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World Map Connections, Banner. - Africa Regional Hub

Bundibugyo Virus Disease Outbreak

World Map Connections, Banner. Africa Regional Hub

Bundibugyo Virus Disease Outbreak

Ebola remains a significant threat in Africa, and outbreaks are common and frequent. This knowledge community is here to connect research teams with each other and to share resources, methods, training and recommendations from their research.

Between 2014 and 2016, West Africa experienced the largest outbreak since the discovery of the disease in 1976, resulting in more cases and deaths than all other previous outbreaks combined. 

On August 1st 2019, it was officially declared that an Ebola outbreak was occurring in North Kivu and Ituri provinces of the Democratic Republic of Congo. There have been over 2,500 confirmed cases, and health workers are battling to keep the disease contained. This is being classed as a Public Health Emergency of International Concern (PHEIC) by WHO and is the second largest outbreak since the one in 2016. The WHO Director-General declared the end of the PHEIC for this event on 26 June 2020.

Training

E-LEARNING COURSES

Free courses teaching about the Ebola virus:

Course name Course provider Course duration Overview
Understanding the Ebola Virus and How You Can Avoid It Alison.com 1-2 hours This online health literacy course will explain what the Ebola virus is, where the outbreak has occurred, what the signs and symptoms of infection are, how to treat an infection and how to avoid infection

E-LEARNING COURSES

Free courses teaching about the Ebola virus:

Course name Course provider Course duration Overview
Understanding the Ebola Virus and How You Can Avoid It Alison.com 1-2 hours This online health literacy course will explain what the Ebola virus is, where the outbreak has occurred, what the signs and symptoms of infection are, how to treat an infection and how to avoid infection

Research, Evidence Generation and Capacity Building

This knowledge hub has been set up to support the local research community, response teams, laboratories, clinicians, public health professionals, community engagement practitioners and partners involved in evidence generation during the current Bundibugyo virus disease outbreak.

The current outbreak has been declared by WHO as a Public Health Emergency of International Concern in the Democratic Republic of the Congo and Uganda. WHO confirmed that the outbreak is caused by Bundibugyo virus and reported, as of 16 May 2026, 8 laboratory-confirmed cases, 246 suspected cases and 80 suspected deaths in Ituri Province, DRC, across at least Bunia, Rwampara and Mongbwalu health zones. WHO also noted that there are currently no approved Bundibugyo virus-specific vaccines or therapeutics.

Outbreaks such as this require rapid, coordinated and locally led research to answer urgent questions, generate evidence to guide action, and ensure that knowledge and capacity are strengthened where they are needed most. This knowledge hub serves as a focal point for researchers, laboratories, clinicians, public health teams, community engagement practitioners and partners working locally and globally to support the response.

The aim is to provide practical tools, training, guidance and opportunities for collaboration so that research can be embedded within the response from the outset and conducted in a way that delivers immediate and lasting benefit to affected communities. This hub is designed to support evidence generation and capacity strengthening in ways that complement and help implement recommendations from WHO, Africa CDC and national public health authorities.

Priority Areas for Research and Evidence Generation

Based on priorities identified by the World Health Organization and the Africa Centres for Disease Control and Prevention, three areas require urgent attention:

+ 1. Community engagement and public health interventions

Effective response depends on trust and meaningful partnership with affected communities. Knowledge sharing and local contextual understanding are needed to identify how best to communicate risk, address concerns, and support communities to adopt measures that reduce transmission while respecting local contexts and priorities. This includes identifying approaches that improve understanding, counter misinformation, strengthen trust, and reduce high-risk practices associated with caregiving, funerals, health-seeking and movement between communities.

Community engagement is also essential for early reporting, contact tracing, isolation, safe care, safe and dignified burials, and acceptance of public health measures. In previous Ebola responses, trust, local leadership, listening to communities and adapting communication to local realities have been central to improving response effectiveness. The current outbreak is occurring in a context where health systems are already under pressure, population movement is high, and communities may be facing multiple concurrent risks. These factors make community engagement and locally grounded public health interventions especially important.

