Congo to begin phased return of residents to volcano-hit city

GOMA, Democratic Republic of Congo (Reuters) – Democratic Republic of Congo will start a phased return of residents who fled Goma in the aftermath of a volcanic eruption that destroyed thousands of homes and threatened to overrun the city, the government said on Monday.

Less than a week after the initial eruption on May 22, which only just stopped short of the city limits, some 400,000 people scrambled to leave when the government warned underground tremors could cause a new eruption, or trigger the release of toxic gases.

The tremors have since subsided, and many people have returned to Goma. About 245,000 remain displaced in nearby towns and villages, according to the latest survey by the International Organization for Migration (IOM).

The government said it would provide buses and trucks beginning on Tuesday to help people return.

But Prime Minister Jean-Michel Sama Lukonde told journalists that sites on the outskirts of Goma that were destroyed by the eruption could no longer be inhabited.

“We must learn from the 2002 and 2021 eruptions so that our populations are never again so close to danger,” Lukonde said.

Mount Nyiragongo, one of the world’s most active volcanoes, had last erupted in 2002, killing more 200 people and sending lava gushing through Goma. Last month’s eruption killed at least 31.

On Saturday, the government re-opened Goma’s airport, which is eastern Congo’s main hub for delivering aid to the strife-torn region.

People made homeless by the eruption would be temporarily rehoused and given assistance to rebuild, the government said in a statement.

(Reporting by Erikas Mwisi Kambale; writing by Hereward Holland; Editing by Alex Richardson)

Thousands flee Goma after Congo warns of possible new eruption

By Djaffar Al Katanty

GOMA, Democratic Republic of Congo (Reuters) -Thousands of people scrambled to flee the Congolese city of Goma on Thursday, some picking their way across landscapes scarred with lava, after officials said a second volcanic eruption could happen any time.

Magma, the molten rock that normally stays beneath the earth’s crust, had been detected beneath the city and the adjoining Lake Kivu, Constant Ndima Kongba, the military governor of North Kivu province, said, citing seismic and ground deformation data.

“Given these scientific observations, an eruption on land or under the lake cannot be ruled out at present, and it could occur with very little or no warning,” he said.

Thirty-one people were killed on Saturday evening when Mount Nyiragongo, one of the world’s most active volcanoes, sent a wall of orange lava downhill towards the city, destroying 17 villages on the way.

The lava stopped just 300 meters short of Goma airport, the main hub for aid operations in eastern Democratic Republic of Congo. Much of the city was spared but hundreds of earthquakes since have destroyed buildings and opened cracks in the earth.

Ten neighborhoods in the east of the city, which lay in the path of lava from the previous eruption in 2002, needed to move to Sake, around 13 miles (21 km) to the northwest, Ndima said.

“Evacuation is compulsory. Those who do not adhere swiftly carry unnecessary risks.”

Thousands of people heeded his message, filing out of town on foot, with huge bundles on their heads. Others fled by car, creating traffic jams across the city, or on large boats that took them across Lake Kivu.

On the road north of Goma, a stream of people picked their way across a landscape charred by lava still hot from Saturday’s eruption, drone video footage showed.

“The first day I didn’t move because there were no orders, but today it’s different,” said Alfred Bulangalire, 42, who was fleeing Goma on foot with his wife and four children.

“I know that my shop will be looted, but I have to protect myself and my family,” he said.

LAKE RISKS

A spokesman for the national government said at one point that boat traffic had been banned because Lake Kivu was considered dangerous, but a local governor later said the lake would remain open.

Volcanologists in Goma warned earlier on Thursday that, in a worst-case scenario, a volcanic eruption under the lake, accompanied by a large earthquake, could trigger a sudden release of carbon dioxide from the bottom of the lake.

Such an explosion could asphyxiate thousands of people, they said.

“Faced with this spectrum of dangers … the only option has been to protect human lives and keep the population out of the path of the lava flows,” government spokesman Patrick Muyaya told journalists.

