33 67,3%
Beni 26 15 57,7%
Oicha 3 2 66,7%
Kalunguta 2 1 50,0%
Kyondo 3 2 66,7%
Goma 1 0 0,0%
Masereka 1 0 0,0%
Vuhovi 1 1 100,0%
Mabalako 1 0 0,0%
Musienene 3 2 66,7%
SUD-KIVU 3 1 33,3%
Miti Murhesa 3 1 33,3%
TOTAL 1 460 452 30,9%
  • The 5 cases imported into Wamba (Haut Uélé Province) are counted in Niania and were returned to Niania.

Over the last 24h, 54 new confirmed cases including 9 deaths were recorded in the provinces of Ituri (50 cases including 9 deaths) and Nord-Kivu (4 cases) highlighting the progression of the epidemiological situation of the 17th Ebola Virus Disease (MVE) epidemic in the Democratic Republic of the Congo, Thus, the cumulative total rises to 1 460 confirmed cases and 452 deaths, expressing an overall case fatality rate of 30,9%.

  1. Provincial dynamics and concentration of cases

Ituri province alone accounts for 91,3% of cases (n=1 333) and 84,1% of deaths (n=380), corresponding to a case fatality of 28,5%, making it the absolute epicentre of the epidemic. The health zones of Bunia (416 cases), Rwampara (308 cases) and Mongbwalu (270 cases) remain the most affected and concentrate approximately 74,6% of cases reported at the provincial level and 68,1% at the national level. In these same ZS, moderate case fatality rates were observed in the ZS of Rwampara (20, 5%) and Bunia (24,8%) while the Mongbwalu zone also combines a high case fatality, namely 47,0% (127 deaths for 270 cases), suggesting persistent challenges in early management or access to care. It should be noted that 17 additional cases (without associated death) were reported while the health zones of origin remain to be identified, which could indicate a geographical expansion requiring strengthened investigation.

  1. Severity of the epidemic in Nord-Kivu

A total of 124 confirmed cases and 71 deaths was reported in Nord-Kivu province since the start of the epidemic, representing a case fatality rate of 57,3 %. The latter presents the most concerning profile in terms of severity, with a case fatality rate well above the national average. This high case fatality is driven by the health zones of Katwa (67,3%), Oicha (66,7%) and Beni (57,7%). The health zone of Katwa leads in reporting in terms of number of cases (n=49), followed by the Butembo ZS (n=34) with a case fatality of 44,1%. A case fatality of 100% was exceptionally observed in the health zone of Vuhovi (with low numbers).

[FIGURE: Spatialisation of confirmed MVE cases by health zone]

4. RESPONSE ACTIONS BY PILLAR

4.1. Coordination

National / Ituri :

  • Field visit by the DG of the INSP (National Institute of Public Health) with the coordination team to the ZS of Nizi and Nyankunde to evaluate land that will serve for the construction of the CTE.

  • Identification of the site for the construction of the new CTE in the Bunia ZS.

4.2. Epidemiological surveillance and investigation

Table 1: Surveillance indicators (01 July 2026)
Indicator Ituri Nord-Kivu Sud-Kivu Total
Carryover (D-1) 71 0 2 73
New Alerts 155 723 7 885
Total Alerts of the day 226 723 9 958
Investigated alerts 110 723 9 842
Investigation rate 48,7% 100,0% 100,0% 87,9%
Living validated alerts 82 25 2 109
Deceased validated alerts 28 13 0 41
Total suspected cases of the day 110 38 2 150

At the end of the day of 01 July 2026, 958 alerts were raised across the three provinces, 842 (87,9%) were investigated, 150 suspected cases including 41 deaths were identified (Table 3).

Table 2: Contact follow-up of confirmed cases as of 01 July 2026
Province Contacts under follow-up (n) Contacts seen (n) Follow-up rate (%)
Ituri* 8 376 6 973 83,2%
Nord-Kivu* 2 445 1 981 81,0%
Total 10 821 8 954 82,7%

  • The follow-up rate was calculated only for the ZS that reported (completeness: 93,3%). The ZS of Logo and Nia-Nia in Ituri have no data available at the time of report consolidation.

  • Continuation of in-depth investigations and exhaustive listing and systematic monitoring of contacts around confirmed cases in the ZS (narratives of confirmed cases, number of contacts listed and followed per case).

  • 220 new contacts were listed, including 89 in 4 ZS of Ituri province and 131 in 3 ZS of Nord-Kivu province.

