More than six months after the beginning of the Ebola outbreak in North Kivu and Ituri, the epidemic is not under control with more than 870 confirmed patients and more than 540 deaths. After some successes in stopping transmission in the initial epicenters of Mangina and Beni—and some ancillary locations such as Tchomia, Mutwanga, and Masereka—the epidemic has spread from four to 19 health zones.
Previous Ebola outbreaks have demonstrated the importance of gaining the acceptance of the community. Without the communities’ trust, the sick and dead remain hidden and health workers risk being threatened or assailed.