Goma’s Heal Africa hospital, which was re-built on hardened lava from the 2002 eruption, has sent its patients to other facilities in town, its director, Serge Kahatwa, told Reuters.

“Other hospitals are full so it’s a big problem right now. They are overwhelmed,” he said.

Diego Zorrilla, the U.N.’s deputy humanitarian coordinator in Congo, said U.N. agencies were accelerating plans announced on Wednesday to temporarily relocate around 250 non-essential staff, around half of their aid workers.

Congo imposed martial law on the region earlier this month to try to stem the bloodshed and widespread insecurity many people still face every day, long after the official end of a civil war in 2003.

Around 3,000 houses were destroyed in Saturday’s volcanic eruption and more than 20,000 people left homeless. At least 40 people are still missing.

(Reporting by Djaffar Al Katanty; additional reporting by Stanis Bujakera, Fiston Mahamba and Hereward Holland; writing by Hereward Holland and Edward McAllister; editing by Cooper Inveen, John Stonestreet, Philippa Fletcher)

Around 20,000 homeless, 40 missing in Congo volcano aftermath, says U.N.

By Djaffar Al Katanty

GOMA, Democratic Republic of Congo (Reuters) – More than 20,000 people are homeless and 40 still missing in the aftermath of a volcanic eruption in eastern Congo that killed dozens and continues to cause strong earthquakes in the nearby city of Goma, the United Nations said on Wednesday.

Saturday’s eruption sent rivers of lava streaming down the hillside from Mount Nyiragongo, destroying hundreds of homes and forcing thousands to flee, but stopped 300 meters short of Goma airport, the main hub for aid operations in the east of Congo.

The ash cloud caused by the eruption has closed down airports in Goma and Bukavu, and is likely to cause respiratory diseases, the U.N. Office for Coordination of Humanitarian Affairs (OCHA) said in a statement.

People who fled their homes have lost valuable possessions including motorcycles that were either consumed by the lava flow or looted, OCHA said.

More than 200 small and medium earthquakes have since caused cracks in buildings and streets in Goma, just 15 km (9 miles) from Nyiragongo. No deaths have so far been reported, but the cracks have caused panic among residents unsure if the danger has passed.

“Yesterday it was very small, here it is just opposite my house, but today it has widened,” said Susanne Bigakura, 65. “It’s scary. We fear it can collapse and our children can fall in.”

“It scares me because those who saw the 2002 eruption told us that where a crack passes, it will be catastrophic. Now, when we see a fissure after a recent eruption, I’m worried that we are in danger,” said Valentin Kikuni, a welder.

A 1.7 km (1 mile) river of lava that blocked the main road north from Goma is still too hot to be removed, OCHA said, preventing trade and aid deliveries to one of the most food insecure places in Africa.

However, some work has begun on restoring the road, according to images on the government’s Twitter feed.

(Reporting by Djaffar Al Katanty and Hereward Holland; Editing by Giles Elgood)

Earthquakes in Congo raze buildings, stoke fear of second volcanic eruption

By Djaffar Al Katanty

GOMA, Democratic Republic of Congo (Reuters) -An earthquake on the border of Congo and Rwanda razed buildings in the city of Goma on Tuesday and stoked fears a nearby volcano would erupt again three days after dozens of people were killed and 17 villages were destroyed by lava.

The quake, measured at 5.3 magnitude by the Rwandan Seismic Monitor, was the largest of over 100 tremors that have followed the eruption on Saturday of Congo’s Mount Nyiragongo volcano, one of the world’s most active and dangerous.

“We know that children were injured when a building collapsed on Tuesday just a few steps from the UNICEF office in Goma,” the U.N. children’s agency said.

The quake appeared to have destroyed several buildings in the city of two million, and a witness said at least three people were pulled from the rubble and taken to hospital.

It struck at 11:03 a.m., originating in Rugerero sector in western Rwanda, according to the Rwanda Seismic Monitor.

