An outbreak is beaten one house visit at a time
Ebola reached an eighth Congolese province on Sunday. The headline counts provinces. The response counts tests, contacts and quiet health zones, and those are the numbers that end outbreaks.
Congo's health ministry said on Sunday that the Ebola outbreak had reached Nord-Ubangi, an eighth province, with two confirmed cases, one of them fatal, both men in their twenties. Authorities have recorded at least 9,400 cases and more than 4,500 deaths since the outbreak was declared in mid-May, the deadliest in the country's history. It is caused by the Bundibugyo virus, for which there is no approved vaccine or treatment. Reuters, citing the latest situation report, put the total at 9,415 cases and 4,536 deaths in the 24 hours to 16 October, with 67 new confirmed cases that day, 44 of them in Ituri.
That is the headline, and it is grim. It is also the least useful number in the story. A province is a line on a map. An outbreak is beaten, or not, in smaller units: a sample in a laboratory, a contact visited at home, a burial done safely, a health zone that goes six weeks without a case.