general

Four thousand dead. More than nine thousand infected. And still, no approved vaccine for the strain tearing through the Democratic Republic of Congo. Five months into the worst Ebola outbreak in the country's history, Congolese mothers are burying their children in villages where no nurse has come to test them, trace them, or treat them. This is not only a medical emergency. It is a crime that has a name, a command structure, and a return address in Kigali.
Let us be precise, because the world keeps reaching for euphemisms. The outbreak is caused by the Bundibugyo strain of Ebola, a virus for which no vaccine has been approved anywhere on earth. The vaccine that does exist, Ervebo, was built for the Zaire strain. Gavi, the global vaccine alliance, has said Ervebo's protection against Bundibugyo has not been established. The global stockpile holds roughly 500,000 doses of Ervebo. At the request of the Congolese government, 70,000 were released in August, and part of that supply is now being used in studies. Two Bundibugyo candidates are in development: one from the University of Oxford, built with the Serum Institute of India, and one from Moderna using messenger RNA technology. Their phase 1 results are expected later this month. If they prove safe and generate an immune response, phase 2 and 3 trials will follow, lasting months. A rollout could come in the first half of 2027, if all goes well.
Read those timelines again. Congolese families are being asked to wait into 2027 for a tool that might save their lives. Gavi has mobilised $50 million to get doses ready before efficacy is proven, which is the right call. But money cannot manufacture a vaccine faster than science allows. What money can do, and what the response cannot do without, is find the sick before they die.
And here is the damning part. Gavi's director of global health security, Emanuele Capobianco, has said plainly that insecurity is preventing the system from detecting cases early. Health teams cannot locate patients. Surveillance is weak. Around 70 percent of deaths are happening in communities, before the sick ever reach a health facility. Health workers have been attacked. Misinformation is spreading faster than the virus. You do not need a medical degree to see the pattern: when a war destroys the systems that find disease, disease wins.
Why is the east so insecure? Because since early 2025, the M23 rebel movement has held Goma and Bukavu, two of the largest cities in eastern Congo, and has pushed deep into North and South Kivu. The UN Group of Experts has documented, in report after report, including S/2025/446, that M23 is not a homegrown uprising. It is the auxiliary arm of the Rwanda Defence Force. The RDF has deployed its own combat units, an estimated 14,000 to 18,000 troops, equal to between 40 and 50 percent of Rwanda's army, to fight, occupy, and loot a sovereign neighbour. Those soldiers are not rebels. They are an invading army operating under the cover of a proxy force, exactly the way Moscow used Donetsk and Luhansk as fronts before its full-scale invasion of Ukraine.
Kigali has spent years insisting the fighting is a local dispute. Ask the families of the men press-ganged into M23 ranks. The UN has documented M23 swelling from around 3,000 fighters to more than 30,000 by conscripting civilians and captured prisoners of war, marching them to the front with the same reality that awaits any conscript: death, or a lifetime of obedience. That is slavery in military uniform. Ask the drone operators. Ask the satellite analysts who have counted over 1,171 new graves at Kanombe military cemetery in Kigali since 2021. Rwanda hides its dead because admitting them would mean admitting the war.
Meanwhile, Rwanda markets itself as the clean, orderly capital of Africa. It hosts international conferences, sells gorilla tourism to foreign visitors, and wants the world to admire its gleaming hotels and sporting events. This is sportswashing in its most obscene form: a government parading its image while its army burns Congolese villages and keeps the Ebola response starved of security. Every tourist who books a gorilla trek in Volcanoes National Park is buying a ticket to a country that has not yet answered for Kanombe.
Context matters here, because this is not an isolated tragedy. The new scramble for Africa has many more players than the old one. Western powers lecture us on democracy while bankrolling governments that rig elections. China builds the roads and takes the minerals. Gulf states buy ports and farmland. Turkey sells drones that show up on battlefields from Sahel to Congo. Every one of them is competing for access to the cobalt, coltan, and gold beneath our soil. And every one of them, in its own way, prefers strongmen who deliver contracts over institutions that demand accountability. The result is a continent where the weakest people pay the highest price, and their governments are too captured or too frightened to protect them.
So what must change? Start with the invasion itself. The African Union's Peace and Security Council must stop issuing soft communiqués and demand the immediate withdrawal of all Rwandan forces from Congolese territory, with a verifiable timetable and consequences for failure. The UN Security Council must impose targeted sanctions on Rwandan and M23 commanders, freeze the assets of those profiting from Congolese minerals, and create protected humanitarian corridors so health workers can reach the sick without being shot. Attacks on Ebola responders must be treated as war crimes, not regrettable incidents.
Then rebuild the systems that actually stop outbreaks. Nigeria proved in 2014 that a country with serious institutions can contain Ebola, when Lagos health authorities traced contacts relentlessly, isolated cases quickly, and ran a transparent public information campaign. Botswana and Mauritius show what happens when governments enforce property rights, publish their budgets, and punish corruption. Congo needs the same discipline: paid community health workers who live where the sick live, local leaders engaged as partners rather than props, and procurement audits that ensure every dollar of Gavi money reaches clinics instead of disappearing into patronage networks. The African Medicines Agency and Africa CDC should be funded to build regional manufacturing, so the next vaccine is made in Africa, not begged from abroad.
Civil society has a role too. Journalists must document every attack on health workers and every forced conscription, and feed that evidence to UN investigators. Business associations must refuse to buy minerals tied to M23-controlled mines. Diaspora communities must pressure their own governments to stop treating Kigali as a development partner while its army kills Congolese.
And you, reading this on your phone: demand that your government ask the hard questions. Ask your MP whether your country is still funding a government whose soldiers are in Congo. Ask your national broadcaster why Ebola coverage stops at the border. Ask the African Union, in writing, what it has done about the 14,000 Rwandan soldiers on Congolese soil.
Four thousand people are dead. The vaccine is a year away. The killers are still in uniform, still holding cities, still counting the mineral money. We did not choose this war, but we will be judged by whether we allow it to continue. Congo's children cannot wait for the 2027 rollout to be safe. Neither can we.
Based on reporting by RFI