Congo said on Thursday that Ebola had reached three new health zones, bringing the outbreak total to 676 confirmed cases and 136 deaths. The outbreak has also crossed into neighboring Uganda.

“There are still many blind spots in some areas that are high risk,” Olivier le Polain, a WHO epidemiologist based in Beni, eastern Congo, said.

Le Polain said surveillance systems needed to be strengthened in affected regions, adding that a shortage of isolation beds remained a major challenge. Only 250 beds were available across the three affected provinces, he said.

The outbreak involves the rare Bundibugyo strain of Ebola, for which there is currently no approved treatment or vaccine. Health workers said the disease went undetected for weeks, leaving responders struggling to contain its spread.

The WHO has not yet issued projections on the possible scale of the outbreak, Le Polain said.

The warning came after the US Centers for Disease Control and Prevention said the outbreak could potentially reach levels comparable to the 2014-2016 Ebola epidemic in West Africa, which killed more than 11,000 people.

Health officials said efforts to control the current outbreak are being complicated by limited medical resources and challenges in identifying cases early.

Health authorities reported 550 confirmed cases as of Sunday, including 101 deaths and 19 recoveries, according to the latest situation update released late Monday. The outbreak was officially declared on May 15.

The vast majority of infections have been recorded in Ituri province, which accounts for more than 90 percent of confirmed cases. Additional cases have been identified in North Kivu and South Kivu provinces, while the virus has also crossed into neighboring Uganda.

Officials believe the true number of infections may be higher because the outbreak was detected weeks after transmission had already begun. Response efforts have been further complicated by the absence of an approved vaccine or treatment for the strain responsible for the current outbreak.

The outbreak has been linked to the rare Bundibugyo strain of Ebola virus, for which no approved vaccine or therapeutic treatment currently exists. This differs from the Zaire strain, which was responsible for most of Congo’s previous Ebola outbreaks and for which vaccines and treatments have been developed.

Authorities said the sharp increase in confirmed infections partly reflects expanded diagnostic capacity, which has enabled laboratories to process a backlog of previously collected samples.

Health workers operating in affected areas continue to face significant obstacles. Medical teams have been attacked on multiple occasions by residents frustrated by the outbreak response, while persistent skepticism among some communities has complicated surveillance and containment efforts.

Security concerns remain a major challenge across eastern Congo, where numerous armed groups continue to operate. Ongoing violence has limited access to several affected communities and disrupted disease-monitoring activities.

The World Health Organization said Monday that insecurity is restricting access for response teams, hindering surveillance operations and increasing the risk that new chains of transmission could go undetected.

The agency said the attacks on health personnel underscore the difficulties of responding to a public health emergency in conflict-affected areas and highlighted the importance of cooperation with local leaders and communities.

Eastern Congo has experienced repeated outbreaks of Ebola over the past decade, but health officials warn that the combination of armed conflict, delayed detection and the lack of approved medical countermeasures for the Bundibugyo strain presents a particularly complex challenge for containment efforts.

The attack occurred in Rwampara, near the epicenter of the outbreak in Ituri Province, where local youths stormed and burned parts of a treatment facility after a man believed to have died from Ebola was denied a traditional funeral, according to witnesses and police officials.

Authorities said the confrontation stemmed from public resistance to emergency burial protocols designed to prevent transmission of the highly contagious virus.

Under outbreak regulations, suspected Ebola victims must be buried by trained teams because bodies can remain infectious and contribute to further spread.Deputy Senior Commissioner Jean Claude Mukendi, head of public security in Ituri Province, said relatives and friends of the deceased attempted to take the body home despite official restrictions. Police intervened but were unable to prevent the unrest.

Witnesses reported that aid workers evacuated the facility as protesters entered the center and set fire to equipment and structures. Humanitarian organization ALIMA, which operates at the site, later said calm had been restored and medical teams had resumed their work.

The incident highlights the growing challenges facing Congolese authorities and international aid agencies as they confront an outbreak that the World Health Organization has designated a public health emergency of international concern.Health officials reported 671 suspected cases and 160 suspected deaths across two provinces as of Thursday.

The outbreak has also crossed borders, with neighboring Uganda reporting cases, including at least one death.The WHO and regional health authorities have warned that the true scale of the outbreak is likely significantly larger than official figures indicate. Surveillance efforts are continuing as investigators seek to identify additional infections and trace transmission chains.

