Government data published overnight into Tuesday listed 4,381 confirmed Ebola cases and 2,011 deaths in Congo. Authorities reported 704 patients in admission and isolation at the time of the update. The outbreak was declared on May 15, although World Health Organization sequencing indicated that transmission likely began in February. Government data show the rare Bundibugyo outbreak accelerating while conflict, inaccessible communities and unpaid health workers impede the response.

The first 1,000 reported deaths accumulated over roughly nine weeks, while the next 1,000 were recorded in about three weeks. The outbreak affects five provinces and is now the second largest documented Ebola outbreak after West Africa’s 2014-2016 epidemic. The Bundibugyo virus involved in this outbreak has no approved vaccine or treatment, and clinical trials have begun in Ituri. WHO officials said early cases were mistaken for malaria and typhoid and were initially tested for a more common Ebola type.

Aid groups reported that many new cases were being found outside the contact lists responders were monitoring. Conflict, poor roads and health-worker stoppages over unpaid wages have slowed surveillance, isolation and care in remote communities. Congo has faced 17 Ebola outbreaks since the virus was first identified near the Ebola River in 1976. The West African epidemic recorded more than 28,000 cases and more than 11,000 deaths, providing scale but involving different geography and response conditions.

Negative tests among passengers on a quarantined river boat eased one immediate concern about spread near Kinshasa but did not alter the eastern outbreak. Congo reported 4,381 confirmed cases and 2,011 deaths in an outbreak that health officials say began months before it was recognized and is now the second largest on record. The source record distinguishes verified observations and published data from attributed institutional or political claims; where a source described a claim rather than independently proving it, this account preserves that attribution.

The figures are government confirmations from a fast-moving outbreak; undetected infections and reporting delays mean they are not a complete measure of current transmission. The next dated evidence to compare is weekly growth in confirmed cases outside monitored contacts, followed by trial results and payment or staffing changes in the response. Those records will show which preliminary details hold, which totals change and which announced actions become operational.