  • 16 contacts became suspected, including 9 in Ituri province and 7 in Nord-Kivu province.

  • 204 contacts successfully completed their 21-day follow-up, including 89 in 3 ZS of Ituri province and 115 in 3 ZS of Nord-Kivu province.

  • Follow-up of contacts of the case confirmed in France continues in Kinshasa with a contact follow-up proportion of 67,3% (72 contacts seen out of 107 listed) and are on D10 of follow-up. 3 contacts became suspected on D8, of which 2 were isolated with an initial negative sample and another is poorly cooperative.

  • Investigations of alerts and suspected cases continue in Kinshasa.

4.3. Surveillance Update on activities of points of control and points of entry (PoC/PoE)

  • Briefing of PoE/PoC providers on DHIS2.

  • Ituri : Five (5) alerts were notified at the PoCs, including 3 living, of which 1 was validated and referred to a CTE and the 2 others are invalidated; 2 lifeless bodies were intercepted after document verification by the EDS teams, the Swab was performed then released for burial.

Table 3: Indicator monitoring at Points of entry and Points of control (PoE/PoC), as of 01 July 2026
INDICATORS Ituri Nord-Kivu Overall
Proportion of activated PoCs and reinforced PoEs 98,1% (54/55) 100,0% (14/14) 98,5% (68/69)
Number of people passing through PoE/PoC 74 710 52 471 357 189
% of screened travellers 99,3% 97,1% 98,2%
% of travellers who washed hands 92,9% 97,1% 95%
% of travellers sensitised 93% 97,1% 95,1%
Number of notified alerts 5 0 5
Number of living validated alerts 2 0 2
Number of lifeless bodies intercepted today 2 1 3
Number of problem contacts intercepted today 0 0 0
% of living validated alerts referred to CT/CTE 33,3% 0,0% 0,0%
% of lifeless bodies swabbed 50,0% 100,0% 75,0%
Number of positive results of referred suspected cases 0 0 0

4.4. Laboratory

Table 4: Laboratory indicators (01 July 2026)
Indicator Ituri Nord Kivu Sud Kivu
Samples collected 132 96 2
Samples analysed 132 96 0
Positive samples 50 4 -
Positivity rate 37,9% 4,2% -
Samples under analysis 0 0 2
Positive samples (deceased suspected cases) 0 0 0

4.5. Research

Launch of the clinical trial in the CTE/CME

4.6. Holistic care

Ituri

  • Five (5) deaths were recorded among patients with MVE in the CTE of Ituri province (3 at the Bunia CTE, 1 at the Mongbwalu CTE and 1 at the Rwampara CTE.

  • Twenty-one (21) patients with Ebola virus disease including 19 in Ituri province (7 at the Elikya CTE, 6 at the Mongbwalu CTE, 4 at the ISTM CTE and 2 at the CME CTE) and 2 at the Katwa CTE in Nord-Kivu province were declared cured after obtaining negative control tests.

  • At the end of the day of 01 July. 805 hot meals were served including 150 to confirmed cases, 179 to suspected cases, 447 to PPLs (PPL — person released from treatment (discharged patient)) and 29 to companions, Twenty (3) dry rations were also distributed.

Nord Kivu

  • The child registered at the Musienene CT as a suspected case and suspected of being the escaped positive case from CH Mutiri was discharged after two negative tests; Training of 51 providers from the Beni CTE with support from IMC; Participation in the briefing of supervisors on PCI (infection prevention and control) with IMA support; Supervision of dry ration distribution to 3 providers and one APA of the NZUMA quarter.

  • Distribution of dry rations to providers and local authorities forced to flee their homes following threats made by the family of the deceased female confirmed case in the Beni CTE, after receiving her initial care at the PS Divine.

