The letter
Bulletin No. 181Situation as of 11 Nov 2026
Summary of the INSP bulletin, with each new release
83 new cases, 38 deaths
The bulletin of 11 November, published the next day, reports 83 new confirmed cases and 38 deaths. That is more than the week's average of 65 cases a day. The health zone of Watsa (Haut-Uélé) is affected for the first time. The outbreak now affects 68 health zones, in 8 provinces.
In all, the outbreak counts 11,197 confirmed cases and 5,471 deaths: nearly one patient in two has died (48.9%). 3,045 people have recovered, 14 of them since the day before. The bulletin's front page gives 1,676 patients in treatment centres; the province breakdown does not match this figure, which is not used here. Over the week, the figures are falling slightly: an average of 65 cases and 34 deaths a day, against 67 cases and 34 deaths the week before.
02 Where
Nord-Kivu reports the most new cases: 41 of 83. Next come Ituri (37) and Haut-Uélé (5). The other five provinces report none.
Five health zones account for 52 of these cases: Mangala leads with 15, then Beni (14), Mandima (11), Mutwanga (7) and Masereka (5). Over the past three weeks, 46 of the 68 affected zones had at least one new case; the other 22, none.
03 Deaths
Of the 38 deaths of the day, 28 occurred in the community, outside a treatment centre: 17 in Nord-Kivu, 9 in Ituri and 2 in Haut-Uélé. The other 10 occurred in a treatment centre: 7 in Nord-Kivu and 3 in Ituri.
04 The response
Teams received 4,429 reports of possible patients ("alerts") and checked 4,412: 524 were retained as suspected cases, to be tested.
In the laboratory, 83 of the 647 samples tested were positive, that is 12.8 %.
80.9 % of contacts, the people who had been close to a patient, were seen by follow-up teams.
Safe burials, carried out by protected teams to avoid contagion: 132 burials carried out and 67 bodies tested. The 179 deaths reported do not come from the same provinces: not all of them publish these figures, and the three numbers are not comparable.
Vaccination: 22,400 people have received the Ervebo vaccine since the campaign began on 26 August, 457 more of them since the previous figures (345 in Tshopo and 112 in Bas-Uélé).
05 The difficulties encountered
In Ituri, staff at the Kasenyi treatment centre are on strike over unpaid wages, and 14 patients went without food in the Mandima zone.
In Tshopo, the laboratory is out of reagent and almost out of diesel for its incinerator and generator. Health facilities lack drinking water and triage areas, and few health workers are trained in infection prevention. Insecurity has put checkpoints out of action, as in Avakubi.
In Nord-Kivu, insecurity has also shut the Butuhe checkpoint.
In Sud-Kivu, several ports and barriers have no suitable isolation space.
In Bas-Uélé, 16 of the 20 priority health facilities have no working triage area, and 195 vaccine doses could be lost unless the cold-chain units are switched on.
Elsewhere, strikes and late payments are still closing checkpoints.
Where
| Province | Cases (24h) | Deaths (24h) | Confirmed cases | Deaths | Zones |
|---|---|---|---|---|---|
| Nord-Kivu | +41 | +24 | 2,802 | 1,547 | 17/34 |
| Ituri | +37 | +12 | 7,765 | 3,667 | 28/36 |
| Haut-Uélé | +5 | +2 | 504 | 218 | 8/13 |
| Tshopo | +0 | +0 | 98 | 32 | 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 | 10 | 1 | 2/11 |
The response
Go further
- Whole country →Cases and deaths day by day, province by province.
- Timeline →The key dates of the outbreak, from the first alert to today.
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