Ebola Crisis in Congo: Attacks on Health Facilities and Patient Escapes

In the Democratic Republic of the Congo, doctors on the front lines of the Ebola crisis face immense challenges. They deal not only with supply shortages but also with attacks on healthcare facilities and fleeing patients as the virus spreads rapidly. In the northeastern province of Ituri, at least three incidents have occurred where Ebola patients ran away due to attacks on hospitals.

Recent Incidents in Ituri

The Mongbwalu General Referral Hospital suffered attacks on consecutive days. Over two dozen patients fled when individuals set fire to tents used for isolating patients. The World Health Organization (WHO) declared this outbreak of the rare Bundibugyo strain a public health emergency of international concern. WHO has reported over 900 suspected Ebola cases, including 101 confirmed, and 220 suspected deaths.

Community Mistrust and Violence

Dr. Richard Lokodu of Mongbwalu Hospital noted a denial of Ebola among some community members, with families wanting possession of infected bodies for burial. Personal belief mixed with longstanding suspicions has fueled recent tensions. A Christian leader’s death from Ebola sparked attacks, with seven patients escaping and authorities intervening to restore order.

Risks of Unsafe Burials

The community demand for bodies poses a significant risk. Ebola remains highly infectious after death, and unsafe burials without protective measures can drive further transmission. Historically, mob attacks on health workers have connected directly to burial disputes.

Historical Context of Attacks

During the 2013-2016 West African outbreak, health facilities faced similar violence. The 2018-2020 Eastern Congo outbreak saw these attacks intensify, sometimes fueled by armed groups seeking power or profit.

Spread of the Outbreak

This current outbreak began in Ituri but has spread to North and South Kivu provinces and into Uganda, with seven confirmed cases now reported there. The situation remains dire, with responders working to contain the virus amid insecurity and community mistrust.