跟进：刚果（金）埃博拉确诊突破10,060例、死亡4,887人 成该国史上最致命疫情

刚果民主共和国本轮埃博拉疫情的确诊病例已突破一万例。据该国国家公共卫生研究所10月26日发布的形势报告，截至10月25日，全国累计确诊10,060例、死亡4,887人，病死率约48.6%，康复2,684人；这是刚果（金）历史上死亡人数最多的一次埃博拉疫情，也是全球仅次于2014年至2016年西非疫情的第二大埃博拉疫情。本站此前报道的死亡数字为4,727人，新报告的数字是疫情继续扩散后的更新。

本轮疫情由罕见的本迪布焦（Bundibugyo）毒株引起，今年5月15日正式宣布暴发，源头在东北部伊图里省，其后扩散至8个省、66个卫生区。伊图里省仍是震中，累计7,211例确诊、3,370人死亡；北基伍省2,309例、1,293人死亡。针对本迪布焦毒株目前没有获批的疫苗或特效治疗药物，现有埃博拉疫苗与疗法主要针对扎伊尔毒株。

形势报告显示，仅10月25日一天就新报告96例病例与46人死亡，其中40人是在社区中死亡、未及送入治疗中心；报告称至少一半死者从未被送入治疗机构。接触者追踪同样未达标：五个提交数据的省份在过去24小时内访视了19,853名登记接触者中的16,205人，追踪率81.6%，低于95%的应对目标。非洲疾控中心表示，目前约八成新病例来自已知接触者名单之外，意味着多条传播链尚未被发现。

跨境扩散风险仍在：肯尼亚已报告病例与死亡，尼日利亚出现输入病例，乌干达已加强对有刚果（金）旅行史人员的管控。非洲各国卫生部长定于10月28日举行线上会议，协调本轮疫情的应对。世界卫生组织已针对本迪布焦毒株启动疫苗临床试验。应对工作还受当地安全局势拖累——报告提到，针对响应人员的袭击与威胁，包括一名护士在响应警报时遇害，使部分卫生区无法提交数据。

Follow-Up: DR Congo Ebola Cases Pass 10,060 With 4,887 Deaths, the Country's Deadliest Outbreak on Record

Confirmed cases in the Democratic Republic of Congo's Ebola outbreak have passed 10,000. According to a situation report published on October 26 by the country's National Institute of Public Health, as of October 25 the outbreak had recorded 10,060 confirmed cases and 4,887 deaths, a case-fatality ratio of about 48.6%, with 2,684 recoveries. It is the deadliest Ebola outbreak in the DRC's history and the second-largest globally after the 2014–2016 West African epidemic. GSM previously reported a death toll of 4,727; the new report updates the figures as the outbreak continues to spread.

The outbreak is driven by the rare Bundibugyo strain of the virus and was officially declared on May 15, beginning in northeastern Ituri province before spreading to eight provinces and 66 health zones. Ituri remains the epicentre, with 7,211 confirmed cases and 3,370 deaths; North Kivu has recorded 2,309 cases and 1,293 deaths. There is no approved vaccine or specific treatment for the Bundibugyo strain; existing Ebola vaccines and therapies mainly target the Zaire strain.

The situation report recorded 96 newly notified cases and 46 deaths on October 25 alone, 40 of them community deaths of people who never reached a treatment centre; responders say at least half of all those who have died were never admitted for treatment. Contact tracing also remains below target: across the five provinces submitting data, teams saw 16,205 of 19,853 listed contacts in the preceding 24 hours, a follow-up rate of 81.6%, below the 95% response target. Africa CDC says about 80% of new cases are now coming from outside known contact lists, meaning multiple transmission chains remain undetected.

Cross-border risk persists: Kenya has reported cases and deaths, Nigeria an imported case, and Uganda has tightened controls on travellers with a history of travel to the DRC. African health ministers were scheduled to meet virtually on October 28 to coordinate the response, and the World Health Organization has begun clinical trials of a vaccine against the Bundibugyo strain. The response is also hampered by insecurity — the report noted that attacks and threats against response teams, including the killing of a nurse responding to an alert, had prevented some health zones from submitting data.

来源：GSM·美国（原文链接）

图片来源：联合国秘书长António Guterres视察刚果（金）Mangina埃博拉治疗中心、隔窗看望留观的疑似患者（资料图，摄于该国上一轮埃博拉疫情应对期间，非本轮疫情现场）。照片：MONUSCO Photos，CC BY-SA 2.0，经Wikimedia Commons。

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