The city experienced 119 tremors on Monday, but the intensity has started to decrease, said Kasereka Mahinda, scientific director at the Goma Volcano Observatory.

The earthquakes were caused by the tectonic plates seeking to recover their equilibrium after the eruption, a phenomenon seen after the eruptions in 2002 and 1977.

“As soon as the rift recovers its balance, the tremors will stop,” he told Reuters.

Multiple cracks in the earth have emerged in Goma in the last day, although businesses have re-opened across the city and life appeared to be largely returning to normal for those who did not lose their homes.

About 1,000 houses were destroyed and more than 5,000 people displaced by the eruption, the United Nations has said.

“According to the authorities, 32 people have died in incidents related to the eruption, including seven people killed by lava flow and five others asphyxiated by gases,” the U.N. refugee agency UNHCR said.

The lava flow stopped a few hundred meters short of the city limits, but wrecked 17 villages on the way, cut the principal electricity supply and blocked a major road, disrupting aid deliveries to one of the most food-insecure places in Africa.

The lava lake in the volcano’s crater appears to have refilled, raising fears of new fissures or another eruption, UNHCR said. Goma-based volcanologist Dario Tedesco said on Monday he feared the tremors could open another fracture.

The government said a 1.7 km (1.1 mile) stretch of road connecting Goma to the north of the province was covered with lava, blocking the movement of people and goods to an area where some 280,000 people have been displaced by conflict and fighting since January.

The United Nations said it would take days to re-open the road and that it was seeking permission from the government to start re-using Goma airport. The hub for aid relief for the east of the country was closed after lava came within 300 meters (yards).

More than half a million people have lost access to safe water, as lava destroyed one of the most important water supply sources, the International Federation of the Red Cross said.

“Although the flow of lava has stopped, authorities have warned that the danger is not yet over and that seismic activity in the area could cause further lava flows. Infrastructure damage is not ruled out,” the IFRC said.

(Reporting by Djaffar Al Katanty and Fiston Mahamba; Additional reporting and writing by Hereward Holland; editing by Philippa Fletcher and Alistair Bell)

WHO sounds regional warning over Ebola outbreaks in Congo, Guinea

GENEVA (Reuters) – An outbreak of Ebola in Democratic Republic of Congo and Guinea poses a regional risk that requires exceptional vigilance, a senior World Health Organization official said on Monday.

Congo has confirmed four cases of Ebola since a resurgence of the virus was announced on Feb. 7 in Butembo, the epicenter of a previous outbreak that was declared over last June.

An Ebola vaccination campaign has begun in Butembo, in eastern DRC, the WHO said in a tweet on Monday. Separately, the West African country of Guinea declared a new Ebola outbreak on Sunday, with seven confirmed cases and three deaths.

“We have to be exceptionally vigilant, highly alert,” Mike Ryan, WHO’s top emergency expert, told a news briefing.

“This disease (Ebola) represents a regional risk”

The Ebola virus causes severe vomiting and diarrhea and is spread through contact with body fluids.

(Reporting by John Revill, John Miller, Michael Shields in Zurich, Kate Kelland in London, Editing by William Maclean)

Fatal attacks on Congo clinics risk resurgence of Ebola epidemic

By Fiston Mahamba

GOMA, Democratic Republic of Congo (Reuters) – International organizations warned on Friday of a potential resurgence of Ebola in Congo after deadly militia attacks on health centers forced aid groups to suspend operations and withdraw staff from the epidemic’s last strongholds.

Mai Mai militia fighters killed four people and injured several others at two Ebola centers on Thursday in the worst yet of violence hampering efforts to tame the outbreak in eastern Democratic Republic of Congo (DRC).

The world’s second biggest Ebola epidemic on record has killed over 2,200 people since mid-2018, but new infections slowed in recent months.

“Ebola was retreating and now it is likely to resurge,” World Health Organization (WHO) spokesman Christian Lindmeier told a news briefing in Geneva. WHO has relocated 173 staff while the U.N. children’s agency UNICEF has evacuated 20 staff.