The outbreak is centered in Ituri Province, a region affected by chronic insecurity, weak healthcare infrastructure and large-scale population displacement. More than 920,000 internally displaced people are living in the province, according to United Nations estimates, complicating disease surveillance and response efforts.

Health experts say the Bundibugyo strain responsible for the outbreak presents additional challenges because no approved vaccine or specific treatment is currently available. Officials estimate it could take at least six to nine months before a vaccine becomes available.The virus has now spread beyond Ituri and North Kivu provinces.

On Thursday, authorities reported the first confirmed cases in South Kivu Province, including a death near the city of Bukavu, approximately 500 kilometers south of the outbreak’s center.The disease circulated undetected for weeks after the first known fatality in late April, partly because initial investigations focused on more common Ebola strains previously seen in the country.

Health authorities have yet to identify the outbreak’s first infected patient.The escalating crisis has begun to affect international travel and regional events. India and the African Union announced the postponement of the India-Africa Forum Summit scheduled for next week in New Delhi, citing the evolving health situation in parts of Africa.

The United States has also imposed screening measures and travel restrictions for individuals recently arriving from affected countries.

Ebola spreads through direct contact with bodily fluids and can cause fever, vomiting, diarrhea, muscle pain and severe hemorrhagic symptoms.

Public health officials say rapid detection, isolation and community cooperation remain critical to containing the outbreak.

Officials said the virus likely circulated undetected for weeks because initial testing focused on more common Ebola strains. No approved vaccine currently exists for the Bundibugyo variant, with WHO estimating any targeted vaccine could take six to nine months to develop.

The outbreak is unfolding in conflict-hit areas of eastern Congo, where insecurity, population displacement and weak health infrastructure are complicating containment efforts.

The WHO said the outbreak did not yet meet the threshold for a pandemic emergency but warned that countries bordering Congo faced a heightened risk of further spread as infections expanded across eastern regions and new cases emerged in Uganda’s capital, Kampala.

According to the agency, 80 suspected deaths, eight laboratory-confirmed cases and 246 suspected infections had been reported as of Saturday in Congo’s Ituri province, particularly in the health zones of Bunia, Rwampara and Mongbwalu.

The Congolese health ministry had earlier confirmed that at least 80 people had died in the outbreak, which health officials believe may be significantly larger than currently documented because of high positivity rates in early testing and increasing numbers of suspected infections.

The outbreak involves the Bundibugyo strain of Ebola virus disease, a rarer variant for which no approved vaccines or targeted therapeutics currently exist, unlike the more common Ebola-Zaire strain that has been the focus of previous immunization campaigns in Central Africa.

The WHO described the situation as “extraordinary,” warning that international transmission had already been documented.

In Kampala, two unrelated laboratory-confirmed Ebola cases, including one death, were identified on Friday and Saturday in travelers arriving from Congo, according to the agency. A confirmed case was also detected in Kinshasa involving a traveler returning from Ituri province.

The WHO urged governments to activate national emergency-response systems, intensify border screening and strengthen surveillance along internal transportation routes to contain further spread.
The agency also advised that confirmed Ebola patients and close contacts should avoid international travel except for medical evacuation purposes.

It recommended immediate isolation of confirmed cases, daily monitoring of contacts and restrictions on domestic travel for exposed individuals until 21 days after potential infection.

At the same time, the WHO cautioned governments against shutting borders or imposing sweeping trade restrictions, warning that such measures could push movement across unofficial crossings beyond the reach of health monitoring systems.

The outbreak poses an additional challenge for regional health systems already strained by conflict, population displacement and limited medical infrastructure in eastern Congo, where previous Ebola epidemics have repeatedly tested emergency response capacities.

The crash occurred near the Airport Rail Link’s Makkasan station when the container freight train struck the bus after it became trapped on the tracks at a red light, according to Deputy Transport Minister Siripong Angkasakulkiat.

Preliminary findings indicated the bus had stopped on the crossing, preventing the rail barriers from closing before the train approached, Siripong told reporters.
“The train was unable to stop in time to avoid colliding with the bus,” he said, adding that all eight fatalities were passengers aboard the bus.

Emergency crews and firefighters rushed to the scene as flames spread through the bus and nearby vehicles on Asok-Din Daeng Road. Rescue workers pulled injured passengers from the wreckage while fire crews battled the blaze with water hoses.

