SitRep 084

Report date 2026-08-06

Published

August 6, 2026

Caution

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

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EBOLA 17 PRESIDENTIAL TASK FORCE

Ministry of Public Health, Hygiene and Social Welfare

INSP (National Institute of Public Health)

COUSP (public health emergency operations centre)

MVE17 Incident Management System

Situation Report on the 17th Ebola Virus Disease Epidemic / DRC

SitRep N°084/MVEBDB/06/08/2026

Reporting date: 06 août 2026 Publication date: 07 août 2026

KEY HIGHLIGHTS (past 24h)

Over the past 24 hours, 67 new confirmed cases of Ebola Virus Disease (MVE (Ebola virus disease)) were recorded in the provinces of Ituri (42 cases), Nord-Kivu (11 cases), Haut-Uélé (13 cases) and Tshopo (1 case), reflecting ongoing active transmission, mainly in Ituri.

CUMULATIVE CASES 4 120

CUMULATIVE CONFIRMED DEATHS** 1 887

CASE FATALITY RATE 45,8 %

PATIENTS IN ISOLATION / CTE (Ebola treatment centre) 721

CUMULATIVE RECOVERED 810

CONTACT TRACING RATE (Today) 83,7 %

Affected provinces and affected Health Zones

5 Affected Provinces Haut-Uélé, Ituri, Nord-Kivu, Sud-Kivu & Tshopo

53 Affected Health Zones Out of 140 (37,8%)

246 Affected Health Areas Out of 3104 (30%)

• Over the past 24 hours, 67 new confirmed cases (15 new deaths) of Ebola Virus Disease (MVE) were recorded in the provinces of Ituri (42 cases), Nord-Kivu (11 cases) and Haut-Uélé (13 cases) and Tshopo (1) reflecting ongoing active transmission, mainly in Ituri.

• To date, the Democratic Republic of the Congo has accumulated 4 120 confirmed cases including 1 887 deaths, representing a case fatality rate of 45,8 %.

Ituri remains the epicentre of the epidemic, accounting for 86,5 % of cumulative confirmed cases and 62,7% of new cases reported over the past 24 hours.

• The epidemic has now affected 53 of the 140 health zones in the five provinces concerned.

Ituri has 28 affected health zones out of 36, followed by Nord-Kivu (12/34), Haut-Uélé (6/13), Tshopo (6/23) and Sud-Kivu (1/34), confirming the ongoing geographical spread of the disease.

• The National Coordination continues to strengthen surveillance, case management, infection prevention and control as well as community engagement interventions in the most affected health zones in order to rapidly interrupt chains of transmission.

Distribution of confirmed cases and deaths by affected province (as of 06 aout 2026)
Province Confirmed cases Deaths (confirmed) Case fatality rate Affected health zones New confirmed cases (24h)
Ituri 3 563 1 526 42,8 % 28/36 (77,8 %) 42
Nord-Kivu 458 311 67,9 % 12/34 (35,3 %) 11
Haut-Uélé 87 44 50,6 % 6/13 (46,1 %) 13
Tshopo 9 5 55,6 % 6/23 (26,0 %) 1
Sud-Kivu 3 1 33,3 % 1/34 (2,9 %) 0
Total 4 120 1 887 45,8 % 53/140 (37,8 %) 67
Status of alerts notified by ZS, as of 06 août 2026
DPS New Alerts Received Alive New Alerts Received Dead Total alerts Alerts verified and validated (suspected case) Alive Alerts verified and validated (suspected case) Dead Alerts verified and invalidated (non-suspected case) Alive Alerts verified and invalidated (non-suspected case) Dead Number of suspects investigated Number of suspects investigated and transferred to CT/CTE (today)
Haut-Uélé 22 3 25 10 3 0 0 13 5
Ituri 462 48 510 282 47 0 0 181 121
Nord-Kivu 559 26 585 559 26 116 4 66 37
Sud-Kivu 2 0 2 2 0 2 0 2 0
Tshopo 19 0 19 19 0 0 0 2 2
General Total 1064 77 1 141 872 76 118 4 264 165

[FIGURE: Trend of cases by date of symptom onset over the past 21 days]

[FIGURE: MAPPING OF CASES over the past 21 days]

1. RESPONSE ACTIONS BY PILLAR

1.1.Coordination

1.1.1. Main Actions

• Ituri: data validation between the Surveillance, Laboratory and Planning pillars and continuation of data reporting from health zones; strategic actions remain pending, notably the establishment of sub-coordinations in Wamba, Pawa and Watsa.