After Thursday’s fatal raids on health centers in Mangina and Byakoto, a screening center was also attacked overnight in the town of Oicha, Congolese health authorities said.

Mai Mai fighters and local residents have attacked health facilities sometimes because they believe Ebola does not exist and in other cases because of resentment that they have not benefited from the influx of donor funding.

The International Federation of the Red Cross (IFRC) halted operations in the towns of Mangina, Beni and Butembo.

“We’ve had to put all Ebola activities on hold in high-risk areas,” said Corrie Butler, spokeswoman for the IFRC in Congo, saying the attacks had been in areas with most Ebola cases.

At least 1,500 Red Cross staff and volunteers are involved in Ebola work in east Congo, she said, most in areas where activities are now suspended due to violence.

The World Food Programme (WFP), another U.N. agency which provides food to those around infected people and at risk of Ebola, said its activities had also been interrupted due to insecurity.

Congolese health authorities said they had evacuated 13 staff and other transfers were underway.

The Alliance for International Medical Action (ALIMA) charity said activities at its treatment centers in Mambasa and Katwa towns were not suspended but it was monitoring the security situation closely.

Thursday’s attacks followed raids on communities by suspected Islamist rebels believed to have killed at least 100 people in the past month, according to U.N. figures.

At least four people also died this week during protests at the perceived failure of the army and U.N. peacekeepers to protect civilians from the Islamist Allied Democratic Forces (ADF)

(Reporting from Fiston Mahamba in Goma, Stephanie Nebehay in Geneva, Anna Pujol-Mazzini in Dakar; Writing by Anna Pujol-Mazzini; Editing by Alessandra Prentice and Andrew Cawthorne)

Ebola death toll in east Congo outbreak climbs above 2,000

FILE PHOTO: A health worker fills a syringe with Ebola vaccine before injecting it to a patient, in Goma, Democratic Republic of Congo, August 5, 2019. REUTERS/Baz Ratner/File Photo

By Djaffar Al Katanty and Aaron Ross

GOMA, Democratic Republic of Congo (Reuters) – The death toll from Democratic Republic of Congo’s year-long Ebola outbreak has climbed above 2,000, government data showed on Friday, as responders battle to overcome community mistrust and widespread security problems.

The death in neighboring Uganda of a 9-year-old girl who had tested positive for the virus after entering the country from Congo underscored the challenge medical teams face containing the disease in border territory with a highly mobile population.

The government team overseeing the response said the number of confirmed and probable cases had also hit a milestone of more than 3,000 in what has become the second-worst epidemic of the virus on record.

Despite the development of an effective vaccine and treatments, health workers have struggled to stop the virus spreading in remote and conflict-hit areas of eastern Congo, where many locals are wary of the response effort.

Nevertheless, the World Health Organization said the latest Uganda case highlighted the border authorities’ skill at detecting and isolating potential sources of transmission.

“This case was picked up at the border,” WHO spokeswoman Fadela Chaib said at a briefing in Geneva. “The people who are at the borders have the expertise.”

This is Congo’s 10th Ebola outbreak, but it is the first in the densely forested hillside provinces of North Kivu and Ituri, where militia-led violence and ethnic killing have undermined security in certain areas for decades.

The WHO declared the epidemic an international health emergency in July – only the fifth outbreak to warrant this status since the system was introduced in 2005.

The authorities have since come up against new fronts in their fight to contain the virus, testing the reach and flexibility of responders.

Health workers confirmed the first cases in South Kivu province on Aug. 16. Soon after, a woman contracted the virus in a remote, militia-controlled territory in North Kivu, hundreds of kilometers away from other known cases.

“The response is being spread too thin chasing new cases at the expense of the longer-term community engagement that is crucial if we’re ever to hope of being Ebola free,” Oxfam’s Congo Director Corinne N’Daw said in a statement.

Despite the virus spreading to new areas, the past week’s transmission rate was little changed from that of the past month and a half, which has seen an average of 77 new cases per week, according to the WHO.

