The response to the Ebola virus disease continues in Ituri Province, a region severely affected by the outbreak. This is particularly true in the Lita health zone, which has been recording approximately 4 to 5 cases per day since the start of the outbreak, according to data from the zone’s chief medical officer. While steps have been taken, much remains to be done to eradicate this outbreak.
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Located in Djugu territory—an area ravaged by decades of armed conflict—this region lacks almost everything: water, electricity, and food. It also has at least four camps for internally displaced persons.
Since May 18, when the first case was reported in Lita, the disease has spread like wildfire in this part of the Democratic Republic of the Congo. Patience-Pacifique Lokengama, chief medical officer of the Lita health zone, has been leading this health zone for several years; tackling this outbreak has become his primary mission.
“The Ebola epidemic is, after all, an epidemic that frightens everyone. Since it is a serious disease, the population is absolutely right to be afraid to seek medical care. And yet, we know that the sooner we seek treatment, the better our chances of recovery and of living the rest of our lives,” says the chief medical officer of the Lita health zone.
The region is heavily controlled by armed groups searching for gold and is plagued by interethnic conflicts, which further complicates the care of patients. Several organizations, including the WHO, are working to address the challenges facing the Lita health zone.
Local healthcare workers are striving to respond as actively as possible. “As the number of patients increases, the care teams are constantly adapting their organization to continue providing quality care despite the growing pressure on treatment facilities,” says a nurse at the hospital.
The center has also been gradually equipped with medical supplies designed to improve the quality of care, particularly for patients whose condition requires closer monitoring. Professor Thierno Baldé is in charge of the World Health Organization’s response operation in the DRC. He notes that “the WHO has provided medical equipment, oxygen concentrators, and monitors to help facilitate this care capacity.”
According to official data from the National Institute of Public Health, the Lita health zone has already recorded approximately 240 confirmed cases, including 121 deaths. The remaining deaths occurred within families, and laboratory tests on samples from these cases came back positive. According to several local sources, this figure is likely significantly underestimated, as some families do not report deaths to the health zone and do not have samples tested.
To address these needs, several international organizations, coordinated by the WHO, are carrying out operations on the ground: The WFP is building warehouses; MONUSCO has set up two laboratories; and the WHO, in collaboration with ALIMA, is constructing an Ebola treatment center capable of accommodating more than 80 patients.
Despite these efforts, many challenges remain, particularly regarding community awareness. “We are already working to address the issue of community reintegration with the support of cash assistance and dry food rations. As for the issue of community resistance stemming from misinformation,” acknowledges Dr. Patience-Pacifique.
“We are focusing on humanizing care. By humanizing care, we ensure that when a patient is admitted to the CTE, they are in contact with a healthcare professional with whom they can relate. We want the patient to feel comfortable having their basic needs met, particularly eating well according to their tastes and cultural preferences,” she says.
Professor Thierno added that efforts are underway. “It’s just that the scale of the virus is so vast; I think we need to get that message across. In other words, people are really working hard, going above and beyond, and doing the very best they can.”
The biggest problem in the Lita area remains the timely referral of patients and community-based case detection. So far, several approaches to engage the community have not been successful. To address this, “we’re implementing a community-based approach, specifically one that involves reaching out to the village chief,” says Dr. Patience-Pacifique. “This is truly a major asset that allows us to reach the very last person who can help turn the tide. So, the village chief, the ten households, the youth leaders, and the women’s associations—we’re working with all of them,”
As part of her new approach, the chief medical officer at Lita Hospital is currently recruiting people who have recovered from Ebola and are willing to raise public awareness about treatments and explain that admission to a treatment center does not mean certain death.
Written by Akilimali Chomachoma, reporting from Lita, Ituri












