ANALYSISErvebo was licensed against Zaire ebolavirus. WHO says it is not known whether it protects against Bundibugyo virus in humans — which is why a trial is running alongside the wider rollout.
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WHO's latest update records 1,129 more confirmed cases in twelve days and a case fatality ratio of 48.1%. Transmission is now confined to Congo, across 60 health zones in six provinces.
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In South Kivu, ophthalmologists examined 310 patients with confirmed clade Ib mpox at four time points. Periorbital lesions and severe acute malnutrition tripled the risk of ocular involvement.
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The Bundibugyo virus epidemic is now the largest Ebola outbreak in Congo's history. WHO's emergency committee met again this week; MSF says the response still isn't reaching people fast enough.
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Two months after the emergency declaration, confirmed cases in DRC have passed 2,100 and spread to 46 health zones. There is still no approved vaccine or treatment — but patients are now being enrolled in one.
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Five weeks into the Bundibugyo virus emergency, WHO says some new cases reflect transmission that had gone undetected for weeks — a sign the outbreak may be larger than the count shows.
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WHO declared a public health emergency of international concern on 17 May. By early June, confirmed cases had climbed past 500 and Africa CDC put a price tag on the continental response: $518 million.
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Eight confirmed cases, 246 suspected, and 80 suspected deaths in eastern DRC were enough for the Director-General to invoke his highest level of alarm — before convening the emergency committee that usually comes first.
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The Bulape outbreak in Kasai Province ended 88 days after it was declared, with a case fatality ratio above 70% and nearly 48,000 people vaccinated.
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Sequencing points to a fresh spillover from wildlife rather than a resurgence of the province's earlier outbreaks. Four of the dead are health-care workers.
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