Last week the WHO voiced concern about the widening geographic reach of the disease, but confirmed the virus had not gained a foothold in the major city of Goma, even after four cases were recorded there in July and early August.

Goma, a lakeside city of nearly 2 million people on the Rwandan border, had been on high alert for weeks after a gold miner with a large family infected several people with Ebola before dying himself.

The latest government data showed Ebola deaths reaching 2,006 and cases at 3,004.

“Two thousand deaths means that there is a problem,” said Timothée Buliga, a priest, returning home from his church in Goma. “We need to reach the point where we reject Ebola, say no and eradicate it definitively.”

Only the 2013-2016 Ebola outbreak in West Africa has been deadlier than the current outbreak. More than 11,300 people died then out of the 28,000 who were infected.

(Additional reporting by Tom Miles and Stephanie Nebehey in Geneva; Elias Biryabarema in Kampala; Writing by Alessandra Prentice; Editing by Kirsten Donovan and Hugh Lawson)

Deployment of second Ebola vaccine would not be quick fix, experts warn

FILE PHOTO: Congolese health workers collect data before administering ebola vaccines to civilians at the Himbi Health Centre in Goma, Democratic Republic of Congo, July 17, 2019. REUTERS/Olivia Acland/File Photo

By Fiston Mahamba, Kate Kelland and Aaron Ross

GOMA, Democratic Republic of Congo (Reuters) – The resignation of Congo’s health minister in the midst of the country’s worst Ebola outbreak could clear the way for a second experimental vaccine to be deployed. But the new shot would likely take months to win the trust of frightened locals and show results, health officials say.

Oly Ilunga, who opposed using the vaccine developed by U.S. pharmaceutical giant Johnson & Johnson, resigned as minister on Monday after being bumped off the Ebola response team.

The World Health Organization recommended the two-dose shot to complement a vaccine by U.S. drugmaker Merck, which has proved highly protective but is in relatively short supply.

Proponents, including medical charity Medecins Sans Frontieres (Doctors Without Borders) and the Wellcome Trust, said the new vaccine could be deployed to areas not yet affected by Ebola to create a firewall against the virus, which the WHO declared an international health emergency last week.

But Ilunga said the J&J vaccine had not been proven effective and could confuse people in eastern Democratic Republic of Congo, where wild rumors are hampering the response.

“Congolese have the right to have the gold standard, the best vaccine,” he told Reuters on Thursday, in his first public comments since resigning. “They don’t need to be the subject of experimentation.”

“You can’t have a group of promoters, producers of the vaccine (and) university researchers wanting to introduce the vaccine without contacting the health authorities,” he said, without elaborating further.

Paul Stoffels, J&J’s chief scientific officer, denied there were any efforts to secretly introduce the vaccine and said the company had been in full communication with Congolese authorities.

But skepticism about new medicines can resonate strongly on a continent where some pharmaceutical trials have faced accusations in the past of failing to obtain informed consent and providing sub-par care to participants.

For example, some U.S. government-funded trials of HIV drugs in the 1990s were accused of double standards for giving placebos to women in Africa when effective therapies existed, a practice that is not generally allowed in the United States and other Western nations on ethical grounds. Researchers defended the use of placebos as scientifically necessary.

Jean-Jacques Muyembe, an epidemiologist and Ebola expert named to lead Congo’s response team, dismissed Ilunga’s concerns and said authorities would revisit whether to deploy a second vaccine. However, he downplayed the importance of the decision.

“I don’t think that a vaccine is what’s holding back the response,” he told Reuters, noting that previous Ebola outbreaks had been contained quickly without a vaccine.

“We could use or not use. It won’t change the evolution of the epidemic,” he said.

“NOT ETHICAL”

The nearly year-long outbreak has infected more than 2,500 people and killed more than 1,700, numbers topped only by a 2014-16 outbreak in West Africa that killed more than 11,300. This month, a case was detected in Goma, a city of 2 million on the border with Rwanda, heightening fears about the spread of the hemorrhagic fever.