Videos circulating on social media showed the train striking the bus and dragging multiple vehicles along the tracks before the fire erupted.

A witness, motorcycle taxi driver Wanthong Kokpho, told Reuters the bus had been immobilized by traffic at the crossing.

“The bus was stuck at a red light, so it couldn’t move,” he said. “The fire broke out immediately.”

Officials said the fire was later brought under control as emergency teams continued cooling operations and searched the site for additional victims.
Authorities have launched an investigation into the cause of the collision.

Thailand has one of the world’s highest road fatality rates, according to the World Health Organization, with safety experts frequently citing weak enforcement of traffic and transport regulations.

A first group of passengers, all Spanish nationals and none displaying symptoms of infection, disembarked from the ship into small boats as the vessel approached the Port of Granadilla in Tenerife, Spain’s health ministry said.

Spanish officials said the passengers would be transported in sealed military buses directly to Tenerife’s airport before being flown aboard a government aircraft to Madrid for hospital evaluation and quarantine measures.

Authorities said all passengers would undergo testing by Spanish health officials before onward transport. Foreign nationals are expected to be repatriated in stages using specially arranged flights coordinated by their respective governments rather than commercial air services.

The European Centre for Disease Prevention and Control, or ECDC, classified all passengers and crew as high-risk contacts as a precautionary measure in rapid scientific guidance issued late Saturday. The agency said symptomatic passengers should receive priority medical evaluation and testing upon arrival and may either remain isolated in Tenerife or be medically evacuated home depending on their condition.

Thirty crew members are expected to remain aboard the vessel, which will later sail to the Netherlands for disinfection operations, according to Spanish authorities.The ship departed waters off Cape Verde earlier this week after the World Health Organization and the European Union requested Spain coordinate the evacuation effort following confirmation of the outbreak.

WHO Director-General Tedros Adhanom Ghebreyesus arrived in Tenerife on Saturday alongside senior Spanish ministers to oversee preparations for the ship’s arrival and passenger transfer operations.The WHO said eight people aboard the vessel had fallen ill, including three fatalities involving a Dutch couple and a German national.

Six infections have been laboratory confirmed, while two additional cases remain under investigation.Hantavirus is primarily transmitted through exposure to infected rodents, though health officials say limited person-to-person transmission can occur in rare circumstances.

The WHO has assessed the risk to the wider global population as low while describing the threat to passengers and crew aboard the vessel as moderate.Spanish authorities said evacuation operations were expected to continue throughout the day under strict biosecurity protocols at Tenerife’s Port of Granadilla.

At Jemo Health Centre on the outskirts of Addis Ababa, health worker Tewodros Tibebu says social stigma and limited awareness continue to delay access to comprehensive abortion care, despite Ethiopia legalizing broad abortion services more than two decades ago.

Tibebu, who has worked in comprehensive abortion care for four years, is among only three trained providers currently delivering the service at the facility. According to his account, many patients arrive after significant delays, often seeking help only after complications emerge from procedures carried out elsewhere.

“The biggest challenge is stigma,” Tibebu said in a feature published by the World Health Organization on May 5. “Many women are afraid someone will recognize them when they come here. Others do not even know the service exists.”Comprehensive abortion care has reportedly been available at Jemo Health Centre for nearly a decade.

However, Tibebu said access barriers remain widespread, particularly for women seeking confidential and medically supervised treatment.According to his account, many patients first visit private clinics where procedures may be carried out by practitioners lacking formal training in abortion care. By the time some women reach public facilities such as Jemo, they are already suffering from infections or sepsis that could have been prevented through earlier medical intervention.

Ethiopia expanded legal access to abortion in 2005 under revised provisions that allowed the procedure under broader circumstances than previously permitted. Despite the legal framework, health care providers and reproductive health organizations have continued to report uneven access across regions, driven by social stigma, provider shortages and gaps in public awareness.

Tibebu said the stigma surrounding abortion services affects providers as well as patients. “Some coworkers oppose the comprehensive abortion care department,” he said. “Some people in my community do not know what I do.”The social pressures attached to abortion care are a recurring issue in reproductive health systems globally, particularly in countries where legal reforms have outpaced shifts in public attitudes or health infrastructure.

Health workers often face professional isolation, ethical scrutiny and personal criticism while providing services that remain politically and culturally contested.Tibebu said professional training helped him better understand both the clinical and ethical dimensions of abortion care. “Before, it was difficult,” he said.

