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In 2018, when the Democratic Republic of the Congo (DRC) experienced a severe Ebola outbreak, more than 30 experts from the Centers for Disease Control and Prevention (CDC), close to 20 disaster-response specialists from the U.S. Agency for International Development (USAID), and 120 additional USAID staff were on the ground attempting to manage the outbreak, according to estimates from Friends of USAID, an advocacy organization mainly made up of ex-USAID staffers. With that level of staffing in 2018, by and large, they succeeded in limiting the extent to which the disease spread.

This year, as a particularly virulent strain of the Ebola virus — the Bundibugyo strain, against which there is no approved vaccine and for which there are no medicinal cures — runs rampant in the Democratic Republic of the Congo, Friends of USAID estimate there is only one CDC staffer on the ground there, along with five additional State Department personnel. There are of course no USAID workers present, since the Trump administration dismantled USAID during the purges led by the so-called “Department of Government Efficiency” (DOGE) in 2025, summarily firing local health care contractors around the world, including in countries with extreme poverty rates such as the Democratic Republic of the Congo.

In addition, since Donald Trump signed an executive order pulling the U.S. out of the World Health Organization in early 2025 — a pullout that was completed in January of this year — CDC experts are no longer allowed to communicate with World Health Organization personnel. And despite a waiver having been granted for Ebola-related correspondence, in practice there has been a significant breakdown in communication between the two agencies over the past year — a breakdown promoted by the Trump administration, which recently sent out an email reminder to CDC staff not to correspond with the World Health Organization.

The consequences have already been devastating. In past Ebola outbreaks, even before mass testing of disease victims got underway, the CDC and USAID were able to tell when an epidemic was picking up steam based on on-the-ground medical observations and data about excess mortality figures. And, in response, they were able to position medical resources effectively.

In the current outbreak, the decimated remnants of the CDC were caught unawares, only finding out about the outbreak once hundreds, and possibly thousands, of people had already been infected — thus making it far more likely........

© Truthout