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Pandemics and Biosecurity
24MAY

US bans entry from DRC, Uganda, S Sudan

3 min read
16:06UTC

On 18 May the United States imposed a 21-day entry ban on nationals of three African states, including green-card holders, three days before WHO formally advised against exactly such restrictions.

ScienceDeveloping
Key takeaway

The US entry ban runs against live WHO advice for the first time since the 2014 Ebola response.

On 18 May the United States imposed a 21-day entry ban on nationals of the Democratic Republic of Congo, Uganda and South Sudan, including green-card holders 1. US citizens may still enter but face enhanced public-health screening at George Bush Intercontinental Airport in Houston from 26 May 2. South Sudan was included despite having no confirmed Bundibugyo cases, on the stated logic of porous borders with the DRC 3. The measure followed three days after WHO declared the Bundibugyo emergency .

The ban came first; four days later WHO's Emergency Committee issued Temporary Recommendations advising against travel and trade restrictions, and the ban has not been lifted since 4. Africa CDC publicly opposed the restrictions on 19 May 5. A major power has now banned travel against live WHO advice during an active emergency for the first time since the West Africa Ebola crisis of 2014, whose travel-ban failures the IHR exit-screening model was written to replace.

Entry bans push exposed travellers toward unscreened land routes and onward third-country flights, the exact behaviour exit screening at source is built to capture, and they discourage the honest disclosure border co-operation depends on. Bans also operate on nationality rather than exposure: a green-card holder WHO has not left the US in a year falls under the bar, while the screening of returning US citizens at Houston targets actual travel history. The 21-day entry ban therefore catches people by passport, not by where they have been.

Washington's reach for a border measure rather than a deployment has a structural backdrop. The USAID outbreak-response unit that would have surged personnel to Ituri had already been disbanded before the emergency , leaving entry restriction as one of the few levers still readily available. For readers planning travel, the practical effect is narrow: the bar falls on green-card holders and nationals of the three countries, while US citizens face questions and a temperature check at Houston, not exclusion.

Deep Analysis

In plain English

On 18 May 2026, the United States banned entry for nationals of three countries: the Democratic Republic of Congo, Uganda, and South Sudan. The ban includes people with US permanent residency (green cards). South Sudan was included even though no Ebola cases had been confirmed there. Public-health experts consistently oppose travel bans during Ebola outbreaks because they do not stop the virus, they drive sick or worried people to use unofficial routes where they cannot be monitored. They also make healthcare workers from affected countries reluctant to volunteer to help, which is exactly the opposite of what a response needs. Four days after the ban was imposed, the WHO's own expert committee formally recommended against travel or trade restrictions.

Deep Analysis
Root Causes

The US entry ban tracks a structural gap left by the dismantling of USAID's outbreak-response unit : with no 90-person CDC field presence deployable to Ituri, the only publicly visible US action available is a border measure. Entry bans are administratively simple and politically legible; field surge deployment requires an institutional apparatus the current US government no longer has.

South Sudan's inclusion despite zero cases reflects the conflation of geographic proximity with epidemic risk. The Ituri-South Sudan border does carry genuine surveillance risk given ungated population movement, but including South Sudan in a travel ban without a confirmed case is epidemiologically unjustifiable and was designed to signal political decisiveness rather than epidemiological precision.

What could happen next?
  • Risk

    Travel bans that push affected-country nationals to use informal border crossings reduce the WHO's ability to conduct exit screening, the single most evidence-based border measure for Ebola.

  • Consequence

    Uganda and South Sudan nationals working abroad in healthcare roles may delay return to their countries of origin, reducing the human resource pool available for the Ituri response surge.

First Reported In

Update #4 · Ebola triples, response misfires

STAT News· 24 May 2026
Read original
Different Perspectives
European Union / ECDC
European Union / ECDC
ECDC activated an EU Health Task Force, assessed European Bundibugyo import risk as very low, and flagged the recombinant clade Ib/IIb mpox strain in four countries as a surveillance watch item. Both calls reflect the same post-2024 IHR mandate: ECDC acts as a continental early-warning layer rather than waiting for WHO Disease Outbreak News guidance.
Ituri and South Kivu communities / DRC
Ituri and South Kivu communities / DRC
Residents in South Kivu torched a treatment facility when response teams arrived, a signal of community trust deficit that a no-state-apparatus response cannot overcome before it can begin. In Ituri, four healthcare worker deaths at Mongbwalu General Referral Hospital in four days reflect the population's first line of care bearing the outbreak's worst nosocomial burden without species-specific equipment or treatment.
Uganda / Diana Atwine
Uganda / Diana Atwine
Atwine confirmed two imported Bundibugyo cases in Kampala with no onward spread, deployed a mobile laboratory to Kasese on the DRC border, and placed 25 contacts under monitoring before any IHR Temporary Recommendations existed. Uganda's response demonstrates that containment is achievable where a functioning state health authority can compel and protect.
Africa CDC / Jean Kaseya
Africa CDC / Jean Kaseya
Kaseya declared a continental emergency 24 hours before the WHO PHEIC and publicly opposed the US entry ban on 19 May, arguing it punishes countries by passport rather than exposure history. The declaration, Africa CDC's second consecutive pre-WHO move after the 2024 mpox sequencing, reflects an AU strategy to lead early-phase responses independently of Geneva.
United States / HHS
United States / HHS
Washington imposed a 21-day entry ban on nationals of DRC, Uganda and South Sudan on 18 May, including green-card holders, and began enhanced screening for US citizens at George Bush Intercontinental Airport in Houston from 26 May. The ban predated WHO Temporary Recommendations by four days and covered South Sudan despite zero confirmed cases there.
Tedros Adhanom Ghebreyesus / WHO
Tedros Adhanom Ghebreyesus / WHO
Tedros declared the PHEIC on 17 May without the IHR Emergency Committee, then watched the committee's 22 May no-travel-restriction advice arrive four days after the US ban it was meant to prevent. A declaration without operational instructions left states parties with the headline of a global emergency but no guidance on screening, trade or deployment.