Skip to content
You can now search across every topic, entity and event.What's new
Pandemics and Biosecurity
16JUN

WHO counts 695 cases as Ebola climbs

3 min read
10:26UTC

WHO Disease Outbreak News 607 logged 695 confirmed Bundibugyo Ebola cases and 138 deaths across DRC and Uganda on 13 June, a 30 percent rise in five days. Contact tracing has surged past 70 percent; patient isolation has not.

ScienceDeveloping
Key takeaway

Bundibugyo Ebola has reached 695 confirmed cases, the largest outbreak ever recorded for this species.

WHO Disease Outbreak News 607, published 13 June, counted 695 confirmed Bundibugyo Ebola cases and 138 deaths across the Democratic Republic of the Congo and Uganda, a rise of 30 percent in five days from the 534 confirmed at DON606 1. Bundibugyo is one of six Ebola species, and this is the largest outbreak ever recorded for it. The World Health Organization, the United Nations health agency that tracks outbreaks worldwide, publishes the Disease Outbreak News series as its authoritative case log.

The confirmed case-fatality ratio, the share of laboratory-confirmed cases that end in death, sits at 20.1 percent in DRC, roughly one in five. The outbreak now spans 29 health zones across three provinces: Ituri, North Kivu and South Kivu. Contact tracing, the work of finding and watching everyone a patient has been near, has climbed to 71.4 percent in Ituri, 71 percent in North Kivu and 83.5 percent in South Kivu, up from the 20 percent baseline in the CDC reproduction-number model that named one variable as the outbreak's fork .

Tracing tells responders where the virus might travel next, but it does not stop a sick person infecting others. That depends on isolation in a treatment bed, and isolation has not kept pace. The 71 to 83 percent tracing gain is real and hard-won; the figure that decides whether the outbreak peaks or runs is the slower one underneath it.

Deep Analysis

In plain English

Ebola is a severe illness that causes fever and, in many cases, internal and external bleeding. This particular type, Bundibugyo ebolavirus, has killed about one in five confirmed patients in this outbreak. Doctors in DRC have no approved drug or vaccine to treat it; care means isolation, fluids, and monitoring. WHO reported 695 confirmed cases by 13 June. The cases are spread across 29 health zones, which means teams have to track and isolate contacts in many different communities at once. Contact tracing, finding everyone who came near a sick person, is working reasonably well, above 70 percent in all three affected provinces. But only 46 percent of confirmed patients have made it into an isolation unit, and that is the number that most directly prevents further spread.

Deep Analysis
Root Causes

Bundibugyo ebolavirus has no licensed vaccine, treatment, or rapid diagnostic test, a countermeasure gap named explicitly in the WHO R&D Blueprint Filovirus roadmap three months before this outbreak . This structural absence means every confirmed case management decision rests on supportive care alone until the treatment trial yields data.

Ituri Province's contested governance creates a compounding constraint. Gold mining drives continual cross-border population movement between DRC, Uganda and South Sudan, while ADF insurgency activity and CODECO militia operations restrict community-health workers' access to a significant share of the outbreak zone. Contact tracing at 71 percent is not reachable everywhere; in Mambasa health zone under Islamic State-affiliated control it is effectively zero.

Escalation

Geographic and caseload escalation is confirmed. The jump from 534 confirmed (DON606, 8 June) to 695 (DON607, 13 June) in five days is the fastest absolute growth rate recorded since the PHEIC declaration. Cross-border spread into Uganda is established with onward transmission in Kampala and Wakiso. The trajectory continues upward unless patient isolation rates rise materially.

What could happen next?
  • Risk

    At the current 45.9 percent isolation rate, the CDC model projects a 65 percent probability of 20,000 cases by August; this risk window remains open while isolation lags behind tracing.

    Short term · Assessed
  • Consequence

    Cross-border spread into Uganda, 19 confirmed cases with five from onward transmission in Kampala, establishes a second transmission chain in a capital city, requiring parallel response infrastructure.

    Immediate · Assessed
  • Risk

    Ituri's conflict-zone insecurity and M23-linked territories continue to hold a zero-tracing subset within the outbreak zone, creating unobserved transmission that is invisible to the DON607 figures.

    Medium term · Reported
First Reported In

Update #7 · Bundibugyo's fork stays open

World Health Organization· 16 Jun 2026
Read original
Different Perspectives
Indian Council of Medical Research
Indian Council of Medical Research
ICMR deployed a team to Kerala within hours of the 11 June Nipah confirmation in Kozhikode, tracing roughly 100 contacts including 58 healthcare workers; three days without fresh positives suggest containment of a pathogen with no licensed vaccine and a case-fatality rate of 40 to 75 percent.
ECDC / European Union
ECDC / European Union
ECDC's Week 23 Communicable Disease Threats Report carried four simultaneous non-Ebola signals including the first peer-reviewed evidence of Dermatophilus congolensis sexual transmission, local mpox clade Ib European spread, and the Dermatophilus rapid risk assessment due 23 June. European import risk for Bundibugyo is assessed as very low.
United States (HHS / State Department)
United States (HHS / State Department)
Washington committed $270 million bilaterally to the response on 12 June while its 30-day entry ban on DRC, Uganda and South Sudan nationals, extended to green-card holders on 5 June, expired around 17 June unresolved. The CDC's R0=2.51 modelling is the sharpest analytical contribution to the response from any national agency.
World Health Organization
World Health Organization
DON607's publication on 13 June provides the 695-case international reference and attributes the treatment trial design to national leadership rather than WHO advisory consensus; the WHO co-authors the Continental Strategic Plan with Africa CDC but holds no enforcement lever over the US entry ban expiring 17 June.
Uganda Ministry of Health
Uganda Ministry of Health
Diana Atwine's ministry traced the 14-imported-case Uganda cluster using protocols rehearsed in the 2022 Sudan ebolavirus containment of 142 cases in 113 days; Uganda co-authorises the treatment trial and Bwera border lab reduces cross-border confirmation to same-day. Nineteen confirmed cases with five from onward Kampala transmission test whether the Sudan playbook transfers.
DRC Ministry of Health
DRC Ministry of Health
Kinshasa's 14 June bulletin counted 782 confirmed cases with 45.9 percent isolated, a figure DRC's health minister has linked directly to ongoing attacks on treatment facilities rather than community resistance. DRC co-leads the clinical trial now under national authority, a regulatory posture that keeps Geneva's timeline advisory, not binding.