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Emergence of a Bundibugyo virus variant in the 2026 outbreak in the Democratic Republic of the Congo and Uganda

delete2026-08-10
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OA
AI
A
Adrienne Amuri-Aziza
G
Gradi Luakanda-Ndelemo
A
Alisen Ayitewala
D
Daan Jansen
P
Pascal Adroba-Tandele
A
Andrew Nsawotebba
E
Eddy Kinganda-Lusamaki
S
Stephen Kanyerezi
P
Pontiano Kaleebu
C
Christian Ngandu
A
Allan Muruta
D
Daudi Jjingo
S
Susan Nabadda
R
Raphael Lumembe-Numbi
O
Olga Ntumba-Tshitenge
M
Misaki Wayengera
I
Ibrahimm Mugerwa
J
John O. Otshudiema
J
Judith Kyokushaba
D
Daniel Kyabayinze
P
Prince Akil-Bandali
H
Henry Kyobe Bosa
D
Daniel Mukadi‐Bamuleka
C
Charles Olaro
P
Princesse Paku-Tshambu
A
Ahidjo Ayouba
S
Sabue Mulangu
A
Aloysius Ssemaganda
N
Nick Loman
A
Anne W. Rimoin
A
Atek Kagiria
S
Samuel Wilkinson
B
Benard Lubwama
K
Kevin K. Ariën
S
Steve Ahuka-Mundeke
Á
Áine O’Toole
D
Dieudonné Mwamba
C
Christian Happi
M
Martine Peeters
L
Laurens Liesenborghs
P
Piet Maes
M
Miles W. Carroll
J
Jason Kindrachuk
P
Pierre Akilimali
A
Andrew Rambaut
K
Koen Vercauteren
J
Jean-Jacques Muyembe-Tamfum
T
Tony Wawina-Bokalanga *
I
Isaac Ssewanyana *
P
Placide Mbala‐Kingebeni *
DOI:10.1038/s41591-026-04628-8delete
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Abstract

Abstract

En 中文
In May 2026, an outbreak of Ebola disease caused by Bundibugyo virus (BDBV, species Orthoebolavirus bundibugyoense) was declared in the Democratic Republic of the Congo (DRC), with cases originating from DRC and locally transmitted cases reported in Uganda. Bundibugyo virus disease (BVD) outbreaks were previously recorded in 2007-2008 in Bundibugyo District, Uganda, and in 2012 in Isiro, DRC. Here, we generated 22 genomes from samples obtained from individuals with BVD in DRC and Uganda. These genomes form a well-supported phylogenetic cluster separate from BDBV variants associated with the 2007 and 2012 outbreaks, together with evidence for sustained human transmission. This is consistent with the emergence of a new zoonotic spillover event rather than resurgence from previously reported variants. Besides ongoing efforts in strengthening surveillance systems, community engagement, establishing Ebola treatment centers, and developing targeted medical countermeasures; our report advocates to specifically increase decentralized laboratory diagnostics capacity, with pan-Orthoebolavirus assays, including genomic sequencing capacity, for limiting further outbreak expansion, timely detection and control of future outbreaks. A phylogenetic analysis of 22 genomes from the recent Bundibugyo virus outbreak in the Democratic Republic of the Congo and Uganda suggests the outbreak was caused by a new zoonotic spillover event.

Journal

Nature Medicine cover
Nature Medicine
IF:
50
Papers:
1.4W
Citations:
13.4W

Organization

U
université de kinshasa
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34
Papers: 13
Citations: 0
L
laboratoire provincial de sante publique
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2
Papers: 1
Citations: 0
W
world health organization
Scholars:
2.0W
Papers: 1.4W
Citations: 20
M
makerere university
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Uganda Virus Research Institute cover
Uganda Virus Research Institute
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Papers: 420
Citations: 570
R
Redeemer's University
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573
Papers: 311
Citations: 1
I
institut national de recherche biomedicale (inrb)
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12
Papers: 2
Citations: 0
I
institut national de santé publique (insp)
Scholars:
10
Papers: 4
Citations: 0
U
uganda peoples defence forces
Scholars:
2
Papers: 1
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I
Institute of Tropical Medicine
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304
Papers: 112
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I
IRD
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252
Papers: 105
Citations: 2
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Citations: 27
U
university of manitoba
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Papers: 955
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4.2K
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