Ugandan authorities on Wednesday ordered the closure of the border with Congo "with immediate effect" as cases surge there of a rare type of Ebola and as others emerge at home, per the AP. A local Ebola task force led by Vice President Jesca Alupo made the decision after a rise in Ugandan health workers exposed to the virus by Congolese patients who crossed the border before the outbreak was declared on May 15. While acknowledging that neighboring countries are at high risk, the World Health Organization previously advised against border closures, saying they are based on fear, not science, and push people to "informal border crossings that are not monitored," increasing the risk that Ebola will spread.
Health authorities in Congo are struggling to contain the outbreak that the WHO has said is outpacing them, after the rare Bundibugyo type of Ebola was confirmed weeks late as tests were carried out for a more common type. The number of suspected Ebola cases in eastern Congo is nearing 1,000, with at least 220 suspected deaths. Congo's health ministry on Tuesday said 101 cases have been confirmed, and they are looking into over 3,000 possible contacts. Challenges include the threat of armed groups in eastern Congo, a large number of displaced people and poor infrastructure.
Uganda, whose border with Congo is several hundred miles long and crossed by numerous footpaths, has reported seven cases of Ebola, including the first case of a 59-year-old man who died in Kampala, the capital, on May 14. While the Ebola case load in Uganda is not spiking, the number of locals exposed to infection via health workers has been rising. "They have families, and so the number has been increasing," Dr. Diana Atwine, permanent secretary of the Ministry of Health, said of health workers. Travel across the Congo border will be authorized only in emergency cases, including for the Ebola response, cargo or security reasons, she said.