Approaches and tools are shared here, including links to the MESH platform, which provides practical resources and examples to support community engagement in health research and outbreak response. MESH is an open-access collaborative platform for people involved in community engagement with health research in low- and middle-income countries.

Community engagement and public health resources

Resource

Resource type

Language available

Why it is useful/summary

TGHN - Introduction and Practical Guide to Community Engagement and Involvement (CEI)

Online course

 

Relevant for teams planning ethical and impactful community engagement in health research (Ref)

WHORisk Communication and Community Engagement (RCCE) Readiness and Response Toolkit: Ebola Disease, 2025

Toolkit

 

Provides structured recommendations for planning and implementing RCCE activities for Ebola readiness and response (Ref)

WHO data collection tools and resources

Zip file

 

Data collection tools and resources (Ref)

TGHN - MESH – Ebola community engagement resources

Learning materials

Mainly English

Provides open-access resources, examples and learning on community engagement for Ebola and other outbreak contexts (Ref)

TGHN - MESH – Communication and community engagement response to Ebola: evidence and lessons (2017)

Evidence summary/learning article

English

Summarises evidence and lessons from Ebola community engagement responses, useful for designing locally grounded approaches (Ref)

TGHN - Ethics Review of Social Research on Health-Related Topics

Online course

English

Useful for teams preparing social science, community engagement, or qualitative research protocols during the outbreak (Ref)

WHO safe and dignified burial guidance for Ebola and Marburg

Technical protocol/burial guidance

 

English

Provides guidance on the safe management of bodies and burial of patients who died from suspected or confirmed Ebola or Marburg virus disease (Ref)

IFRC Safe and Dignified Burial, an implementation guide for field managers

Implementation guide/field manual

English

Practical field guide for managers and burial teams working during Ebola and Marburg outbreaks (Ref)

Open WHO Ebola diseases channel

Online training platform / course collection

 

Provides online learning resources on Ebola and Marburg diseases, including prevention, screening and response topics (Ref)

Community Engagement Hub: Updated Epidemic Control Training Package for Volunteers (IFRC material)

Training package / community-level response tool

English and French

Strong fit for capacity strengthening. It includes epidemic control and RCCE training materials for volunteers and includes content on qualitative community feedback mechanisms used during the Ebola response in DRC (Ref)

+ 2. Laboratories, diagnostics, and surveillance

Rapid identification and monitoring of cases are central to controlling the outbreak. This requires strong laboratory systems, reliable diagnostic pathways and coordinated surveillance. Research and operational work are needed to assess diagnostic performance, strengthen sample handling and testing processes, and connect laboratory, surveillance and data science capacity across institutions and countries.

Africa CDC has called for urgent regional coordination following the outbreak in Ituri Province, DRC, and an imported Bundibugyo virus disease case reported by Uganda. Africa CDC highlighted the need to align laboratory information, contact management and cross-border risk assessment, reinforcing the importance of coordinated laboratory, surveillance and data systems (Ref).

Capacity strengthening is needed across the full diagnostic and surveillance pathway. This includes recognition of suspected cases, use of case definitions, safe sample collection, packaging, transport, biosafety, testing, sequencing, result communication, contact tracing and data management. WHO’s 2024 interim guidance on diagnostic testing for Ebola and Marburg virus diseases provides operational recommendations for laboratory personnel, clinicians, health workers, public health officials and other stakeholders involved in diagnosis and care (Ref).

This area brings together technical guidance, training resources and tools to support laboratories and surveillance teams, enabling local teams to generate, manage and analyse data safely and effectively.

