Health workers struggle to contain Ebola in Congo camps as distrust grows


A sign near the Nizi health centre during an Ebola awareness session as humanitarian agencies intensify efforts to contain a new Ebola outbreak involving the Bundibugyo strain, at Kpangba displacement camp where Ebola cases were observed, Djugu territory in Ituri province, Democratic Republic of Congo, June 13, 2026. REUTERS/Gradel Muyisa Mumbere.

NIZI, Democratic Republic of ⁠Congo, June 14 (Reuters) - After the Kpangba displacement camp became the first in this part of war-torn Congo to ⁠record deaths from Ebola two weeks ago, health workers rushed to trace those who had come into contact ‌with the deceased to break chains of transmission.

But the workers - from the provincial health ministry, the World Health Organization and other aid agencies - were forced away by angry locals who denied that the two women had died from Ebola, said Jean-Claude Lonzama, the chief doctor for the local health zone of Nizi, ​a heavily populated mining area.

"Up to this day, we are not able to ⁠follow up on the contacts of these cases," ⁠Lonzama told Reuters on Saturday.

The standoff has left health authorities flying blind as they try to stave off a surge ⁠of ‌Ebola cases in this camp of around 30,000 people,most of whom have fled inter-ethnic violence in surrounding areas.

"We have 22 displaced persons sites in the Nizi health zone ... with around 81,124 residents," Lonzama said. "This is also our great worry because ⁠no preventive measures have been put in place in these sites aside ​from a few educational messages."

Since the outbreak ‌was declared a month ago, several treatment sites have been attacked by locals angry about not being able ⁠to bury their loved ​ones because of precautions taken to keep the virus from spreading or convinced Ebola is a hoax.

POOR SANITATION

Aid workers fear Ebola could spread quickly in this and other displacement camps, where hundreds of people sometimes share a single toilet and open defecation is common, accelerating the spread of ⁠what is already one of the world's largest-ever outbreaks.

There are more than ​5 million displaced people across the three provinces affected by the outbreak - Ituri, South Kivu and North Kivu - all of which have been devastated by decades of conflict.

In Kpangba, as in towns and rural areas across eastern Democratic Republic of Congo where cases have ⁠been recorded, health workers trying to contain the outbreak are running up against deep-seated mistrust of the government and outsiders.

The attacks on Ebola treatment sites recall the widespread violence targeting health facilities by civilians and armed groups during a 2018-2020 outbreak in eastern Congo that killed more than 25 health workers.

The deaths in Kpangba occurred on May 31 and June 1, but were first made ​public in a report by the U.N. refugee agency published on Thursday.

According to a Congolese ⁠health ministry report seen by Reuters, the first victim, a 60-year-old woman in the camp, tested positive for Ebola on May 30 ​but had, by then, broken out of quarantine and could not be located.

The ‌difficulties winning trust from the population, combined with shortages of critical ​equipment and armed conflict across much of the affected areas, has left health experts deeply worried about the prospects for containing the outbreak.

(Reporting by Gradel Muyisa and Benoit Nyemba; Writing by Aaron Ross; Editing by Christina Fincher)

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