View of the entrance to the National Institute of Biomedical Research in Goma. Preventive measures have been put in place before entering this facility where samples from people suspected of having Ebola are tested. Daniel Buuma

When an Ebola outbreak has no ready tools, the world cannot look away

Dr Monica Rull
Dr Monica Rull
MSF Access Executive Director (ad interim)
Daniel Buuma
View of the entrance to the National Institute of Biomedical Research in Goma. Preventive measures have been put in place before entering this facility where samples from people suspected of having Ebola are tested. Daniel Buuma

The latest Bundibugyo Ebola outbreak is a warning: global health systems are still failing the people most at risk.

21 May 2026 — The latest Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda should concern all of us. The outbreak is caused by the Bundibugyo Ebola virus, and the World Health Organization has declared it a public health emergency of international concern.

This matters because, unlike the better-known Ebola virus (formerly called the Zaire virus), there are still no approved vaccines and specific curative treatments. Easy-to-deploy tests made specifically for Bundibugyo either have a very limited supply or are exorbitantly priced. In simple terms, people are facing a dangerous disease without the tools they need most.

This is not just bad luck. It is the result of years of neglect. After earlier Bundibugyo outbreaks in 2007 and 2012, experts already knew that broad Ebola diagnostics were needed so that dangerous viruses could be identified faster. Why? Because the longer it takes to detect the first cases, the further an outbreak can spread, and the longer it can last. Despite knowing this, the world still did not act with enough urgency and today? once again, communities are paying the price for delays in research and development.

What we do have, are treatments and vaccines developed for other Ebola viruses which, although not specifically designed for Bundibugyo, should still be made available quickly if they may offer some benefit. The real test is whether countries and communities can get these tools in time — without being blocked by high prices, limited supply, restrictive conditions, or delays in decision-making. For patients, families, and health workers, access to these tools can still mean access to care, protection, and a chance to save lives.

It is important to acknowledge that the DRC is not starting from scratch. Having faced 16 Ebola disease outbreaks already in the past few decades, Congolese health authorities, local healthcare workers, researchers, and communities have significant expertise developed from being at the forefront of some of the world’s most complex Ebola responses, often under extremely difficult circumstances.

This outbreak, however, is still a stark reminder that global preparedness lags behind: we lack the right tools, finances and political commitments to robustly support the current outbreak as well as any future outbreaks elsewhere. Important international talks on how countries share pathogens and the benefits from resulting medical tools are still unfinished. At the same time, cuts in global health funding have placed extra pressure on already fragile health systems. When a new outbreak begins in places facing conflict, displacement, or weakened health services, every delay becomes more dangerous.

The lesson should be clear by now: The world cannot keep reacting too late, with too few tools, for the people who face the greatest risk. Governments, donors, researchers, and pharmaceutical companies should invest now in diagnostics, vaccines, and treatments for diseases like Bundibugyo Ebola. Governments and donors should also make binding commitments to ensure those tools are affordable and available where they are needed most. If we fail to do that, this outbreak will not only be a tragedy for the affected communities, it also will be another warning that we chose not to hear.