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Bota
Symbolic image: WHO urges Ervebo trial as Congo's Ebola cases pass 4,000Symbolic image

WHO urges Ervebo trial as Congo's Ebola cases pass 4,000

3 sources

Congo's Ebola outbreak has reached 4,053 confirmed cases and 1,850 deaths, the country's worst on record. WHO vaccine experts on Friday recommended a full-scale human trial of the Ervebo vaccine against the Bundibugyo strain.

What happened

  • Government data released on Thursday counted the cases since the outbreak was declared on 15 May.
  • Infections cover 53 health zones in five provinces; 87 percent in Ituri, 11 percent in North Kivu.
  • Daily Sabah reports about 793 recoveries and nearly 700 patients still hospitalised or in isolation.
  • Only West Africa's 2014-2016 epidemic was larger, with more than 28,000 cases in Guinea, Liberia and Sierra Leone.
  • A study in Science last month traced transmission to January or earlier near Mongbwalu in Ituri.

The view from outside

Al Jazeera alone reports that the WHO's own advisory group TAG-CVP prefers a Bundibugyo-specific vaccine and warns Ervebo's effect on symptomatic disease and transmission may be limited. Daily Sabah notes health authorities intercepted a river boat near Kinshasa and tested passengers after one died of suspected Ebola.

What could happen next

  • Ervebo has never been tested against Bundibugyo in humans; WHO wants it in a randomised trial during the outbreak.
  • Gavi's 500,000-dose Ervebo stockpile is to supply the trials, with some doses already in Congo.
  • Two Bundibugyo vaccines are in early human trials, a third is not yet at that stage.
  • Experts believe the true case count is higher; armed conflict in eastern Congo keeps hampering the response.
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