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<v Speaker 1>The Democratic Republic of Kungu has now recorded more than

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<v Speaker 1>four thousand confirmed ebola cases. The epidemic is now the

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<v Speaker 1>second largest ebola outbreak ever recorded, and it's been called

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<v Speaker 1>the fastest spread and ever. The World Health Organization has

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<v Speaker 1>recommended a full skilled human trial of the only approved

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<v Speaker 1>ebola vaccine to determine whether it can also protect against

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<v Speaker 1>the deadly strain currently circulating in the DRC.

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<v Speaker 2>Somber phased passengers away temperature checks after their boat was intercepted.

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<v Speaker 2>Their journey took a turn when a man died after

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<v Speaker 2>developing symptoms consistent with a bowler.

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<v Speaker 3>They took our temperatures and asked us a few questions

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<v Speaker 3>about how we are. I'm fine, except for little back pain.

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<v Speaker 2>All two hundred passengers on board were screened by health

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<v Speaker 2>workers upon arriving in Kinshasa. The checks come as the

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<v Speaker 2>Democratic Republic of Congo stays on high alert following an

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<v Speaker 2>ebola outbreak declared in May. Government data shows the virus

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<v Speaker 2>has spread to five provinces in eastern Congo. Although the

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<v Speaker 2>outbreak remains far from the capital, officials are stepping up precautions.

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<v Speaker 2>Everyone arriving by boat in Kinshasa is now being streamed

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<v Speaker 2>in an effort to keep the virus from spreading to

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<v Speaker 2>the city, home to more than seventeen million people. But

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<v Speaker 2>on the front line, many responders feel abandoned. They're working

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<v Speaker 2>seven days a week without pay. Uiza Bondell is.

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<v Speaker 1>One of them.

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<v Speaker 2>He goes door to door tracking abola, entering homes where

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<v Speaker 2>someone has died, and disinfecting everything left behind. In July,

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<v Speaker 2>he joined other healthcare workers in a strike over unpaid

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<v Speaker 2>wages and danger is working conditions.

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<v Speaker 3>We work in risky situations. You may find yourself in

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<v Speaker 3>a situation where a patient is vomiting blood and you

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<v Speaker 3>have to clean it up. We face those kind of

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<v Speaker 3>risks and we deserve both our allowance and our salary.

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<v Speaker 2>However, the hardest part for him is the risk is

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<v Speaker 2>taking not just for himself, but for his community.

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<v Speaker 3>Become infected with the virus, and then I could infect

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<v Speaker 3>my family and my neighbors.

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<v Speaker 2>Who officials warned the outbreak is spreading faster than efforts

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<v Speaker 2>to contain it. They are now urgent Congo to test

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<v Speaker 2>available the only approved bowl of vaccine. The call comes

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<v Speaker 2>as the death toll near two thousand.

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<v Speaker 1>All right, for more of this let's bring in fresh Newport.

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<v Speaker 1>She's the emergency coordinator for Doctess Without Borders currently based

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<v Speaker 1>in Bunia in the Eastern DC. Hello Tresh, Welcome to

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<v Speaker 1>the program we've had. This is the West Ebola outbreak

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<v Speaker 1>in the dolc's history. How serious is the situation right now?

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<v Speaker 4>The situation is so serious. We sees a number of

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<v Speaker 4>cases increasing every day, about sixty percent of all of

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<v Speaker 4>the deaths or community deaths. And what we know is

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<v Speaker 4>that as long as people are dying in the community,

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<v Speaker 4>the number of cases of Ebola is going to increase significantly.

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<v Speaker 4>We see cases moving into new areas all of the time.

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<v Speaker 4>And one thing that is extremely concerning is that there

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<v Speaker 4>are areas where there's Ebola cases and there are not

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<v Speaker 4>yet all of the pillars of outbreak response in that area.

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<v Speaker 4>Some places there's not case management or surveillance or access

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<v Speaker 4>to safe and dignified burials. And so as long as

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<v Speaker 4>there's not a comprehensive popola response every single place where

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<v Speaker 4>there's Ebola cases, we will see Ebola continuing to spread

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<v Speaker 4>and the numbers in continuing to increase, in the number

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<v Speaker 4>of deaths sadly increasing.

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<v Speaker 1>I mean, it really does sound serious. What you're explaining

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<v Speaker 1>to make matters. Whereas we know, there's currently no approved

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<v Speaker 1>vaccine or specific treatment for the bundabougio ebola LA virus

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<v Speaker 1>responsible for the current outbreak. Is that why it's so

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<v Speaker 1>difficult to control also? Or what are some of the

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<v Speaker 1>other key factors?

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<v Speaker 4>I think one of the biggest key factors is this

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<v Speaker 4>outbreak was identified very late. So usually when an outbreak

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<v Speaker 4>is identified, you have a few cases, and at this

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<v Speaker 4>point you're able to set things up. It's all in

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<v Speaker 4>one place. You can really engage with the community, and

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<v Speaker 4>you can train health workers as the number of cases increase,

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<v Speaker 4>or hopefully you're able to stop it right away. When

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<v Speaker 4>this outbreak started, there were more than three hundred suspect cases,

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<v Speaker 4>more than fifty five deaths. It had spread to new areas,

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<v Speaker 4>so to be able to scale up the response and

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<v Speaker 4>train enough people from the very start was a challenge,

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<v Speaker 4>and we've just never caught up to the outbreak since then.

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<v Speaker 4>And Euri is an area with massive humanitarian needs, it's

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<v Speaker 4>an area with ongoing conflict, areas that are insecure, and

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<v Speaker 4>so this only adds challenge to the context.

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<v Speaker 1>Right now, this takes me straight to Uganda really, which

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<v Speaker 1>borders the DRC. Uganda recently declared itself ebola free, same variants,

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<v Speaker 1>no treatments, no vaccine. So what did Uganda do better

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<v Speaker 1>than the DC?

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<v Speaker 4>In Uganda, it started very small. It was one case

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<v Speaker 4>and then another case. And as I said, if you

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<v Speaker 4>start very small, it's much much easier to control. In Uganda,

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<v Speaker 4>as in the Democratic Republic of the Congo, they know

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<v Speaker 4>how to respond to ebola. So in Uganda they were

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<v Speaker 4>able to put all of the pillars of outbreak response

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<v Speaker 4>into place immediately exactly where there were the Ebola cases.

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<v Speaker 4>In the DRC. This hasn't been possible because it's spread.

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<v Speaker 4>It's spread across across provinces, across across health zones, and

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<v Speaker 4>it really makes it much much more difficult. All of

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<v Speaker 4>the actors here on the ground are stretched to their limits.

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<v Speaker 4>We see organizations reaching their capacity, but the number of

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<v Speaker 4>Ebola cases continues to grow. It's growing much faster than

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<v Speaker 4>the Ebola response is able to respond to.

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<v Speaker 1>Right, I mean, what needs to happen now to stop

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<v Speaker 1>this outbreak from getting worse.

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<v Speaker 4>We need to have an increased amount of international resources

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<v Speaker 4>that are coming into the country to help with the

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<v Speaker 4>Ebola response. The Ministry of Health knows how to stop

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<v Speaker 4>an Ebola outbreak, but there need to be more resources

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<v Speaker 4>on the ground that are able to go to new

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<v Speaker 4>areas where there are new cases, and we need to

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<v Speaker 4>be focusing on prevention in areas where there are no

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<v Speaker 4>cases right now, but at this moment, there's no capacity

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<v Speaker 4>to do that.

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<v Speaker 1>Wow, sounds really worse on the ground. Thanks for all

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<v Speaker 1>that information, Trish Newport dot US Without Borders