The letter
Bulletin No. 141Situation as of 2 Oct 2026
Summary of the INSP bulletin, with each new release
The bulletin of 2 Oct 2026, published 3 Oct 2026, reports 66 new confirmed cases and 38 deaths. 66 cases is in line with the seven-day average of 64.7 a day. There is 1 new zone affected: Alimbongo (Nord-Kivu); the outbreak now affects 64 zones in 7 provinces.
01The toll
Since the outbreak began, 8,442 confirmed cases and 4,080 deaths: 48.3% of patients have died. 2,213 people have recovered. 31 more than the day before. 846 patients are hospitalised in Ebola treatment centres. Over the past seven days, an average of 64.7 cases and 32.6 deaths a day, against 53.6 cases and 25.1 deaths the week before.
02Where
Nord-Kivu accounts for 33 of the 66 new cases. Then Ituri with 28, Haut-Uélé with 3 and Tshopo with 2. The other 3 provinces report none. 5 zones carry 33 of these 66 cases: Beni 9, Katwa 8, Rwampara 7, Bunia 5 and Mandima 4. 46 of the 64 affected health zones reported at least one new case in the past three weeks; 18 reported none.
03Deaths
Of the 38 deaths reported today, 22 occurred in the community, that is outside a treatment centre, and 16 in a treatment centre. Deaths outside a centre: 16 in Nord-Kivu, 5 in Ituri and 1 in Haut-Uélé. Those in a treatment centre: 10 in Ituri, 5 in Nord-Kivu and 1 in Haut-Uélé.
04The response
2,493 reports of possible patients ("alerts") were received; 2,492 were checked and 405 retained as suspected cases, to be tested. 73.1 % of the people who had been close to a patient (the "contacts") were seen by follow-up teams, below the 85% threshold the INSP has set itself. Fewer than three contacts in four were seen in the following provinces: Nord-Kivu. Ebola treatment centres are 54.1 % full: 816 patients for 1,507 beds. Beyond capacity: Nord-Kivu, 364 patients for 354 beds. Safe burials, carried out by protected teams to avoid contagion: 106 burials carried out and 97 bodies tested. The 3 deaths reported do not come from the same provinces: not all of them publish these figures, and the three numbers are not comparable. Around new cases, 39 prevention rings were set up out of 68 expected, that is the disinfection of the home and the follow-up of relatives. Vaccination: 8,861 people have received the Ervebo vaccine since the campaign began on 26 Aug 2026: 6,897 in Tshopo (figure of 28 Sep 2026), 1,147 in Bas-Uélé and 817 in Ituri (figure of 30 Sep 2026). Since the previous bulletin, 76 more in Bas-Uélé. At control points on roads and at borders, 268,489 travellers passed through and 97.0 % had a temperature check.
05The difficulties encountered
In Ituri, only 21 of 39 vaccination rings have been opened for lack of teams in Komanda, Mangala and Mandima and because of a strike in Bunia, 10 bodies were not sampled, resistance persists in Bambu, Rwampara, Mangala and Fataki, no household, health facility or school received a kit, and only 13 affected health zones out of 28 have psychological support. In Nord-Kivu, only 7 of 30 households are decontaminated, none received a kit, and the average infection-prevention score in Butembo is just 42%. In Haut-Uélé, only 4 of 7 health zones report their activities, Pawa and Wamba have no compliant treatment centre, and psychosocial workers lack motorbikes in Wamba and Boma Mangbetu. In Tshopo, confirmed cases still in isolation mean prevention measures must be maintained, and psychosocial workers need training in Wanie-Rukula and Bafwasende. In Bas-Uélé, there is still neither a compliant treatment centre nor an ambulance, and vaccination is waiting for a validated micro-plan and funds.