The Trump administration’s ‘America first’ approach has contributed to the scale of the crisis now unfolding in one of the world’s poorest countries

For months health experts have warned that the scale of the Ebola outbreak in the Democratic Republic of the Congo (DRC) could surpass the one that swept west Africa in 2014-16. This week, the authorities in the DRC announced that a grim milestone has already been passed: at least 2,325 people have died from the virus, making it the deadliest of the country’s 17 outbreaks and the fastest-growing in history.

There is no effective vaccine against Bundibugyo – a rare strain of the virus that spread fatally undetected during the spring, often being misdiagnosed as malaria or typhoid. In contrast to neighbouring Uganda, which succeeded in eliminating an outbreak, multiple factors are combining to let the disease rip through the DRC. The worst-affected region is contested by armed groups, and a context of population displacement and chronic insecurity has made monitoring and surveillance more difficult. Ebola treatment centres have been attacked as a result of misinformation and community distrust.