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Expand chart
Data: DRC Ministry of Health; Chart: Andrew Witherspoon and Harry Stevens/Axios

Worries over the Ebola outbreak in the Democratic Republic of the Congo have spiked after violence surrounding last weekend's elections led to hundreds of refugees flooding bordering countries and caused DRC and international health workers to withdraw completely in some areas.

Why it matters: Efforts to treat and contain Ebola had been successful in the hotspot city of Beni during the early weeks of December, but experts say recent events have likely taken a significant toll on progress. That includes the government's move to reportedly shut down the country's internet in the wake of the election violence.

The big picture: Jessica Ilunga, spokesperson for DRC Ministry of Health, told Axios earlier this week that the protests have forced health workers to halt key response activities like "responding to alerts, contact tracing, vaccination and safe and dignified burials" — suspensions that could allow the virus to spread.

Attacks against health care workers have also been growing lately, partly due to simmering tensions due to the inability to vote and misinformation, Ilunga says.

"There have been rumors in the community, sometimes spread by local politicians to boost their popularity, that Ebola was created by the national government in Kinshasa to kill the Nande population, which is the majority ethnic group in that region. ... With the decision [to postpone elections in some areas], the population felt like those rumors were true after all and that’s probably why they expressed their anger towards health facilities and agents, who have been helping them from the beginning."
— Jessica Ilunga

What they're saying: Jennifer Nuzzo, public health expert at Johns Hopkins Center for Health Security, tells Axios there was a "little bit of hope" a couple weeks ago when concentrated efforts reduced new infection rates, but that the situation is now "dire."

  • The U.S. Centers for Disease Control and Prevention — whose expertise is "unmatched when it comes to Ebola" — must take on-the ground action as the change in migration patterns increases the spread of the virus, Nuzzo says.

While some CDC personnel were moved to more secure locations "when armed conflict threatened the safety of staff," some still remain, CDC spokesperson Benjamin Haynes tells Axios.

  • That includes personnel working directly with the DRC's Ministry of Health, staff in the World Health Organization's emergency office, and a senior CDC doctor working with USAID’s DART team on the ground in Kinshasa.
"Everyone appreciates the importance of having CDC experts supporting the outbreak response efforts as directly as possible, and there is a mutual desire to provide the best resources to fight the outbreak in the DRC."
— Benjamin Haynes

Go deeper:

Go deeper

Chris Cuomo accuser: On-air "hypocrisy" spurred report

Journalist Chris Cuomo. Photo: Gilbert Carrasquillo/GC Images

A woman who accused fired CNN journalist Chris Cuomo of sexual misconduct said Sunday she decided to come forward after learning of his comments about women who made similar accusations about his brother. He denies her allegations.

Why it matters: Her attorney Debra Katz said in a statement that she heard "the hypocrisy" of his on-air words about his brother, former New York Gov. Andrew Cuomo, and was "disgusted by his efforts to try to discredit these women," so "retained counsel to report his serious sexual misconduct against her to CNN."

Updated 4 hours ago - Politics & Policy

Omicron dashboard

Illustration: Shoshana Gordon/Axios

  1. Health: CDC director says number of U.S. Omicron cases "likely to rise" — Two years of COVID-19 — Prior coronavirus infections may not protect well against Omicron.
  2. Vaccines: Data demonstrates most-vaccinated counties less vulnerable to worst of COVID — Omicron adds urgency to vaccinating world — Omicron fuels the case for COVID boosters.
  3. Politics: Nevada to impose insurance surcharge on unvaccinated state workers — New Jersey GOP lawmakers defy statehouse COVID policy — Oklahoma sues Biden administration over Pentagon vaccine mandate.
  4. World: Vaccine mandates lose steam in the U.S. while Europe doubles downWHO: Delta health measures help fight Omicron — COVID cases surge in South Africa in sign Omicron wave is coming.
  5. Variant tracker: Where different strains are spreading.

Vulnerable Democrats: Less Trump talk

Illustration: Aïda Amer/Axios

Vulnerable House Democrats are convinced they need to talk less about the man who helped them get elected: President Trump.

Why it matters: Democrats are privately concerned nationalizing the 2022 mid-terms with emotionally-charged issues — from Critical Race Theory to Donald Trump's role in the Jan. 6 insurrection — will hamstring their ability to sell the local benefits of President Biden's Build Back Better agenda.

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