“After I received specific training, I understood the work differently and could provide the care women need.”The experiences described by Tibebu formed part of a broader announcement by the Human Reproduction Programme, known as HRP, regarding a new international training initiative on comprehensive abortion care.

The programme, launched through the WHO Academy platform, combines four separate learning modules focused on medical abortion, surgical abortion, post-abortion care and human rights integration in comprehensive abortion care. According to HRP, the courses are designed to provide modular and interactive learning environments that simulate real clinical decision-making scenarios encountered by frontline health workers.

WHO said the training initiative is intended to strengthen evidence-based care and improve consistency in abortion services across different health systems. The programme also places emphasis on privacy, non-discrimination and accountability within clinical practice.

The human rights integration component links medical treatment with broader principles related to patient dignity and access to care, according to WHO. Together, the courses are intended to establish a standardized framework for providers working in comprehensive abortion care settings.The launch reflects continuing international efforts by global health organizations to reduce preventable maternal complications associated with unsafe abortion procedures.

WHO has repeatedly stated in policy guidance that access to trained providers, accurate information and safe clinical environments are central to reducing maternal morbidity and mortality.At facilities such as Jemo Health Centre, providers say the gap between legal availability and practical access remains significant.

Tibebu noted that many patients learn about the service only through informal networks and word-of-mouth referrals rather than official health campaigns or referrals from primary care systems.That reliance on informal communication channels, he said, contributes to delays that can worsen medical outcomes.

The WHO feature also highlighted the operational pressures facing providers in facilities with limited staffing. With only three trained workers handling abortion care services at Jemo, workloads remain concentrated among a small number of clinicians.

Training programmes such as the one launched by HRP are intended in part to address those shortages by expanding provider knowledge and strengthening clinical capacity. WHO said the interactive nature of the courses allows health workers to engage with practical decision points similar to those encountered during patient care.

The organization has increasingly used digital and modular learning systems to expand access to specialized medical training, particularly in lower-resource health settings where formal clinical education opportunities may be limited.Tibebu said the training reinforced his understanding of abortion care not only as a technical medical service but also as direct patient support during periods of vulnerability and medical risk.

“People may not understand what we do,” he said. “But when you think about the woman in front of you, the decision is clear. You are helping someone.”WHO separately announced a webinar linked to the comprehensive abortion care learning programme scheduled for April 28, 2026.

The organization also published updated abortion-related fact sheets in December 2025 as part of its broader reproductive health guidance materials.The HRP programme operates jointly under the United Nations Development Programme, the United Nations Population Fund, the United Nations Children’s Fund, WHO and the World Bank, focusing on research, policy development and training in human reproduction and reproductive health services.

A limited hantavirus outbreak linked to an international cruise ship has intensified scrutiny of the United States’ public health preparedness, as scientists and global health officials warn that staffing reductions, laboratory disruptions and political disputes over infectious disease research may undermine responses to future outbreaks.Health experts say the current outbreak remains controllable, with transmission still largely confined to close contacts of infected individuals.

However, the incident has exposed broader concerns about whether public health agencies retain sufficient testing capacity and operational flexibility to respond rapidly if a more dangerous pathogen emerges.According to officials at the World Health Organization, investigators are increasingly focused on evidence suggesting limited human-to-human transmission among individuals who had prolonged close contact with infected patients.

The outbreak has drawn comparisons to a similar hantavirus cluster in Argentina between late 2018 and early 2019, when 34 people tested positive and 11 died. WHO officials said current transmission patterns appear consistent with those earlier cases, including infections involving close family members and healthcare workers.

Maria Van Kerkhove said investigators believe transmission likely occurred between the first infected patients and several close contacts, including a physician who treated patients aboard the cruise ship where the outbreak was first identified.WHO infection prevention specialist Abdirahman Mahamud said aggressive contact tracing, quarantine measures and rapid isolation protocols remain central to containing the outbreak.

He said lessons learned during the Argentina outbreak demonstrated that transmission chains can be interrupted through coordinated public health action.Authorities are now attempting to track passengers from 12 countries, including the United States, who disembarked before the outbreak was identified and later returned home. Epidemiologists said tracing those individuals and anyone they may have contacted while symptomatic remains a critical component of containment efforts.

