SitRep 086

Report date 2026-08-08

Published

August 8, 2026

Caution

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

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PRESIDENTIAL EBOLA 17 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 Outbreak of EBOLA Virus Disease /DRC

SitRep N°086/MVEBDB/08/08/2026

Reporting date: 08 August 2026 Publication date: 09 August 2026

HIGHLIGHTS (past 24h)

Over the past 24 hours, 85 new confirmed cases (29 new deaths) of Ebola Virus Disease (MVE (Ebola virus disease)) were recorded in the provinces of Ituri (68 cases), Nord-Kivu (10 cases) and Haut-Uélé (7 cases), reflecting the continuation of active transmission, mainly in Ituri.

CUMULATIVE CASES 4 294

CUMULATIVE CONFIRMED DEATHS** 1 960

CASE FATALITY RATE 45,6%

PATIENTS IN ISOLATION / CTE (Ebola treatment centre) 722

CUMULATIVE RECOVERED 849

CONTACT TRACING RATE (Of the Day) 84,6 %

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 (7,9%)

Summary of key points over the past 24 hours

• Over the past 24 hours, 85 new confirmed cases (29 new deaths) of Ebola Virus Disease (MVE) were recorded in the provinces of Ituri (68 cases), Nord-Kivu (10 cases) and Haut-Uélé (7 cases), reflecting the continuation of active transmission, mainly in Ituri.

• To date, the Democratic Republic of the Congo has accumulated 4 294 confirmed cases including 1 960 deaths, representing a case fatality rate of 45,6 %.

Ituri remains the epicentre of the outbreak, accounting for 86,4 % of cumulative confirmed cases and 82,0% of new cases reported over the past 24 hours.

• 21 patients were declared recovered in Ituri after obtaining two negative MVE results and 15 intra-CTE deaths were recorded in Ituri and Nord Kivu.

• The outbreak affects 53 of the 140 health zones in the five concerned provinces.

Ituri accounts for 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 geographical spread of the disease.

Distribution of confirmed cases and deaths by affected province (as of 08 August 2026)
Province Confirmed cases Deaths (confirmed) Case fatality rate Affected health zones New confirmed cases (24h)
Ituri 3 704 1 584 42,8 % 28/36 (77,8 %) 68
Nord-Kivu 480 326 67,9 % 12/34 (35,3 %) 10
Haut-Uélé 98 44 44,9 % 6/13 (46,1 %) 7
Tshopo 9 5 55,6 % 6/23 (26,0 %) 0
Sud-Kivu 3 1 33,3 % 1/34 (2,9 %) 0
Total 4 294 1 960 45,6 % 53/140 (37,8 %) 85
Situation of alerts notified by ZS, as of 08 August 2026
DPS New Alerts Received Living New Alerts Received Deceased Total alerts Alerts verified and validated (suspected case) Living Alerts verified and validated (suspected case) Deceased Alerts verified and invalidated (non-suspected case) Living Alerts verified and invalidated (non-suspected case) Deceased Number of suspects investigated Number of suspects investigated and transferred to CT/CTE (of the day)
Haut-Uélé 4 1 5 4 1 0 0 5 5
Ituri 500 77 577 108 77 392 0 185 83
Nord-Kivu 631 19 650 45 19 586 0 64 34
Sud-Kivu 7 0 7 2 0 5 0 2 0
Tshopo 43 0 43 2 0 31 0 2 2
Total Général 1 185 97 1 282 161 97 1 014 0 258 124

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

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

1. RESPONSE ACTIONS BY PILLAR

1.1. Coordination

1.1.1. Main Actions

• Nord-Kivu: Joint WHO-DPS mission in the ZS (health zone) of Vuhovi, to evaluate the functionality of the zonal response coordination.

1.1.2. Challenges

• Furthermore, several strategic actions essential to the decentralisation of coordination remain pending, notably the establishment and operationalisation of the sub-coordinations of Wamba, Pawa and Watsa.