Efforts to contain it have been undermined by mistrust of health workers and violence by armed militias. Treatment centers have been attacked. Local campaigners say people are scared and confused about the various medicines being used. In addition to the vaccine, four experimental treatments are being given to Ebola patients.

All are still unlicensed, which means they can only be used in clinical trials overseen by Congo’s health ministry. “It is not ethical to test vaccines on people,” said Matina Mwanack, the administrator of an advocacy group in the eastern Congo city of Butembo called Families United Against Ebola.

“(We) have suffered a lot from the lack of needed information about the vaccines and treatments being tested.”

Omar Kavota, who heads a group of religious and political leaders in eastern Congo, said “introducing a second vaccine would amplify rumors”, including over why some patients got one while others received the second.

Muyembe said communicators had been appointed to make the process more transparent.

STOCKPILES

Proponents of a second vaccine argue it can only be tested in a live outbreak since it would be unethical to deliberately infect trial volunteers. They propose deploying it where the disease has not yet spread, while the Merck vaccine continues to be used to protect contacts of suspected cases.

“Both vaccines should work hand in hand,” said Peter Piot, director of the London School of Hygiene and Tropical Medicine and one of the scientists who first discovered the Ebola virus.

Since the West African outbreak, J&J has tested its vaccine on more than 6,000 volunteers in a dozen trials, confirming its safety and ability to generate an immune response.

It requires two injections 56 days apart – another obstacle cited by Ilunga – in an area where fighting causes frequent displacement but should last longer.

“The goal is to give a long-term safe profile for people who may never be exposed to Ebola,” said J&J’s Stoffels, adding that 1.5 million doses were available.

Josie Golding, head of epidemics at the Wellcome Trust, said “we could run out of Merck vaccines” if the outbreak extends into a second year. Health authorities have already begun using smaller doses to ration supplies.

Congo’s health ministry disputes there is a shortage of the Merck vaccine. The company said it expects to produce about 900,000 doses over the next six to 18 months, in addition to 440,000 doses that have already been donated or are available.

The ministry has also considered potential vaccines developed by China’s CanSino Biologics and the Russian research institutes Rospotrebnadzor and Gamaleya, but those discussions are less advanced.

(Mahamba reported from Goma, Kelland from London and Ross from Dakar; Additional reporting by Stanis Bujakera in Kinshasa and Manas Mishra in New York; Editing by Tim Cocks, Alexandra Zavis and Giles Elgood)

WHO sounds Ebola alarm as risks intensify

A Congolese health worker administers ebola vaccine to a child at the Himbi Health Centre in Goma, Democratic Republic of Congo, July 17, 2019. REUTERS/Olivia Acland

By Tom Miles

GENEVA (Reuters) – The World Health Organization on Wednesday declared Congo’s Ebola outbreak an international health emergency, sounding a rarely used global alarm after the virus threatened to spread to a major city and into neighboring countries.

Despite a highly effective vaccine and a swift international response after it was declared 11 months ago, the outbreak has proved tenacious in an unstable region beset by violence, becoming Congo’s worst ever, with almost 1,700 dead.

A vast campaign of vigilance and vaccination, with almost 75 million screenings, has kept the highly infectious virus almost entirely confined to two provinces in northeastern Congo. The emergency committee of international health experts that advises WHO had thrice declined to declare an emergency.

But this month a pastor died after traveling to Goma, a city of 2 million and a gateway to other countries in the region. On Wednesday, the WHO reported a fisherwoman had died in Congo after four vomiting incidents at a market in Uganda, where 590 people may be sought for vaccination.

“The committee is concerned that a year into the outbreak, there are worrying signs of possible extension of the epidemic,” the committee’s report said.

The committee had been under pressure from many experts who felt the scale of the outbreak and the risks meant it had to be given the emergency status – only the fifth such disease outbreak since the WHO introduced such designations in 2005.

“It shows no sign of coming under control,” said Peter Piot, a member of the team that discovered Ebola and is now director of the London School of Hygiene & Tropical Medicine.