• Nord-Kivu: coordination in Musienene, harmonisation of alert and contact databases, and training of surveillance focal points.

• Haut-Uélé: holding of coordination meetings, reporting from 4 ZS (health zone) out of 5 (80 %) and follow-up of ongoing recommendations.

1.1.2. Challenges

Delay in the operationalisation of the zonal approach and inadequate reporting completeness, limiting local coordination, exhaustive data reporting and rapid decision-making in the health zones concerned.

1.2.Epidemiological surveillance

1.2.1. Main Actions

• 1 141 alerts were recorded, of which 1 070 were verified within 24 hours (93,8%), approaching the target of 95 %.

Of these alerts, 948 were validated as suspected cases.

• Contact tracing is at 83,7% nearing the threshold of 85%, with particularly poor performance in Haut-Uélé (50,1 %), Nord-Kivu (79,4 %) and Ituri (88,9 %).

1.2.2. Challenges

Poor performance of epidemiological surveillance, characterised by an alert investigation rate (27,8 %) compromising the early detection of cases and the interruption of chains of transmission.

1.3.Update on control point and point of entry activities (PoC/PoE)

1.3.1. Main actions

Two alerts were notified at PoE/PoC (1 in Ituri, 1 in Nord-Kivu).

In Ituri, 1 live alert was validated and referred to care facilities, while the Nord-Kivu alert was invalidated.

No signal was reported in Haut-Uélé or Tshopo.

108 736 travellers were screened, with a screening rate of 95,6 %, satisfactory in provinces reporting data.

Operationalisation of PoE/PoC remains insufficient in Haut-Uélé (9/38; 23,7 %) and Tshopo (6/19; 31,6 %), unlike Ituri, Nord-Kivu and Sud-Kivu where all priority points are functional

1.3.2. Challenges

Insufficient coverage of PoE/PoC in Haut-Uélé and Tshopo, combined with low sensitivity of the alert detection system in certain provinces, limiting the effectiveness of surveillance at borders and along mobility routes.

1.4. Laboratory

1.4.1. Main actions

• 360 samples were analysed, confirming 67 new cases of MVE.

• Ituri recorded 42 positive results out of 202 samples (positivity: 20,8 %), while Nord-Kivu and Haut-Uélé confirmed 11 and 13 cases respectively.

• Tshopo reported only one confirmed positive result, but continued strengthening diagnostic capacities and receiving samples from Bas-Uélé.

1.4.2. Challenges

High proportion of positive samples in Ituri and incomplete reporting of laboratory results in certain provinces, limiting biological surveillance and real-time monitoring of MVE transmission.

1.5. Infection Prevention and Control (PCI (infection prevention and control)/EDS)

1.5.1. Main actions

• In Ituri, 27 rings and 43 sites were decontaminated, 44 health facilities supported in PCI and 112 providers trained, despite low reporting completeness (97,7 %).

• In Nord-Kivu, 95 health facilities were supported and 378 providers briefed; 46 EDS were carried out and 43 bodies swabbed and secured.

• In Tshopo, only one facility reaches the 80 % threshold (CTE, 82 %) and 31 remain below 50 % following assessments carried out over the past 24h.

1.5.2. Challenges

Low implementation of Infection Prevention and Control (PCI) standards, characterised by low reporting completeness in Ituri and inadequate performance of health facilities in Tshopo, limiting the effectiveness of measures to prevent healthcare-associated infections.

1.6. Continuity of care

1.6.1. Main actions

• In Ituri, 29 ambulances were allocated to the response, of which 24 were available.

In total, 45 trips were successfully carried out, enabling the evacuation of 45 patients.

Care facility occupancy reached 488 beds out of 833 (59 %).

• In Nord-Kivu, 235 cumulative admissions were recorded in CTE/CT (transit centre), including 187 confirmed cases, with an intra-CTE mortality of 39 %.

1.6.2. Challenges

Insufficient availability of patient referral means and low reporting completeness of continuity of care activities, limiting rapid access to care and monitoring of pillar performance.