Table 5: Key surveillance indicators as of 01 July 2026
Province Health zone Confirmed cases - final status Confirmed deaths - (Community + intra Hosp) Case fatality rate Deaths at notification Confirmed cases notified within 24h Confirmed deaths among those notified within 24h Case fatality rate among confirmed cases notified within 24h of DOS Community deaths: Deaths at notification + Deaths within 24h of notification Case fatality rate (community deaths) Confirmed cases notified after 24h Confirmed deaths among those notified after 24h Case fatality rate among confirmed cases notified after 24h of DOS
Ituri Bunia 430 82 19.1% 80 108 20 18.5% 100 23.3% 282 53 18.8%
Ituri Rwampara 326 59 18.1% 41 107 22 20.6% 63 19.3% 177 27 15.3%
Ituri Mongbwalu 261 95 36.4% 95 60 24 40.0% 119 45.6% 189 66 34.9%
Ituri Nyankunde 94 7 7.4% 5 34 0 0.0% 8 8.5% 37 5 8.8%
Ituri Nizi 93 31 33.3% 30 19 9 47.4% 39 41.9% 47 11 23.4%
Ituri Lita 41 16 39.0% 16 10 3 30.0% 19 46.3% 24 9 37.5%
Ituri Mangala 30 12 40.0% 12 8 4 50.0% 16 53.3% 7 1 14.3%
Ituri Komanda 22 6 27.3% 6 6 1 16.7% 7 31.8% 11 4 36.4%
Ituri Bambu 19 3 15.8% 3 7 0 0.0% 3 15.8% 11 2 18.2%
Ituri Tchomia 18 8 44.4% 4 4 1 25.0% 5 27.8% 13 7 53.8%
Ituri Kilo 12 2 16.7% 2 3 0 0.0% 2 16.7% 7 2 28.6%
Ituri Nia Nia 9 3 33.3% 3 2 0 0.0% 3 33.3% 5 2 40.0%
Ituri Damas 7 2 28.6% 2 1 0 0.0% 2 28.6% 4 1 25.0%
Ituri Aungba 5 2 40.0% 2 3 1 33.3% 3 60.0% 1 0 0.0%
Ituri Mambasa 5 3 60.0% 3 1 0 0.0% 3 60.0% 1 0 0.0%
Ituri Aru 4 1 25.0% 1 2 1 50.0% 2 50.0% 1 0 0.0%
Ituri Mandima 4 1 25.0% 1 0 0 0.0% 1 25.0% 3 1 33.3%
Ituri Drodro 3 3 100.0% 3 0 0 0.0% 3 100.0% 3 3 100.0%
Ituri Rimba 3 0 0.0% 0 0 0 0.0% 0 0.0% 3 0 0.0%
Ituri Logo 2 0 0.0% 0 1 0 0.0% 0 0.0% 1 0 0.0%
Ituri Adi 1 1 100.0% 1 0 0 0.0% 1 100.0% 0 0 0.0%
Ituri Fataki 1 0 0.0% 0 0 0 0.0% 0 0.0% 1 0 0.0%
Ituri Gety 1 0 0.0% 0 1 0 0.0% 0 0.0% 0 0 0.0%
Ituri Kambala 1 0 0.0% 0 0 0 0.0% 0 0.0% 0 0 0.0%
Ituri Lolwa 1 1 100.0% 1 0 0 0.0% 1 100.0% 1 1 100.0%
Nord Kivu Katwa 49 26 53.1% 26 40 23 57.5% 49 100.0% 6 2 33.3%
Nord Kivu Beni 24 17 70.8% 12 5 5 100.0% 17 70.8% 15 9 60.0%
Nord Kivu Butembo 19 9 47.4% 6 3 0 0.0% 6 31.6% 16 9 56.3%
Nord Kivu Kyondo 2 1 50.0% 0 0 0 0.0% 0 0.0% 2 1 50.0%
Nord Kivu Goma 1 0 0.0% 0 1 0 0.0% 0 0.0% 0 0 0.0%
Sud Kivu Miti Murhesa 3 1 33.3% 1 0 0 0.0% 1 33.3% 1 1 100.0%
TOTAL TOTAL 1,491 392 26.3% 359 426 116 27.2% 475 31.9% 889 217 24.4%

A total of 392 deaths is recorded, the majority of which (359) comes from the community (community deaths). Thus, the overall community case fatality rate reached 31,9 %, The geographical distribution shows a heavy concentration in Mongbwalu (119 deaths), Bunia (100 deaths) and Katwa (49 deaths). Patients die within the community or present much too late to health facilities. Late consultation in Health Care Facilities and isolation in the community considerably increases the risk of secondary transmissions within households and patients’ close circles. The in-hospital case fatality rate is slightly lower (24,4 %) namely 217 deaths.

