drc-conflict

Let us be clear about what this disease is. Bundibugyo virus disease is an Ebola strain that kills roughly a third of the people it infects, and it has no licensed vaccine and no approved treatment. The drugs that saved lives in the 2018 to 2020 Ebola fight in eastern Congo were built for a different species, Zaire ebolavirus. Bundibugyo gets no such protection. When the World Health Organization flags an outbreak of it in the Democratic Republic of the Congo, it is describing a threat that doctors must fight with the basics: isolation, tracing, safe burials, and clean hands. That is a fight the Congolese people should never have to fight alone, and they are not alone only because of the courage of their own nurses and community health workers.
Here is the uncomfortable truth we keep refusing to say out loud. The outbreak is spreading in a country where a foreign army is occupying the territory that matters most. Since January 2025, when M23 seized Goma, the provincial capital of North Kivu, millions of Congolese have been driven from their homes and dropped into camps with no clean water, no latrines, and no working clinics. Health facilities have been looted, staff have fled, and supply lines for medicine and vaccines have been cut. How do you trace the contacts of a deadly virus when the roads are blocked, the phone networks are down, and families are fleeing the next artillery barrage? You cannot. That is what war does to a public health system. It makes disease harder to see, harder to stop, and easier to bury in silence.
We have seen this movie before. Between 2018 and 2020, the Ebola outbreak in North Kivu and Ituri infected about 3,470 people and killed around 2,287. Treatment centres were attacked, responders were shot at, and communities hid their sick because they did not trust the armed men who controlled their towns. Every epidemiologist who worked that outbreak said the same thing: security is a medical intervention. The Congolese government and its international partners knew this then. The lesson was written in graves. And yet the bullets have returned to the same provinces, now fired by soldiers and proxies answering to Kigali.
Let us name the aggressor plainly, because the facts are not in dispute. Rwanda's Defence Force has deployed full combat units inside eastern Congo, with UN Group of Experts reports, including S/2025/446, documenting a force that numbers in the range of 14,000 to 18,000 troops, a substantial share of the Rwandan army. M23 supplies the mass manpower and the political cover, much as Russia has used the Donetsk and Luhansk separatists to hide its own soldiers behind a local face. Call it a rebellion and you help the invader. Call it what it is: a war of aggression, an occupation, a proxy war run from Kigali. When that occupation collides with a virus that has no vaccine, the people who pay are mothers in displacement camps, health workers in unpaid posts, and children who die of a disease that a stable state would have contained.
Consider also the hypocrisy. Rwanda markets itself as the clean, orderly, modern African success story. It hosts global summits and sells gorilla tourism to the world, and it has built a respected reputation for some health and development achievements. We acknowledge those achievements and we still say it: a government that sends its army across a neighbour's border, drones strikes into its towns, and conscripts civilians into a militia cannot wear the mantle of African progress. You cannot be a model of good governance at home and a practitioner of occupation abroad. Those two things cannot coexist without one of them being a lie.
And the wider world, which loves to lecture us about democracy, human rights, and the rule of law, has been far too slow to match its words with action. Western capitals issue statements of concern. Gulf states and other outside powers quietly pursue minerals, ports, and influence in the Great Lakes region, and China's mining and infrastructure deals keep flowing into a country whose state barely reaches its own borders. Every one of those actors says it cares about Congo. Not one of them has made a Congolese child's life, or the health of a Congolese village, the price of its business. That is the New Scramble for Africa in its modern form: different flags, same extraction, same indifference to who gets buried.
So what must happen? The African Union must stop treating this war as a sideshow to its summits. The Africa CDC should lead an emergency, fully funded response for Bundibugyo, with rapid deployment of diagnostic kits, isolation units, and protective equipment into every zone, including the zones M23 controls. The UN Security Council must demand an immediate ceasefire, enforceable humanitarian corridors for medical teams, and sanctions on the commanders and officials responsible for the occupation. Donors must release emergency health funds that do not vanish into the bureaucracy of the war economy. And vaccine developers and research institutions must accelerate candidate trials for Bundibugyo, because the absence of a licensed vaccine is not a law of nature. It is a failure of priorities.
Kenya and Nigeria, named in the outbreak reporting, must not wait for the virus to arrive at their airports before they act. Nigeria's Centre for Disease Control has built real experience in fighting Lassa fever and in responding to Ebola in 2014, and that expertise should be shared across the continent. Kenya has the regional logistics hubs to move supplies fast. Both governments should publish their surveillance data openly, scale up border screening and laboratory capacity, and brief their citizens with facts rather than fear. Transparency is the first line of defence against panic and against disinformation, and it is an obligation that democratic governments owe their people.
And now the call that matters most. We, the citizens of Africa, must refuse to accept the lie that Congo's suffering is too complicated to act on. Demand that your parliament ask your foreign ministry what it is doing to press for a ceasefire in eastern Congo. Demand that your health ministry publish its preparedness plans for Bundibugyo. Demand that the AU and the UN name Rwanda's war for what it is. Support the journalists, doctors, and civil society groups inside Congo who are documenting this crisis when others would rather look away. A healthy continent is a free continent, and a free continent cannot be built on the graves of its neighbours. The virus does not check passports, and neither should our resolve.
Based on reporting by RELIEFWEB