This delay reduces coordination capacities at the operational level and requires an acceleration of the administrative, logistical and organisational arrangements needed to make these sub-coordinations fully functional.

1.2. Epidemiological surveillance

1.2.1. Main Actions

1 282 alerts were recorded and verified in the five affected provinces for the day of 08 August 2026, of which 258 (20,1%) were validated as suspected cases and 258 (100%) were investigated and 124 suspects transferred to CT (transit centre)/CTE.

Contact tracing is at 84,6 % (14 505 seen out of 17 141 to follow up), corresponding to the threshold of 85 %, with weak performances in Haut-Uélé (76,1 %) and Nord-Kivu (80,2 %) ; Ituri reaches 87,7%.

1.2.2. Challenges

Low reporting of alerts and listing and tracing of contacts around confirmed cases

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

1.3.1. Main actions

Nine alerts were detected at PoE/PoC (7 in Ituri, 2 in Haut-Uélé): the five living alerts from Ituri were validated, isolated and referred to care facilities; the two lifeless bodies intercepted at Ariwara were not sampled, due to lack of an available SDB team, and none of those from Haut-Uélé was validated.

135 404 travellers were screened (117 337 in Ituri, 18 067 in Haut-Uélé), with a screening rate of 97,4 %.

/strategic PoC out of 18 (5,6 %) operated without interruption, compared to 100 %.

1.3.2. Challenges

• Insufficient operationalisation of PoE/PoC: the functionality of PoE and PoC remains low in Haut-Uélé, with only 10 out of 38 (26,3 %) operational.

• Constraints affecting the functionality of PoE/PoC: performances remain affected by stockouts of supplies, PPE and water in Haut-Uélé, non-payment of providers, as well as non-compliance with the health protocol by certain authorities at the PoC of Mukulia (Nord-Kivu).

These constraints reduce the effectiveness of health screening, early detection and surveillance at borders and along main mobility axes.

1.4. Laboratory

1.4.1. Main actions

• 400 samples were analysed, confirming 85 new cases of MVE (positivity: 21,3 %).

• Ituri recorded 68 positive results including 24 deaths, while Nord-Kivu and Haut-Uélé confirmed 10 (5 deaths) and 7 cases respectively.

1.4.2. Challenges

High proportion of positive samples in Ituri (26,0 %) and incomplete reporting of laboratory results in Haut-Uélé and Tshopo (no data transmitted), 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, 25 rings were opened (92 in total), 85 sites identified and 39 decontaminated (45 %) ; 66 SDB performed out of 82 death alerts (80,5 %) and 50 bodies sampled post-mortem, despite completeness limited to 10 ZS out of 29 (34 %).

• In Nord-Kivu, 76 health facilities supported and 229 providers briefed; 7 case-stay facilities decontaminated, 36 SDB performed and 37 bodies sampled and secured, for a completeness of 4 ZS out of 12.

• Tshopo did not transmit any PCI/EDS data.

1.5.2. Challenges

Low implementation of PCI standards: very low reporting completeness in Ituri (34 %) and Nord-Kivu (4 ZS out of 12), partial decontamination of identified sites in Ituri (39 out of 85) and low scorecards in Nord-Kivu (30,3 % in Beni and 31,4 % in Kalunguta), demonstrating a continuous risk of healthcare-associated infections.

1.6. Continuity of care

1.6.1. Main actions

• In Ituri, 29 ambulances were allocated to the response, 26 of which were available; 28 runs completed, 26 of which successfully, for 29 evacuated patients.

CTEs/CTs recorded 73 admissions and 82 discharges, including 21 recovered; occupancy reached 501 patients for 840 beds (60 %), with saturation of the CTEs of Rwampara, ISTM and Nizi and the CT of Bambu.

• In Nord-Kivu, 239 cumulative admissions in the CTEs/CTs, including 208 confirmed cases, for an intra-CTE mortality of 39 %; 66 admissions, no recovered today while 6 intra-CTE deaths were reported.

