• Les mesures de riposte contre l’épidémie de MVE, notamment les restrictions de mouvements, affectent la disponibilité des denrées sur les marchés et les capacités des ménages à accéder à la nourriture en raison de la hausse des prix des denrées, et fragilisent le pouvoir d’achat.
• Des capacités de réponse locales et des systèmes d’entraide communautaire permettent de maintenir un certain accès alimentaire, mais une aide d’urgence reste nécessaire pour les plus isolés et vulnérables.
• D’ici fin septembre, la sécurité alimentaire devrait encore se dégrader avec le début de la saison de disette, sauf en cas de renforcement rapide de l’entraide communautaire et d’une aide d’urgence ciblée sur les populations les plus isolées.

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• Expansion in Bas-Uele and two new provinces have been affected: Affected areas of Bas-Uele province has expanded to three health zones (Buta, Ganga, Vladana), and new confirmed cases have been reported in Bulu Health Zone of Sud-Ubangi province.
• Increased risk for cross-border transmission to Central African Republic and South Sudan: Confirmed cases in Sud-Ubangi and Bas-Uele provinces present two high-risk crossing points to Central African Republic at Bangui and Bangassou. Livestock trading and movements between Sud-Ubangi, and Bangui peak during September via Zongo Health Zone, meaning health officials in Sud-Ubangi and in Bangui should consider monitoring livestock trade routes and sites as soon as possible.
• Need to actively identify partners to support preparedness in areas of downstream risk: Given the pace of transmission to new areas, it is of immediate importance to work with partners to quickly expand PoE/PoC, surveillance capacity, and RCCE activities to not only recently affected provinces (Bas-Uele, Sud-Ubangi) but already to identify and work with partners to provinces of farther downstream risk such as Maniema, Nord-Ubangi, and Mongala.

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• Outbreak expansion continues: Bas-Uele Province reported its first Ebola-related death, while affected areas have continued to expand across Haut-Uele and Tshopo provinces, increasing the geographic footprint of the outbreak.
• Cross-border transmission risks are growing: Mobility patterns indicate heightened risk along key transport corridors linking affected areas to the Central African Republic through Bondo Health Zone and to South Sudan through Faradje and Aba Health Zones, highlighting the need for increased preparedness in these border areas.
• Major road and river networks remain critical transmission pathways: New cases have consistently emerged along primary transport routes, underscoring the need to strengthen surveillance, preparedness, and Point of Entry/Control measures in key market towns and transit hubs.

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Uganda has reported a smaller but epidemiologically linked outbreak resulting from cross-border transmission from the DRC. Refugee populations may face heightened vulnerability to Ebola transmission due to frequent population movements, crowded living conditions, barriers to accessing information and services, and continued epidemiological links between Uganda and affected areas of eastern DRC. At the same time, many settlements host populations with strong social, familial, and economic connections to South Sudan, creating potential pathways for cross-border disease spread should transmission occur within refugee communities.

Key findings:

• Risk perception remains moderate despite high outbreak risk, particularly among some refugee groups.
• Trusted community and health-system actors should remain the centre of Ebola communication.
• Knowledge of handwashing is strong, but critical gaps remain around reporting, and safe burial practices.
• Communication strategies should be tailored by language and refugee population profile.

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South Sudan faces an elevated and sustained risk of Ebola Virus Disease (EVD) importation, driven by an active outbreak of the Bundibugyo strain in the Democratic Republic of Congo and confirmed cross-border transmission into Uganda.

Key findings:

• Despite widespread awareness of EVD, findings indicate some respondents do not believe outbreaks are occurring in neighbouring countries, as well as relatively low levels of risk perception, especially in Juba.
• Health workers and the radio seemed to be the most widely used and trusted sources of health information, but qualitative information suggests more remote communities may not have access to either.
• Respondents seemed able to recall some common symptoms of EVD, but both survey findings and qualitative data indicate a widespread desire for additional information.

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Following the new confirmed Ebola cases in Tshopo and Haut-Uele Provinces as of July 2026, IMPACT has revised its previous maps on regional mobility patterns originating from currently affected health zones:

• Confirmed Ebola cases continue to present themselves in additional new health zones, with 2,344 confirmed cases, 930 confirmed deaths, and 46 health zones affected as of 18 July 2026.

• Kisangani Town in Tshopo is a major commercial and market hub serving the greater Eastern DRC region. With confirmed cases in Kisangani, there present additional risks for onwards transmission along major transportation roads, rivers, and to downstream markets.

• Based on historical movements data from April, there is a higher likelihood of arrivals in locations such as Bondo Health Zone in Bas-Uele Province from recently affected Health Zones and Provinces. Bondo Health Zone borders Satema Town in the Central African Republic.

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