The letter
Bulletin No. 173Situation as of 3 Nov 2026
Summary of the INSP bulletin, with each new release
62 new cases, 34 deaths
The bulletin of 3 Nov 2026, published 4 Nov 2026, reports 62 new confirmed cases and 34 deaths. 62 cases is in line with the seven-day average of 67.9 a day. No new health zone since 28 Oct 2026: the outbreak remains in 67 zones across 8 provinces.
Since the outbreak began, 10,668 confirmed cases and 5,198 deaths: 48.7% of patients have died. 2,881 people have recovered. 22 more than the day before. 1,056 patients are hospitalised in Ebola treatment centres. Over the past seven days, an average of 67.9 cases and 34.0 deaths a day, against 69.9 cases and 39.0 deaths the week before.
02 Where
Nord-Kivu accounts for 36 of the 62 new cases. Then Ituri with 23 and Haut-Uélé with 3. The other 5 provinces report none. 5 zones carry 43 of these 62 cases: Biena 22, Mandima 9, Mambasa 5, Mangala 4 and Bunia 3. 45 of the 67 affected health zones reported at least one new case in the past three weeks; 22 reported none.
03 Deaths
Of the 34 deaths reported today, 18 occurred in the community, that is outside a treatment centre, and 16 in a treatment centre. Deaths outside a centre: 10 in Nord-Kivu, 7 in Ituri and 1 in Haut-Uélé. Those in a treatment centre: 9 in Ituri, 4 in Nord-Kivu, 2 in Haut-Uélé and 1 in Tshopo.
04 The response
3,898 reports of possible patients ("alerts") were received; 3,898 were checked and 502 retained as suspected cases, to be tested. Sud-Ubangi and Nord-Ubangi did not send their figures. Of 441 samples tested in the laboratory, 62 were positive, that is 14.1 %. 83.9 % of the people who had been close to a patient (the "contacts") were seen by follow-up teams. Fewer than three contacts in four were seen in the following provinces: Tshopo. Ebola treatment centres hold 63 patients per 100 beds: 1,016 patients for 1,608 beds. Beyond capacity: Nord-Kivu, 634 patients for 424 beds. Vaccination: 11,858 people have received the Ervebo vaccine since the campaign began on 26 Aug 2026: 4,953 in Tshopo (figure of 27 Sep 2026), 2,699 in Ituri, 2,000 in Bas-Uélé, 1,617 in Nord-Kivu and 589 in Haut-Uélé (figure of 19 Oct 2026). Since the previous bulletin, 251 more in Ituri, over two days, 28 more in Bas-Uélé, over two days and 426 more in Nord-Kivu, over two days. At control points on roads and at borders, 260,995 travellers passed through and 97.0 % had a temperature check. The posts notified 6 alerts, 3 of them in Ituri, and intercepted 3 corpses.
05 The difficulties encountered
In Ituri, 5,328 travellers refused health screening, the Avakubi checkpoint remains shut because of insecurity, blood is still lacking and the Kasenyi treatment centre sent nothing because of a health workers' strike. In Nord-Kivu, the ambulance of the Oicha hospital was attacked with stones on 2 November, treatment centres are almost full (94.6%), 233 patients are being treated outside them and 10 of the 39 new patients received no psychological support. In Tshopo, the house of a community health worker was set on fire in Bafwasende, 2 patients who escaped are still missing and threats against the teams persist in Bafwasende, Kabondo and Mangobo. In Haut-Uélé, a strike threatens the treatment centres, only 2 of 8 of which meet the standards. In Bas-Uélé, 9 of 22 checkpoints sent nothing, no ambulance is available and the Bili zone still has no one vaccinated. In Sud-Kivu, three border posts still have no isolation space.
Where
| Province | Cases (24h) | Deaths (24h) | Confirmed cases | Deaths | Zones |
|---|---|---|---|---|---|
| Nord-Kivu | +36 | +14 | 2,593 | 1,422 | 17/34 |
| Ituri | +23 | +16 | 7,485 | 3,532 | 28/36 |
| Haut-Uélé | +3 | +3 | 470 | 208 | 7/13 |
| Tshopo | +0 | +1 | 94 | 29 | 7/23 |
| Sud-Kivu | +0 | +0 | 3 | 1 | 1/34 |
| Bas-Uélé | +0 | +0 | 13 | 4 | 4/11 |
| Sud-Ubangi | +0 | +0 | 2 | 1 | 1/16 |
| Nord-Ubangi | +0 | +0 | 8 | 1 | 2/11 |
The response
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