Health workers at the epicenter of Congo's Ebola outbreak labor with little pay or rest

MONGBWALU, Congo (AP) — Dr. Richard Lokudu, the medical director of Mongbwalu General Referral Hospital, has received barely any compensation for his work on the front line of one of Congo's deadliest Ebola virus outbreaks.

Lokudu and several of his colleagues work all day at the hospital treating an influx of patients. Notifications of suspected cases come even late at night.

“I have not received my allowance (and) what happened to others could happen to me as well,” Lokudu told The Associated Press. “Despite all the infection prevention and control measures we are implementing, we do not know what may happen.”

Health authorities believe the outbreak, which took the eastern region of Congo by surprise after spreading silently for weeks without detection, started in the bustling mining area of Mongbwalu in Ituri province.

Mongbwalu has emerged as the epicenter of the rare Bundibugyo type. The town attracts large numbers of laborers who work in large gold mines with muddy pools of gold deposits, narrow pits and caves. They live in low-income areas including crowded camps and have little access to proper health protocols.

The conditions increase the possibility of transmitting the disease, which spreads through close contact with bodily fluids of the sick and deceased such as sweat, blood, feces and vomit.

There also has been widespread skepticism regarding the disease, making the job of medical treatment more difficult for Lokudu and his colleagues, while some of the health workers and first responders have died from the disease.

“It is one thing to be far away and hear statistics being reported, but what is happening on the ground is enormous,” Lokudu said. “People are sacrificing their rest and comfort for this cause. There should be recognition that they deserve compensation. These workers should receive their salaries regularly.”

The Congolese government did not respond to a request for comment from the AP.

Congolese authorities have confirmed 452 cases including 82 deaths. On Thursday, the Central African nation recorded 71 new cases in a day, which authorities said is a sign of “active community transmission.”

The rare Bundibugyo type has no approved vaccines or treatment, so health workers have been targeting symptoms. The government said at least five people have recovered from Ebola since the outbreak was officially confirmed by Congo's Ministry of Health on May 15.

The disease “had a big head start,” according to World Health Organization Director-General Tedros Adhanom Ghebreyesus. Hospitals in the region could not test for the right type of Ebola that had begun spreading several weeks before confirmation.

Health workers are handling the disease with minimal resources as agencies have been scrambling to bring aid into the region. Masks, gloves, boots and medications were initially all in short supply.

“There has been an erosion of the health system,” said Heather Kerr, country director for the International Rescue Committee in Congo. “There has not been investment in the health system, and this has been going on for years.”

“During the first week, we did not even have time to go home and eat. The second week was the same. We only eat once a day, what amounts to breakfast in the evening,” said Alice Bamuhinga, a nurse at the Mongbwalu hospital.

Even with widespread skepticism and disregard for health protocols, many in the town are becoming aware of the outbreak's grave reality.

Asero Jeanne had five children. Two died from the disease within two weeks. When her daughter became ill, the family thought it was malaria and neighbors advised them to avoid the hospital, saying “anyone who went there would die immediately,” according to Jeanne, 52.

The daughter died after three weeks of moving between hospitals and home, followed by a son who died days after. Then Jeanne became sick.

“I saw about 20 people die,” Jeanne said. “I watched them being taken to the morgue, yet God is allowing me to leave here alive. I thank the doctors.”

Tedros, the WHO director-general, on Friday launched a $518 million plan to combat the outbreak, saying “containing Ebola depends on political commitment, sustained financing, and the trust and engagement of communities.”

Efforts to contain the disease also have been hindered by the conflict between the government and Rwanda-backed M23 rebel group, in addition to attacks by Islamist militants.

For health workers on the front line of Congo's Ebola outbreak, the work has become harder as the disease spreads faster than their current treatment capacity.

“Despite the alerts we receive and the teams we have on site, we lack the means to travel into the field,” Lokudu said. “As a result, there are alerts we are unable to investigate.”

Adetayo reported from Lagos, Nigeria.