Laboratories, diagnostics, and surveillance resources

Resource

Resource type

Language available

Why it is useful/summary

TGHN Data and Sample Governance for Biomedical Research

 

Online course

English

 

 

Relevant for laboratory-linked research, sample sharing, biobanking, data governance, and future diagnostic/vaccine studies (Ref)

The Data Life Cycle: Practices and Policies

Online course

English

Useful for surveillance and research teams collecting, managing and using outbreak data. It is aimed at early-career researchers, postgraduate students and clinical research support staff collecting, managing and using health data (Ref)

TGHN - Introduction to Data Management for Clinical Research Studies

Online course

English

Useful for teams setting up clinical characterisation, surveillance-linked datasets, or observational studies (Ref)

TGHN - Introduction to Reviewing Genomic Research

Online course

English, Spanish, French, Portuguese

Potentially relevant because genomic sequencing is important for strain identification and outbreak tracking (Ref)

TGHN - Geographical Access in Healthcare

Online course

English

Potentially useful for mapping access to care, referral pathways, outbreak service coverage, or cross-border preparedness. The course equips learners with basic knowledge and techniques to quantify geographical/spatial access to care (Ref)

TGHN - Ethics and Best Practices in Sharing Individual Level Research Data

Online course

English

Useful for outbreak surveillance and laboratory-linked research where data sharing may need to happen quickly across teams, institutions or countries, while protecting confidentiality and respecting governance requirements (Ref)

WHO diagnostic testing for Ebola and Marburg virus diseases: interim guidance, 2024

Technical diagnostic guidance

English

Provides current operational guidance for laboratory diagnosis, diagnostic testing, specimen handling and testing pathways (Ref)

WHO infection prevention and control guideline for Ebola and Marburg disease, 2023

Technical guideline / IPC guidance

English

Relevant for laboratory and health facility teams because safe diagnostic pathways depend on IPC, PPE, triage and health worker protection (Ref)

OpenWHO IPC course for Ebola and Marburg disease outbreaks

Online training

 

Self-paced training for health workers on IPC measures in healthcare settings during Ebola or Marburg disease outbreaks (Ref)

WHO Ebola Virus Disease Consolidated Preparedness Checklist

Preparedness checklist/operational readiness tool

English

Older but useful for readiness planning, especially at national or subnational level (Ref)

Africa CDC Strategic Framework for Strengthening Cross-Border Surveillance and Information Sharing in Africa, 2024

Strategic framework / cross-border surveillance guidance

English

Relevant for cross-border preparedness, data sharing and regional surveillance coordination (Ref)

Africa CDC Guidelines for Enhanced Surveillance of Sudan Virus Disease, 2023

Surveillance guideline

English

Although focused on Sudan virus disease rather than Bundibugyo virus disease, this may still be useful for viral haemorrhagic fever surveillance systems and preparedness in Africa (Ref)

+ 3. Vaccines and clinical research preparedness

There are currently no licensed vaccines specifically for Bundibugyo virus disease. WHO has noted that the absence of approved Bundibugyo virus-specific vaccines and therapeutics is a key concern in the current outbreak (Ref).

As candidate vaccines and therapeutics move through research and development, rapid mechanisms will be needed to assess them in affected settings. This includes establishing trial-ready capacity, ensuring trained research teams are in place, and enabling protocols, ethics and regulatory processes to be activated quickly.

Existing licensed Ebola vaccines are directed at Zaire ebolavirus, while broader filovirus vaccine research is still under development. Clinical research preparedness is therefore needed not only for future vaccine or therapeutic studies, but also for observational and operational studies that can help answer urgent questions during the current response.

The current outbreak creates evidence needs around clinical presentation, severity, transmission patterns, supportive care, outcomes, diagnostic performance, health worker exposure, community perceptions and cross-border spread. Research readiness requires standardised protocols, ethics and regulatory preparedness, trained teams, data systems, laboratory capacity, community engagement and equitable partnerships.

The Global Health Network community will work with partners including CEPI, EDCTP and others to support preparedness for vaccine and therapeutic studies and to ensure that evidence can be generated rapidly and equitably.

