In less than five months, the fastest-spreading Ebola outbreak in world history has killed at least 4,205 people in the conflict-ridden eastern region of the Democratic Republic of Congo (DRC) as of October 7.

It is the deadliest outbreak in the DRC since the disease was first discovered in the country in 1976, killing nearly one in two of the 8,728 people confirmed to be infected.

With treatment still in experimental stages, there is no specifically approved treatment for the particular Bundibugyo strain of the Ebola virus that caused this outbreak, declared on May 15. 

However, the virus had been circulating in communities in Ituri province since mid-February, three months before the outbreak was identified and officially declared.​

Aid cuts: unpaid frontline workers

When the health response started, already late, it was severely underfunded, as the UK, France and Germany have also followed in the footsteps of the US to slash humanitarian aid and increase military spending.​

The UN Office for the Coordination of Humanitarian Affairs (OCHA) said in late September that the Humanitarian Response Plan had only half the funding needed to counter the outbreak.​

Contact tracing is well below the Africa Centers for Disease Control and Prevention (CDC) and the WHO-recommended 95% to effectively break transmission. Only now in October, it has been built up to 80.4%, which still means that almost 20% of the people at risk of exposure to the virus due to contact with confirmed cases are off the radar of the health authorities, and could potentially be transmitting the disease further.

Lack of funds has meant that the understaffed and overworked frontline health workers – scores of whom have died in the line of duty – have been repeatedly forced to go on strike to protest unpaid wages. Their efforts are further impeded by the poor transport infrastructure and lack of healthcare facilities in the remote eastern region where the disease is spreading.​

Armed conflict complicating health response 

Armed conflict displacing millions on this mineral-rich land is another major hurdle in the way of effective health response. In Ituri, the epicenter of the outbreak, a key Ebola transit center in the fighting-affected Kigonze camp burnt down on September 29.​

The camp, which had housed 19,000 Internally Displaced People (IDPs) fleeing violence, was reportedly infiltrated by the Convention for the Popular Revolution (CRP).

Uganda​

This coalition of armed militias, formed in March 2025 at a hotel in Uganda’s capital, Kampala, is led by Thomas Lubanga, a former warlord, convicted by the International Criminal Court (ICC) of war crimes, released from prison in 2020 after serving 14 years. He resides in Uganda, where he is also known to have recruited fighters along ethnic lines.​

In a 2022 judgment, the International Court of Justice (ICJ) ordered Uganda to pay DRC USD 325 million in reparations. This included USD 225 million for killings, rapes, child soldier recruitment, and displacement, USD 40 million for damage to property, and USD 60 million for plundering its gold, diamonds, and timber as an “occupying power” in Ituri from 1998 to 2003.​

The nature of the occupation has since evolved. Under a bilateral agreement with the DRC, Uganda had deployed 2,000 troops to the country to jointly fight an Islamic State-affiliated group. However, Uganda deployed an additional 4,000 troops without the DRC’s consent in early 2025, around the time as the CRP’s formation in Kampala.  ​

Searching for CRP militants and weapons, soldiers and police entered the camp on September 20. When they came under fire, clashes erupted between the security forces and the militants. Thousands of IDPs fled again as gunfire continued rattling around the camp for days. Deaths, injuries, and arrests were reported.​

Ebola transit center burns down

Amid this violence, on September 29, fire engulfed the camp’s Ebola transit center. It is a facility for the isolation and care of suspected cases, until the results of the lab tests on their blood samples. If confirmed as positive, they are then transported to an Ebola treatment center.​

“It’s been a huge struggle to create Ebola transit centers [and] Ebola treatment centers; it’s required money, bringing in staff and it’s been a struggle all across the east. So, when we lose a center, that means we lose capacity, we lose investment and we have to start again,” said Julien Harneis, UN’s senior Ebola response official in the DRC.​

“Eastern DRC now faces a catastrophic collision of disease and conflict, with the Ebola outbreak in Ituri province outpacing the response,” the WHO’s director general, Tedros Ghebreyesus, had warned in May.​

The outbreak has since reached seven of DRC’s 26 provinces, predominantly in the east. About three-quarters of the confirmed cases remain concentrated in Ituri. However, its neighboring province, North Kivu, which has another 20% of confirmed cases, is emerging as the new hotspot.​

Rwanda

Large areas of this province are occupied by Rwandan troops and its proxy militias, the M23, which captured its capital, Goma, in January 2025, and went on to expand territorial control into South Kivu province.

