Six months after an Ebola outbreak was declared in Congo, the disease remains out of control and efforts to contain it are faltering.
asserted
efforts → declare → it
More than 11,000 cases have been recorded, and nearly half of those infected have died, according to government data.
uncertain
half → record → data
It is the deadliest of Congo’s 17 outbreaks and is on track to surpass the death toll from the West African outbreak that killed 11,000 people between 2014 and 2016.
asserted
that → surpass → 2014
Basic containment measures, including contact tracing and isolation, remain inadequate, raising doubts about authorities’ ability to halt the outbreak.
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measures → include → outbreak
Experts say there is little chance of bringing it under control within the next year.
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Experts → say → year
By the time the outbreak was announced in mid-May, 43 deaths had already been recorded, suggesting the virus had circulated undetected for an extended period.
uncertain
virus → announce → period
It has since spread to eight of the country’s 26 provinces, moving at a pace aid groups have likened to wildfire.
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groups → spread → wildfire
New hotspots continue to emerge, stretching an already strained health care system.
Questions over funding and management
Community transmission remains high.
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Questions → continue → funding
According to the Africa Centers for Disease Control and Prevention, 80% of new cases are being detected outside health surveillance, meaning most infections have not been tracked by authorities.
uncertain
infections → accord → authorities
One-third of deaths occur at home or elsewhere in the community, where burials and other procedures are often conducted without specialist supervision, increasing the risk of transmission.
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burials → occur → transmission
Health workers have repeatedly gone on strike over pay that is months overdue, sometimes leaving patients with confirmed infections without treatment.
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that → go → treatment
Aid groups have also questioned how the response is being managed.
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response → question → ?
Last month, the Africa CDC raised concerns about more than $700 million in Ebola aid that remains unaccounted for.
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that → raise → aid
“A troubling disconnect between the considerable resources mobilised for the response and what is actually reaching patients, frontline workers, and communities continues,” said the humanitarian organization Doctors Without Borders, known by its French acronym MSF.
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organization → mobilise → acronym
Children face high death rates
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Children → face → rates
Children are particularly vulnerable to Ebola, especially those with preexisting conditions such as malnutrition, experts say.
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experts → say → malnutrition
Most children affected by the disease have not received specialized care, contributing to high death rates.
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children → affect → rates
According to UNICEF, children accounted for 35% of deaths recorded through Nov. 4.
uncertain
children → accord → Nov.
Children under 5 accounted for 21% of all deaths, and nearly 72% of infected children in that age group have died.
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% → account → group
Conflict and attacks hamper response
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Conflict → hamper → response
Health workers face difficult conditions as Ebola prevention and containment measures clash with social and cultural practices.
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measures → face → practices
Since the outbreak began, health workers have been attacked, some fatally, adding to the dangers of working in an already volatile region.
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workers → begin → region
Health facilities have also come under attack.
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facilities → come → attack
The outbreak has been concentrated in eastern Congo, particularly Ituri and North Kivu, where communities face both the epidemic and armed conflict.
asserted
communities → concentrate → epidemic
Fighting between government forces and hundreds of rebel groups, including the Rwanda-backed M23, had already helped create one of the world’s most severe humanitarian crises.
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Fighting → include → crises
The Allied Democratic Forces, an Islamic State-affiliated rebel group, also attacks civilians.
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Forces → affiliate → civilians
The virus’s rapid spread has raised fears of wider transmission across Africa.
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spread → raise → Africa
Nigeria, Kenya and Uganda have confirmed cases, making this the most geographically widespread Ebola outbreak on record.
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this → confirm → record
The Aporia