“I hope that today’s decision serves as a wake-up call to drive high-level political action, improved coordination, and greater funding to support DRC in their efforts to stop this devastating epidemic,” he said.

NO BORDER CLOSURES

The previous international emergencies, under a system introduced after the 2004 Asian SARS epidemic, were the 2013-2016 West African Ebola epidemic that killed over 11,300 people, the 2009 flu pandemic, polio in 2014 and the Zika virus that caused a spate of birth defects across Latin America.

The WHO committee’s chairman, Robert Steffen, tempered the outbreak’s designation as an emergency by saying it remained a regional, rather than a global threat, and stressed that no country should react to Ebola by closing borders or restricting trade.

The WHO has warned that the nearby countries of Rwanda, South Sudan, Burundi and Uganda are the most at risk, while Central African Republic, Angola, Tanzania, Republic of Congo and Zambia are in a second tier.

Earlier this week the WHO said hundreds of millions of dollars were needed immediately to prevent the outbreak billowing out of control and costing far more lives and money.

But WHO chief Tedros Adhanom Ghebreyesus, who convened the emergency committee after viewing the Goma case as a “potential gamechanger”, said the designation as an international emergency was not meant to suggest that some countries had been withholding funds and would now unlock them.

One priority was to accelerate the production of the vaccine, which is in short supply. It is produced by Merck and still unlicensed, which means it can only be used in a clinical trial overseen by Congo’s health ministry.

WHO has already begun using smaller doses to ration supplies and the committee recommended taking “all measures to increase supplies”, including contracting supply to other manufacturers and transferring Merck’s technology.

(Reporting by Tom Miles, Kate Kelland and Nairobi newsroom; Editing by Gareth Jones, John Stonestreet and Dan Grebler)

Ebola is real, Congo president tells skeptical population

FILE PHOTO: A health worker wearing Ebola protection gear, walks before entering the Biosecure Emergency Care Unit (CUBE) at the ALIMA (The Alliance for International Medical Action) Ebola treatment centre in Beni, in the Democratic Republic of Congo, March 30, 2019. Picture taken March 30, 2019.REUTERS/Baz Ratner/File Photo

GOMA, Democratic Republic of Congo (Reuters) – Congolese President Felix Tshisekedi on Tuesday implored people in areas hit by the nation’s worst-ever Ebola outbreak to accept the disease is real and trust health workers.

Mistrust of first responders and widespread misinformation propagated by some community leaders has led many in affected areas of eastern Democratic Republic of Congo to refuse vaccinations. Instead, they turn to traditional healers, whose clinics have contributed to the hemorrhagic fever’s spread.

“It is not an imaginary disease,” Tshisekedi said after arriving in the city of Beni on his first tour of eastern Congo since being inaugurated in January.

“If we follow the instructions, in two or three months Ebola will be finished,” he optimistically told a crowd after having his temperature taken and washing his hands, as required of all incoming passengers to Beni airport.

Congo has suffered 10 outbreaks of Ebola, which causes severe vomiting, diarrhea and bleeding, since the virus was discovered there in 1976. The current one has seen 1,264 confirmed and probable cases and 814 deaths since it was declared last August.

It is surpassed only by the 2013-2016 outbreak in West Africa, in which more than 28,000 cases were reported and more than 11,000 people died.

Following a series of attacks on treatment centers by unidentified assailants in February and March, the current outbreak is now spreading at its fastest rate yet.

More than 100 cases were confirmed last week.

Tshisekedi, who won a disputed election last December to succeed Joseph Kabila, also called on Tuesday for the disarmament of dozens of militia that operate in the east and whose presence has complicated the Ebola response.

“The time of armed groups is over,” he said. “The new government is reaching out to these children of the country to surrender arms through disarmament programmes.”

(Reporting by Fiston Mahamba and Stanis Bujakera; Writing by Giulia Paravicini; Editing by Aaron Ross and Andrew Cawthorne)