​Without humanitarian access to these occupied areas, the government cannot mount a health response, Communications Minister Patrick Katembwe said in late May, second week after the outbreak was declared. He called for the “withdrawal of foreign forces and the removal of their auxiliaries.”

Instead, the M23’s parallel administration launched a separate health response in the areas under its control, independently of the DRC government, with which cooperation was limited to data sharing and lab testing. This severely hampered contact tracing, especially because people regularly travel between the M23-held areas and government-controlled territory.

“Multiple outbreaks are developing at the same time”

​The parallel M23 administration has also meant additional delays in diagnosis. With bed capacity in Ebola treatment centers stretched taut in North Kivu, medics in this province are forced to refer infected patients to general health facilities, where a third of all confirmed cases are being treated, posing further risk of transmission into the wider community.

​The spread has rapidly increased since September in this province, which now accounts for nearly 40% of all new confirmed cases, up from 24% in August-end, Doctors Without Borders (MSF) said on October 5.

​“It is like fighting a megafire,” said Stéphanie Hoffmann, MSF coordinator of the treatment center in Butembo, a major commercial city in the province. “Multiple outbreaks are developing at the same time, with varying intensity and in different locations. As long as new hotspots continue to emerge while the virus spreads across northern North Kivu, containing the epidemic will remain extremely difficult.”

The foiled hijacking of a flight from Dubai to Tel Aviv carrying 174 passengers — 166 of them Israelis — on Wednesday has revived the specter of earlier hijackings (mostly attempted) of aircraft bound for Israel, especially during the 1960s and 1970s.

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© CHRISTOPHER PIKE (REUTERS)

The Ugandan army, which had offered to capture Iran’s capital within 72 hours for Israel earlier this year, is now readying a troop deployment to Gaza under US command.

Discussing the deployment, senior Ugandan military officers were at the US-led Civil-Military Coordination Center in Kiryat Gat on August 17. The town on the edge of the Negev desert – barely 25 km from the northern Gaza Strip – was established in 1955 after depopulating the Palestinian villages of al-Faluja and Iraq al-Manshiya during the Nakba.​

Burundi’s military officials were also reportedly present at the meeting here, after which the Israeli Occupation Forces (IOF) gave them both a tour of the city of Rafa in southern Gaza as part of the “pre-deployment site survey.”

Burundi is yet to confirm the deployment of its troops. However, Uganda’s parliament, practically a rubber stamp with over 70% of the seats held by the ruling party, approved the deployment of its troops on August 6.​

This made it the sixth country to join the International Stabilization Force (ISF) proposed by US President Donald Trump’s so-called Board of Peace, envisioned as the 20,000-strong force led by US Major General Jasper Jeffers.

The remaining five contributors of troops hold relatively diverse positions on the Israel-Palestine question. Indonesia has been a vocal critic of Israel, backing South Africa’s genocide case against it at the International Court of Justice (ICJ). It maintains no diplomatic ties with Israel. The largest contributor has reportedly put its 8,000 troop deployment on hold, although it hasn’t formally withdrawn from the ISF.

Kazakhstan, on the other hand, has maintained deep diplomatic ties with Israel since 1992. Morocco joined the Abraham Accords in 2020. Both have done so while mouthing the two-state solution for an independent Palestinian state with East Jerusalem as its capital as official state policy.

The remaining two European countries are staunchly pro-Israel. Albania has announced plans to open a commercial liaison office in Jerusalem. Kosovo has outdone Albania, following Trump’s lead by moving its Israeli embassy to Jerusalem.​

The sixth country to come on board, Uganda, professes a commitment to Israel that dwarfs that of the European troop-contributors.

Offering to join US-Israeli war on Iran​

“Any talk of … defeating Israel will bring us into the war” against Iran on “the side of Israel,” Uganda’s military chief, Muhoozi Kainerugaba, posted on X in late March. He is the son and heir apparent of Uganda’s 81-year-old president, Yoweri Museveni, ruling the country since 1986.

After 40 years of rule, Museveni was handed a seventh term by the Electoral Commission in January, following an election marred by “widespread repression and intimidation against the political opposition, human rights defenders, [and] journalists,” according to the UN.

Soon after the results, Kainerugaba began hunting down Museveni’s political opponents, forcing his main challenger in the election, Bobi Wine, into exile, bragging about killing 30 of his party’s members, and swearing to “get them all.”