Asero Jeanne, a mother of five who lost two of her children to Ebola, was discharged from the hospital after testing negative in Mongbwalu, Congo, Friday, June 5, 2026. (AP Photo/Moses Sawasawa)

Health workers prepare for duty at the Mongbwalu treatment center in Mongbwalu, Congo, Friday, June 5, 2026. (AP Photo/Moses Sawasawa)

A health worker disinfects an ambulance at the Mongbwalu treatment center that transported a suspected Ebola patient in Mongbwalu, Congo, Friday, June 5, 2026. (AP Photo/Moses Sawasawa)

A health worker disinfects an ambulance at the Mongbwalu treatment center that transported a suspected Ebola patient in Mongbwalu, Congo, Friday, June 5, 2026. (AP Photo/Moses Sawasawa)

Richard Lokudu, center, the medical director of Mongbwalu General Hospital, speaks with UN peacekeepers in Mongbwalu, Congo, Friday, June 5, 2026. (AP Photo/Moses Sawasawa)

LONDON (AP) — Britain's deputy prime minister said Sunday that he told U.S. Vice President JD Vance he was wrong to blame immigration for the death of a university student who was handcuffed as he lay dying from a stab wound.

David Lammy, who is also the justice minister, said he challenged Vance in what he described as a “robust” phone call on Saturday. Lammy and Vance have struck up a friendship, based on their religious beliefs and family backgrounds, even though they come from different sides of the political spectrum.

“We had an agreeable conversation because we have got a relationship, but I wanted to make him clear that I disagree with some of the facts that he was asserting and to present the facts to him," Lammy told Sky News.

The call came a day after Vance said in a post on social platform X that there should be “righteous anger” in response to the murder of Henry Nowak, 18, who died in December after being stabbed by Vickrum Digwa in the English city of Southampton.

Digwa, who is Sikh, falsely claimed to police he was the victim of a racist assault by Nowak, who was white. When police officers arrived, they initially treated the wounded man as a suspect before noticing his injury and trying to resuscitate him.

Vance appeared to blame the murder in part on “the mass invasion of migrants, many of whom despise the West and the people who love it.”

Lammy said he wanted to “emphasize a number of things” to Vance, including that the killer was British and is now behind bars.

"This has got nothing to do with mass migration," Lammy said.

Digwa, 23, was convicted of murder for stabbing Nowak with an 8-inch (21 centimeter) Sikh dagger and sentenced this week to life in prison with a minimum 21-year term.

The case has been seized on by anti-immigration activists and politicians in the U.K. On Tuesday, police in Southampton were pelted with chairs, cans, rocks and flares after a demonstration over Nowak’s death attended by far-right figures and others.

In a statement issued Friday in response to Vance's comments, Prime Minister Keir Starmer 's office criticized people “trying to interfere in our democracy and seeking to stir up division on our streets.”

The Independent Office for Police Conduct, which investigates allegations of police wrongdoing, is probing the actions of police officers on the scene.

The victim’s father, Mark Nowak, has said the case was not about racism or religion, and that he wanted his son’s death to lead to safer streets and not to be used to create “further division, hatred or tension.”

Lammy also said he told Vance “it’s not helpful to tweet in this way, partly because of what the Nowak family have asked for, and reminded him about their desire not to make this an issue of division and hatred, but to make this an issue of common sense.”

FILE - Britain's Foreign Secretary David Lammy, right, and US Vice President JD Vance fish in a lake in the grounds of Chevening House in Kent, England, Aug. 8, 2025. (Suzanne Plunkett/Pool via AP, File)

Britain's Prime Minister Keir Starmer speaks as he visits STARK, a leading defence tech company in Swindon, England, Friday, June 5, 2026. (AP Photo/Alastair Grant, Pool)

People gather to protest outside Southampton police station, Southampton, England, Tuesday June 2, 2026, after the fatal stabbing of Henry Nowak, a British teenager who was handcuffed despite claiming he was the crime victim. (Gareth Fuller/PA via AP)

In this image taken from PA Video, police and protestors clash during a protest following the death of Henry Nowak, a 18-year-old student stabbed to death with a Sikh kirpan ceremonial by Vickrum Digwa, in Southampton, England, Tuesday June 2, 2026. (Jamie Lashmar/PA via AP)

Vice President JD Vance speaks with reporters upon arriving on Air Force Two at Joint Base Andrews, Md., Thursday, May 28, 2026. (AP Photo/Matt Rourke, Pool)