4.7. Infection Prevention and Control (PCI)

Ituri : 21/27 households were identified and decontaminated around confirmed cases; Decontamination of 55 means of transport (ambulances, hearses) and briefing of 33 providers on MVE; 3 ESS identified and decontaminated around confirmed cases in the ZS of Bunia, Rwampara, Mongbwalu, Komanda; 9 decontaminations of public and specific places: office 1; 26/29 EDS conducted with 2 postponements; PCI/WASH evaluation of 9 ESS in the ZS of Mongbwalu, Bunia, Lita, Nyankunde, Rwampara; Monitoring and support of 29 ESS: Clinique Salama 87,1%; CM St Raphael 17,4%, CM St pierre 58%, PS Umoja 35,5%, Clin. Bon Berger 50,2%; PS rapha 50%, PS Guerison 39%, PS Maman mwilu 40%; CM Ave maria 30%, CS Poli de frontiere 41,9%; CS Nyakero 40%, CS Lengabo 68,2%; PS Tuluza 25,3%; CM bethel 22,6%, PS la sagesse 8,1%, PS Benjamine 14,5%, CM Karibuni, 35,5%, CM Spaec. Atlas35,5%; CS Lengabo 68,2%; CS Bigo 59,6%; CM sauvetage 25,3%, CM Gracia Katsina 9,7%.

Nord-Kivu : Closing of the briefing of 21 managers including EPP and supervisors of the PCI pillar on the methodology of PCI WASH evaluations with the updated score card tool and database management for KPI indicators with IMA support in preparation for PCI scorecard evaluations in 160 ESS of 10 Health Zones of Nord-Kivu; 140 ESS evaluated with an average score of 48,7%. Only 2 ESS exceed a score of 80%: HGR (general referral hospital) Katwa AND CS Kyangike; 69% of PPL are evaluated with high risk, namely 74/108; 37 EDS conducted, 24 bodies swabbed including 1 in the Oicha ZS.

4.8. Risk communication and community engagement (CREC)

Ituri : Two (2) meetings were organised for 8 participants to obtain community engagement to fight against MVE and for their adherence to the engagement and fight against MVE; 86 social mobilisation activities (community dialogues and mass awareness-raising) reaching 14 930 (6 250 men and 8 680 women) on preventive measures for MVE, community-based surveillance, care, decontamination and EDS in the ZS of Mongbwalu, Nyankunde, Nizi, Rwampara, Nia-Nia, Aungba, Bambu, Aru; 194 educational talks and home visits organised by 200 Recos (community health worker), 1 252 households were reached and 3 463 people reached (2 318 men and 3 100 women) in the ZS of Bunia; Briefing of 179 providers on community-based surveillance, CREC with practical exercises on organising home visits, facilitating educational talks in their respective areas and the use of tools (community case definition, contact registration form, contact follow-up form, and home visit form); 18 broadcasts of spots and messages on MVE preventive measures.

Community feedback: hesitation to go to health facilities for fear of being mistaken for patients with MVE; poor nutritional and medical care at the CTE; discrimination in medical care at the CTE; poor follow-up of patients in isolation; what measures to take to avoid mass contamination at the livestock market where people are too crowded.

Support to response pillars:

Surveillance: Around the 12 Death cases and 22 illness cases, the CREC team supported the Surveillance teams in the different AS (AS — health area), specifically the KIGONZE AS. Support for the follow-up of 73 contacts including 12 in Goli, 20 in Dele, 30 in kisoke and 11 at the Tsere site.

PCI: Support to EDS and PCI teams in the Nyakunde ZS.

Nord-Kivu : Twenty (20) chiefs and local leaders on engagement and mobilisation of respective communities regarding compliance with barrier measures and prevention of community incidents in the Mukulya AS; organisation of 2 Community dialogue sessions bringing together 55 APA and Community leaders on prevention against MVE in the Mateto and Aloya AS in the Biena ZS.

4.9. Logistics and supply

Ituri

26 vehicles and 4 Ambulances (PNC, FARDC, HGR Bunia and Rwampara CTE) were made available to the different pillars to ensure their mobility towards the axes.

Delivery of drug and communication inputs to the Bunia central prison, Nizi ZS, WHO office, PSEA pillar and to the CME CTE (3 cylinders of 21Kg).

Nord-Kivu

Receipt of the 2nd batch of medicines /donation from UG PDSS; Delivery of 24 body bags to the EDS pillar including 14 for adults and 10 for children.

Supply of 10 PPL Kits to the Kalunguta ZS and 20 parcels of medicines/donation from UG PDSS/World Bank.

Delivery of PCI inputs to the Musienene ZS (20 PPL Kits)

Dispatch of medicines /donation from UG PDSS to the Katwa ZS (130 parcels) and Butembo ZS (295 parcels)

Deployment of 4 tents with accessories from the WFP warehouse to the DPS Bunia Office.