1.7. Risk communication and community engagement

1.7.1. Main actions

• In Ituri, 4 578 people sensitised, 162 community alerts reported, 25 feedback items out of 65 (38 %) clarified, and 47 RECO (community health worker) retrained.

• In Nord-Kivu, 220 women’s association leaders and 26 women leaders were briefed, 16 rumours clarified and 1 community incident resolved.

• In Tshopo, 900 RECO were trained in the 5 urban health zones and 423 people reached during home visits.

1.7.2. Challenges

Persistence of community challenges, notably tensions related to the payment of providers and local resistance, likely to affect community adherence and the effective implementation of response interventions.

1.8. Logistics

1.8.1. Main actions

In Ituri, installed care capacity reached 833 beds, including 411 for confirmed cases; fitting out of the Nia Nia CTE is in the finishing phase and the extension of the Bambu, Nizi and Logo CTEs has been requested.

Deliveries of PCI/WASH and care kits were made to the Rwampara and Mongbwalu CTEs, and 2 mini Starlink kits were deployed in the Nyankunde health zone.

In Nord-Kivu, unboxing of the WHO donation of PCI kits from Bunia continued and the order for the Kyondo health zone was received.

Construction work on tank bases continues at the Karuruma and Komba checkpoints.

In Tshopo, logistical capacities were strengthened by the delivery of a first batch of 10 motorcycles and the official handover of an ambulance and motorcycles by the Provincial Governor, as well as the receipt of 20 infrared thermometers and 10 mattresses.

1.8.2. Challenges

Persistence of logistical needs to support the expansion of the response, notably the completion of care infrastructure, maintaining supplies of essential inputs, and continuous availability of transport means.

1.9. Security

1.9.1. Main actions

• Community resistance continues to disrupt the response, with failures of safe and dignified burial in Bambu, Nyankunde, Rwampara and Tchomia in Ituri, and in Kalunguta in Nord-Kivu.

• In Nord-Kivu, 7 security escorts were provided for burial, communication and PCI teams; the presence of armed groups continues to limit humanitarian access.

1.9.2. Challenges

Persistent insecurity and community resistance during safe and dignified burials, limiting access for response teams, continuity of interventions and coverage of activities in certain affected areas.

1.10. PSEA (Prevention of Sexual Exploitation and Abuse)

1.10.1. Main actions

• Continuation of briefing and awareness-raising activities on the Prevention of Sexual Exploitation and Abuse (PSEA) across the various provinces.

1.10.2. Challenges

Still insufficient coverage of awareness-raising activities and strengthening of mechanisms for prevention, reporting and management of cases of sexual exploitation and abuse across all zones concerned by the response

KEY MESSAGES

• Transmission of MVE remains active, with 67 new confirmed cases and 42 deaths recorded over the past 24 hours, bringing the national cumulative total to 4120 confirmed cases and 1887 deaths.

• Ituri remains the epicentre of the epidemic, accounting for 86,5 % of cumulative confirmed cases and 62,7% of new cases reported over the past 24 hours and a more significant expansion (28 of the 36 health zones affected).

• Surveillance remains sub-optimal, with only 27,8 % of alerts investigated, favouring ongoing transmission.

• Strengthening priority interventions (surveillance, case management, PCI, logistics and community engagement) remains essential to rapidly interrupt chains of transmission.

CHRONOLOGY OF KEY EVENTS

• From 24 April to 15 May 2026, the epidemic progressed from the detection of the first suspected cases to the biological confirmation of the Bundibugyo Ebola virus, leading to the official declaration of the 17th Ebola Virus Disease epidemic in the Democratic Republic of the Congo.

• Between 17 and 18 May 2026, national authorities, with support from partners, strengthened the response through the declaration of a public health emergency of national and then continental concern, accompanied by the mobilisation of coordination and support mechanisms.

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With technical support from the World Health Organization (OMS), Africa CDC, Bluesquaire, Resolve Save to Live (RSTL)

Contact:

www.insp.cd

contact@sgiebola17.org

Toll-free number: 151. www.sante.gouv.cd

Director General of INSP

Dr MWAMBA KAZADI Dieudonné

Incident Manager

Professor Dr AHUKA MUNDEKE Steve

Operations Officer

Dr Kombe NGWAMA John

Drafting team

Professor Dr Mulangu Katulumba Félix-Médard

Dr Katusi Biselenge Jules

Marie Afua Mayele

Source