• In Haut-Uélé: lack of a standard CTE persists in the 6 affected health zones

1.6.2. Challenges

Insufficient availability of referral means (3 broken-down ambulances in Ituri, absence of an ambulance in 7 ZS of Nord-Kivu) and saturation of several CTEs/CTs, limiting rapid access to care and isolation of suspects.

1.7. Risk communication and community engagement

1.7.1. Main actions

• In Ituri, mass awareness-raising of 100 traders at the Sukisa 2 market and support to 20 community relays during door-to-door visits in the health zone of Rwampara; 4 213 people reached during home visits

• In Nord-Kivu, 17 community leaders were briefed and a guided visit of the CTE of Kitatumba organised; 16 rumours were clarified, 5 community incidents resolved and 129 household heads reached around 25 cases.

• In Haut-Uélé, 2 332 people reached during visits to 749 households in Isiro, Wamba and Pawa, 30 motorcycle-taxi drivers sensitized in Wamba and 66 IEC tools distributed (cumulative: 351).

1.7.2. Challenges

Persistence of community challenges: demotivation of actors linked to non-payment for more than two months in Nord-Kivu, denial of MVE and opposition to an SDB in Isiro, repeated expectations regarding vaccine availability, likely to affect community adherence to response interventions

1.8. Logistics

1.8.1. Main actions

In Ituri: installed capacity reaches 840 beds (412 for confirmed cases, 428 for suspected cases); expansion of the CTEs of Bambu, Nizi and Logo is requested in view of saturation.

In Nord-Kivu: continuation of unpacking of the WHO donation of PCI kits, preparation of orders for the ZSs of Vuhovi and Musienene and delivery of infant milk to the ZS of Butembo; work in progress on tank bases at the PoCs of Karuruma and Komba and for the triage unit of HGR (general referral hospital) Vuhovi (ULB Coopération).

1.8.2. Challenges

Persistence of logistical needs to support the expansion of the response, notably completion of CTE expansions, continuous supply of essential commodities and PPE, and availability of transport and evacuation means

1.9. Security

1.9.1. Main actions

• In Nord-Kivu, 13 security escorts were provided to the SDB and PCI teams in Lubero and Katwa; intervention by the security team in Katwa, by warning shots, faced with an attempt by the population to retrieve the body of a confirmed case.

1.9.2. Challenges

• Persistent insecurity, incidents involving political authorities and community resistance during safe and dignified burials, limiting access of response teams, continuity of interventions and coverage of activities in certain affected zones: attempt to retrieve the body of a confirmed case by the population in Katwa (Nord-Kivu) and 15 safe and dignified burials postponed to the next day in Ituri.

1.10. PSEA (Prevention of Sexual Exploitation and Abuse)

1.10.1. Main actions

Continuation of awareness-raising activities on the Prevention of Sexual Exploitation and Abuse (PSEA) in different communities of the affected provinces.

1.10.2. Challenges

Still insufficient coverage of awareness-raising activities and reinforcement 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 85 new cases and 29 confirmed deaths recorded over the past 24 hours, bringing the national cumulative total to 4 294 confirmed cases and 1 960 deaths.

• Ituri remains the epicentre of the outbreak, concentrating 86,4 % of cumulative confirmed cases and 82,0% of new cases reported over the past 24 hours and a larger expansion (28 of the 36 health zones affected).

• Surveillance shows good performance over the past 24h, with 100% of alerts investigated and a follow-up rate of 84,6% corresponding to the threshold of 85,0%.

• Strengthening priority interventions (surveillance, patient care, 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 outbreak evolved from the detection of the first suspected cases to biological confirmation of the Bundibugyo Ebola virus, leading to the official declaration of the 17th Ebola Virus Disease outbreak in the Democratic Republic of the Congo.

• Between 17 and 18 May 2026, national authorities, with the support of partners, reinforced the response by declaring 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 (WHO), Africa CDC, Bluesquare, 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

Mayele Afua

Source