4.10. Security and accessibility

The security situation remains calm but unpredictable in Bunia and surrounding areas.

4.11. Mental health and psychosocial support activities

Table 6: Key indicators of mental health and psychosocial support activities as of 01 July 2026
KEY INDICATORS ITURI NORD-KIVU SUD-KIVU
New confirmed cases admitted to the CTE who received SMSPS interventions 14 (58,3%) 0 0
Confirmed cases under follow-up who received SMSPS interventions 67 (64,4%) 1 (100,0%) 0
New suspected cases who received SMSPS interventions 7 (43,8%) 4 (100,0%) 0
Suspected cases under follow-up who received SMSPS interventions 60 (56,6%) 30 (100,0%) 2 (100,0%)
Laboratory results announced 30 19 0
Of which positive 15 2 0
No. of Separated children in day care who received SMSPS interventions 0 0 0
No. of Separated children in the community who received SMSPS interventions 1 0 14
No. of companions at the CTE who received SMSPS interventions 85 8 0
No. of PPL who received SMSPS interventions 18 7 2
No. of household and community members who received SMSPS interventions 5 2 0
Number of supported EDS 13 4 0

4.12. Continuity of care

  • Continued care for non-cases (children, mothers and other vulnerable persons) in actions for the continuity of services

  • In total, 102 PPLs are confirmed, among whom 25 deaths (24 ;5%) and 36 recovered.

4.13. Monitoring and evaluation

5. MAIN CHALLENGES, IMPACTS AND REQUIRED ACTIONS

•

N° Challenges Impact Required actions
1 Reluctance towards post-mortem sampling (EDS / swabs) and community resistance Confirmation delay, underestimation of cases, disruption of key activities Intensify CREC, involvement of religious and community leaders, strengthening team security
2 Insufficient CTE capacity and saturation in Nord-Kivu (138,8%) Admission delays, increased risk of nosocomial transmission Accelerate construction and expansion of CTEs, deploy additional temporary structures
3 Suboptimal contact follow-up performance (81,3% vs target 95%) Transmission chains uninterrupted Train, deploy and motivate community health workers (RECO), strengthened supervision
4 Low reporting of alerts in certain affected ZS Undetected transmission, silent expansion of the epidemic Strengthen community surveillance, improve rapid reporting and investigation of alerts
5 Confirmed cases not yet broken down by health zone (17 cases) Major gaps in the reconstruction of transmission chains Conduct data reconciliation, prune potential duplicates, and reclassify or specify the health zone and status (deaths, cured, active, etc.) Active verification in the field
6 Insufficient supply of essential generic drugs (MEG) and medical inputs Fragilisation of holistic care Advocacy and urgent supply of essential medicines
7 Insufficient PCI inputs (PPE, chlorine) and limited training High risk of nosocomial infections (96 HCW cases including 19 deaths, case fatality 19,7%) Urgent supply, strengthening of PCI training
8 Stock of samples not yet analysed (backlog) at the laboratory in Nord-Kivu and late diagnosis Confirmation delay, high case fatality (54,2%) Deploy a laboratory catch-up plan, strengthen diagnostic capacities
9 Insufficient ambulances and isolation facilities (gap of 20 centres) Delays in transfer and isolation, increased risk of transmission Urgent deployment of logistics and additional infrastructure
10 Insufficient coordination and low utilisation of COUSP frameworks Operational inefficiency and delayed decisions Strengthen coordination mechanisms at all levels, operationalise provincial COUSPs
11 Insufficient financial resources (gap of 20 million USD) Limitation in implementing all response pillars Urgent resource mobilisation, advocacy with partners
12 Insecurity and limited access (CODECO, ADF) Restriction of operations, limited access to high-risk areas Strengthening security coordination and humanitarian access
13 Continuity of essential health services (CEHS) compromised Increase in indirect (non-Ebola) mortality Effective implementation of free care, strengthening CEHS
14 High population mobility High risk of rapid geographical expansion Strengthen surveillance at PoE/PoC and cross-border coordination

6. OUTLOOK AND PRIORITY ACTIONS

• Strengthen intervention teams in affected ZS.

• Make means of transport available to field teams.

• Continue contact listing and follow-up in all ZS.

7. ANNEXES

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FOR ANY ADDITIONAL INFORMATION, PLEASE CONTACT 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 technical support from the World Health Organization (WHO), Africa CDC and Bluesquare

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