Israeli military technology, from weapons to surveillance equipment, has long enabled Museveni’s domestic crackdown. Recalling that Israel has supported his regime for decades, “Why wouldn’t we defend her now?” asked Kainerugaba. He added in a subsequently deleted post that the Ugandan military had offered to join the US and Israel in their war efforts against Iran, claiming, “We could have captured Tehran in 72 hours.”

Read more: Ugandan military chief announces willingness to join the US-Israeli war on Iran

This bold claim of being able to defeat the world’s 16th largest military power, with a military ranked 107 out of 145 countries, was gently mocked, even in the Israeli media at the time.  

“Gaza, here we come”: Ugandan soldiers post on social media

Nevertheless, barely five months later, Ugandan soldiers began uploading posts on social media, captioned, “Gaza, here we come,” filming themselves loading equipment onto planes – taking off and landing in undisclosed locations.​

These posts by Ugandan soldiers began circulating on social media after the Ugandan parliament approved the troop deployment on August 6.​

Military deployment as a diplomatic strategy

Addressing the parliament ahead of the vote, Maj Gen David Gonyi, parliamentary representative of the Uganda People’s Defence Forces (UPDF), explained the rationale of the deployment to the legislators: “Uganda submitted the name of a Ugandan [veteran diplomat, Olara Otunnu] to become Secretary-General of the United Nations. It would be like shooting ourselves in the foot to say that Uganda should not participate in [the] deployment in Gaza.”

Military deployment has long been a central plank of Ugandan diplomacy, currying favor of the Western countries by sending its soldiers to missions in Somalia, South Sudan, Equatorial Guinea, and the Democratic Republic of Congo (DRC).

Its Somalia deployment has been especially crucial for the Ugandan army to receive training and support from the US Marine Corps and US Africa Command (AFRICOM).

Last November, Johan Borgstam, the European Union (EU) Special Representative for the Great Lakes Region, met Kainerugaba to propose expanding Ugandan troop deployment in DRC, on behalf of Brussels. Borgstam brought this proposal, despite the UN confirming the validity of the DRC’s accusation that Uganda is supporting the M23 armed group, a proxy of Rwanda which, along with its army, has occupied large swathes of the region in a war for DRC’s minerals.

Presenting this Western demand for Ugandan troops as a diplomatic success, Major General Henry Masiko, another parliamentary representative of the UPDF and the Joint Staff Political Commissar, told the legislators: “The UPDF is viewed as the anchor of stability in a sea of turbulence, regionally and now globally.”

He went on to add in his remarks to the parliament that the “doctrine of the force is that we go out not to dance but to confront threats against society and humanity,” in a thinly veiled reference to Palestinian resistance.

“Some troops will return in coffins,” warns opposition MP

Opposition politicians have raised concerns that deploying troops when the Ugandan government has done little to conceal its neutrality may have consequences. 

“Some [troops will] return in coffins,” warned Jamal Ayagalaki. “We need answers on who will pay the UPDF, what the terms and conditions of service will be, and what support will be available to soldiers and their families.” He further warned that Uganda’s involvement in a conflict “that is not ours” could expose the country itself to new security threats.

A more thorough criticism of the deployment came not from an opposition leader but from retired General David Sejusa, who had served Museveni as a senior presidential adviser and intelligence coordinator from 2005 to 2013.​

The “parliament passed a resolution for peacekeeping, [but] what peace is [there] is Gaza?” he questioned, pointing to the lack of agreement between Israel and Hamas.

Uganda risks complicity in war crimes: former intelligence chief

“The permanent decommissioning of weapons from non-state armed groups” – i.e. the Palestinian resistance – is one of the tasks the International Stabilization Force must carry out in coordination with Israel, according to the resolution adopted by the UN Security Council in November 2025, with abstentions from Russia and China.

Hamas has refused to hand over weapons to Israel or any foreign force. It has called for the creation of a Palestinian national committee, which will hold the weapons collected from Hamas and other resistance groups within Gaza.

This transfer of weapons, however, can only happen after Israel withdraws from Gaza, Hamas insists. Israel, on the other hand, has refused to withdraw from Gaza until the resistance is completely disarmed.​

Therefore, in the absence of any “clear implementable political framework,” Uganda will be deploying troops in an “un-militarized active conflict area … where a belligerent state continues strikes on the occupied population,” Sejusa said. This, he warned, places Ugandan troops at the “risk of complicity in war crimes.”