William Hanage said international coordination may prove more complicated than in previous outbreaks because the passengers dispersed across multiple jurisdictions governed by different public health authorities.Hanage said aggressive contact tracing and quarantine measures would likely be necessary to prevent wider transmission, though he noted that political resistance to such interventions following the Covid-19 pandemic could complicate implementation.

The outbreak is unfolding as US public health infrastructure faces mounting operational and political pressures. Scientists and health officials say laboratory staffing reductions and administrative pauses have already disrupted testing capacity for multiple infectious diseases.According to infectious disease specialist Rochelle Titanji, laboratories responsible for hantavirus testing have experienced staffing cuts, while some federal testing programs have been temporarily suspended.

States currently cannot send samples to the US Centers for Disease Control and Prevention for orthopoxvirus testing, including tests related to mpox, because that division has been paused temporarily, Titanji said. She also noted that federal laboratories can no longer conduct certain diagnostic testing used to determine the specific parasite responsible for leishmaniasis infections.

In April, rabies testing at the CDC was also halted temporarily, according to health officials familiar with the disruptions.At the same time, virology research in the United States has become increasingly politicised. The White House recently issued an executive order restricting certain forms of virus research, while the National Institutes of Health implemented broad funding reductions affecting related scientific work.

US lawmakers have also introduced legislation targeting what they describe as “gain of function” research, a term used in debates surrounding experiments that modify pathogens to study transmissibility or virulence.The debate has intensified amid continuing political disputes over the origins of Covid-19. Although many scientists maintain that available evidence strongly supports zoonotic spillover from animals to humans as the most likely origin of Sars-CoV-2, investigations into possible laboratory-related scenarios continue.

Researchers involved in virology and pandemic studies have increasingly faced subpoenas, investigations and public political scrutiny linked to those debates.Hanage said the current political environment risks weakening scientific preparedness for future outbreaks by discouraging research into zoonotic spillover events.“We should be investing in doing more to understand how these spillover events take place,” he said, adding that current policy trends were moving in the opposite direction.

Public health specialists also expressed concern over legal restrictions adopted in many US states following the Covid-19 pandemic. More than half of US states have enacted laws limiting the authority of public health officials to impose quarantines, recommend masks or enforce certain emergency health measures.Some states have also restricted vaccine requirements for schools and limited the authority of schools to suspend in-person operations during future outbreaks.

Titanji said the relatively limited hantavirus outbreak was already exposing potential weaknesses in outbreak coordination and public compliance. She warned that a more severe pathogen with higher transmission rates or mortality could create substantially greater risks.Despite the United States formally beginning withdrawal procedures from the WHO, the country remains connected to the International Health Regulations framework and continues receiving technical updates and outbreak information from the organisation.

Mahamud said collaboration between WHO officials and US institutions remained active and transparent during the current outbreak response.WHO director-general Tedros Adhanom Ghebreyesus said the outbreak illustrated the continuing importance of international coordination mechanisms during infectious disease emergencies.

He urged both the United States and Argentina to reconsider decisions to leave the WHO, warning that gaps in international cooperation create opportunities for viruses to spread more easily across borders.

The Lebanon Civil Defense said in a statement that one of its rescuers was killed after an Israeli strike targeted him on a road connecting two towns in southern Lebanon.The organization said the attack occurred despite a truce that remains formally in effect between Israel and the Iran-backed militant group Hezbollah.

The incident came one day after another strike killed a rescuer affiliated with the Islamic Health Committee, according to Lebanese authorities.Israel has continued carrying out strikes across parts of Lebanon following weeks of conflict that began on March 2, saying its operations target Hezbollah fighters and military infrastructure.

On May 6, Israeli forces struck Beirut’s southern suburbs for the first time in nearly a month, killing what Israel described as a senior Hezbollah commander from the group’s elite Radwan force.The continuing attacks have intensified concerns among humanitarian agencies over the safety of medical and rescue personnel operating in conflict zones.

Tedros Adhanom Ghebreyesus said earlier this week that the World Health Organization had verified 152 attacks on healthcare facilities and personnel in Lebanon since the conflict began.According to Tedros, those attacks resulted in 103 deaths and 241 injuries.International humanitarian law provides special protections for medical workers, emergency responders and healthcare infrastructure during armed conflicts.

Rights organizations have repeatedly called for investigations into attacks involving rescue and medical personnel in Lebanon and Gaza.