Vaccines and clinical research preparedness resources

Resource

Resource type

Language available

Why it is useful/summary

TGHN - ICH Good Clinical Practice E6(R3) course

Online certified training course

English, French, Spanish and Portuguese

Free training to support research teams in applying GCP principles across study design and delivery, aligned with updated international standards (Ref)

TGHN - Research Ethics Online Training (V2)

Online course

English

Free research ethics training adapted from a WHO e-learning package, useful for outbreak research preparedness and ethical evidence generation (Ref)

TGHN - Good Clinical Laboratory Practice course

Online course

English and French

Training for laboratory teams on GCLP principles, data reliability, quality, consistency and integrity in clinical trial laboratories (Ref)

TGHN - Downloadable Templates and Tools for Clinical Research

Research templates / operational tools

English

Useful for teams needing practical templates for study set-up, documentation and implementation (Ref)

TGHN - Introduction to Informed Consent

Online course

English, French

Important for any observational study, clinical characterisation study, specimen-linked study, vaccine preparedness study or therapeutic trial (Ref)

TGHN - Ethics in Epidemics, Emergencies & Disasters: Research, Surveillance & Patient Care

Online course

 

Relevant to outbreak research. It covers ethical issues faced by health professionals and policymakers in epidemics, including research, surveillance and patient care (Ref)

TGHN - Introduction to Collecting and Reporting Adverse Event

Online course

English, French

Relevant for vaccine and therapeutic preparedness, as well as clinical studies where adverse events need to be documented and reported consistently (Ref)

TGHN - The Study Protocol

Online course

English, French, Spanish

Very relevant for local teams preparing observational studies, clinical characterisation protocols, diagnostic studies, social science protocols or future vaccine/therapeutic studies (Ref)

TGHN - Clinical Research Operations for Study Coordinators

Online course

English

Useful for building the capacity of local study coordinators who may support clinical characterisation, observational studies, diagnostic studies or future vaccine/therapeutic trials (Ref)

ISARIC Clinical Characterisation Protocol

Research protocol / clinical data collection framework

English

Supports rapid, standardised observational clinical research during outbreaks and can be tailored to local needs (Ref)

ISARIC Ebola and Other Filoviruses Data Tools

Ebola clinical data forms / core outcome tools

 

English

 

Provides Ebola infection data forms and focused critical data variables/core outcome measures for patient management records and clinical research datasets (Ref)

ISARIC case report forms (Ebola and other filovirus)

Case report forms / research data tools

 

Useful for standardised clinical and epidemiological data collection in Ebola and filovirus outbreaks (Ref)

ISARIC Clinical Epidemiology Platform

Data collection and analysis platform

English

Provides standardised tools to collect and analyse clinical data, launch databases, visualise data and support collaboration. Useful for teams planning clinical characterisation studies (Ref)

 

WHO-AFIRM Strategic Research Agenda for Filovirus Research and Monitoring, 2021–2031

Strategic research agenda / roadmap

 

Sets out longer-term research priorities for filoviruses, including anticipation, surveillance data sharing, vaccine evaluation and therapeutics (Ref)

+ 4. Supporting Research Embedded in the Response

Connect here to work together, set out planned studies and request support where needed. Guidance can be provided for all elements of evidence generation, including study design, protocol development, ethics, data collection tools, community engagement, laboratory-linked research, clinical characterisation and research preparedness.

Researchers, laboratories, clinicians, public health teams, community engagement practitioners and partners are encouraged to register their work, share planned studies, identify evidence gaps, and request guidance, collaborators or technical support.

This space will support:

  • Sharing of practical tools and training resources
  • Identification of urgent evidence gaps
  • Ssupport for locally led research
  • Guidance on study design, protocols, ethics, data collection and research implementation
  • Translation and sharing of key resources

 

 

 

 

General information: Resources providing an overview of the Ebola virus and the current outbreak

Information on the Ebola virus The WHO gives an overview of the Ebola virus by providing information on symptoms, treatment and prevention. Fact sheets, training and guidance are also linked for health workers.
Ebola (Ebola Virus Disease) The Centre for Disease Control and Prevention presents data on the latest Ebola outbreaks as well as diagnostics, treatment, transmission and prevention.
Ebola virus infection The British Medical Journal offers a comprehensive overview on the Ebola virus epidemiology, diagnosis, treatment and follow-up through a variety of resources.

 

 

 

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