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Why Ebola Outbreaks Persist: Shifting the Focus from Emergency to Community

In Health Systems, Equity, and Social TransformationEkua Agyemang3 min read

Health responses often focus on rapid medical fixes, but the fight against Ebola in the Democratic Republic of Congo shows that lasting change requires trusting local knowledge. We must move beyond top-down emergency measures to partner with communities if we want to save lives.

The recent emergence of the Bundibugyo strain of Ebola in the DRC a rare variant currently lacking an approved vaccine or specific treatment has triggered a Public Health Emergency of International Concern (PHEIC), declared by the WHO on May 17, 2026. With 11 countries identified by the Africa CDC as being at risk, the stakes for global health security have never been higher.

Building Trust Over Borders

The recent emergence of a rare strain of the Ebola virus has once again put the global health community on alert. With no approved vaccine or treatment currently available for this specific strain, health agencies are struggling to contain the spread. International bodies have identified over ten countries that remain at risk of seeing similar health crises. These situations often lead to quick reactions like closing borders or issuing strict travel warnings. While these steps aim to stop the virus, they rarely address why the disease continues to affect the same regions.

Emergency responses often overlook the very people they intend to protect. Funding cuts from global health organizations further complicate these efforts, leaving local leaders to manage with fewer resources than before. We cannot simply rely on laboratory solutions when those solutions do not yet exist for this virus. Instead, we must change how we design our health programs by prioritizing social and cultural connections.

The Shift Toward Community-Led Solutions

Currently, clinical management is heavily focused on supportive care because no licensed vaccine or treatment exists specifically for the Bundibugyo virus. While the WHO is prioritizing therapeutics such as the review of Remdesivir for expedited trials, the most vital “countermeasure” is not found in a laboratory. The most effective path forward is prioritizing deep social and cultural engagement.

True change happens at the “speed of trust”. Moving forward, our strategies must pivot away from viewing communities as “the problem” and instead treat them as partners. This means co-designing systems that respect and integrate critical socio-cultural factors, including:

● Traditional burial practices that honor local customs while mitigating risk.

● Household-level caregiving that supports families in providing safe care.

● Mobility and social gathering patterns that are essential to community life.

Partnering with Communities

True progress happens when we earn the trust of those on the ground. Communities are not the source of the problem; they are the key to the solution. Health systems should work directly with local families to understand their daily lives. This includes respecting traditional ways of burying loved ones and supporting how families care for each other at home.

We need to pay closer attention to how local social gatherings and travel patterns influence health outcomes. When leaders co-design their strategies with the public, they create plans that people actually want to follow. It is time to move away from rigid, emergency-driven mandates that ignore local reality. Building resilience means listening to the people who know their communities best.

A Path Toward Lasting Solutions

The fight against Ebola is about more than just medicine. It is about how we listen to the people we serve during their most difficult moments. By shifting our focus from quick fixes to long-term partnerships, we can build stronger health systems. We must continue to ask how our leaders can better design systems that fit the real needs of our communities. This approach is the most sustainable way to protect global health and ensure that we are ready for whatever comes next.

About the author

Dr. Ekua Agyemang

Dr. Ekua Agyemang

Author

Dr. Ekua Agyemang is a Public Health and Preventive Medicine specialist currently serving as Chief Public Health Officer for the Government of Nunavut, Canada, and Vice President of the Canadian Society for Circumpolar Health. In her role, she provides strategic leadership across surveillance, infectious disease prevention, outbreak response, and emergency preparedness, while advising the Government of Nunavut on the complex social, environmental, and climate-related factors shaping health outcomes in northern communities. Her expertise spans environmental health, infectious and chronic disease prevention, and climate-sensitive health challenges, including tuberculosis, zoonotic diseases, and food and water security. Dr. Agyemang began her medical career in Ghana, where she focused on tuberculosis, HIV, and high-impact infectious diseases, before pursuing advanced training in Canada, where she earned a Master of Public Health and completed her residency at the University of Alberta. Her international background and deep respect for Inuit knowledge systems and community-driven solutions shape her equity-focused approach to public health leadership.

Disclaimer

The opinions expressed in this article/multimedia are those of the author(s) and do not necessarily reflect the views of Real Life Research Institute or its Board of Directors.

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Why Ebola Outbreaks Persist: Shifting the Focus from Emergency to Community | RLRI Journal