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

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

News

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

2026-06-07 15:17 Last Updated At:15:56

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.

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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)

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)

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)

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)

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)

“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)

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)

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)

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)

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)

EAST RUTHERFORD, N.J. (AP) — Lionel Messi rarely loses. Spain never loses.

That's been how things have worked in recent years, anyway. Soccer's best player and soccer's dominant team are set to collide Sunday in a World Cup final worthy of the sport's grandest stage. Messi and Argentina will face a Spain squad that is unbeaten in 37 consecutive matches going back to early 2024.

For Spain, it's a chance at a second World Cup title to go along with the one from 2010 and to cement itself as the unquestioned dominant force in the game right now. For Argentina, it's a chance to become the first back-to-back men's World Cup champion since Pele and Brazil did it in 1958 and 1962. And for Messi, it's a chance to write the perfect ending to what he has indicated will be his final run with his national team.

“On Sunday, we will watch a great show," said Spain coach Luis de la Fuente, who has guided his side to a 28-0-9 record during this unbeaten run. “Two great national teams — two superteams, in my opinion — very similar in some aspects in terms of attitude, footballers’ talent. I think that it’s going to be an amazing final.”

In simplest terms, the matchup looks like best player vs. best team.

In actuality, it's so much more than that.

There is history there, given that Messi was born in Argentina but spent part of his youth and most of his club career in Spain, and would have been eligible — if he wanted — to play for that national team instead. Spain tried to convince Messi many times. He never wavered.

Sunday will be the first time he plays against Spain since a friendly in 2010, when Argentina routed the then-reigning World Cup champions. He obviously understands the enormous stakes around this match and insists the approach will be simple regardless — spending a Sunday afternoon with some friends, kicking the ball around, albeit with 80,000 people watching in the stadium and probably somewhere around 2 billion watching worldwide.

And there's also the incredible storyline of how Messi and Spain star Lamine Yamal, who were photographed together nearly two decades ago when Yamal was a baby, will be sharing the pitch in a World Cup final.

“We grew up playing soccer with passion, eager to play,” Messi said in his native Spanish. “We played everywhere. We played on the street. We played at school. We played with teams. We didn’t think about the pressure. It was just natural play.”

But there will be pressure Sunday, and tons of it. Win or lose, Argentina knows this is likely the end of the Messi era in blue and white.

“The best footballer that the world has seen,” Argentina coach Lionel Scaloni said.

It wasn't always that way. Go back a decade, and this run — Copa América champions in 2021, World Cup champions in 2022, Copa América champions again in 2024 — almost never happened for Argentina.

Messi retired from the national team in 2016, after he and Argentina lost that year's Copa América final to Chile in penalty kicks — one of which he missed. Fortunately for all parties involved, the retirement only lasted a few weeks. But he had grown tired of always coming up short in big matches for his national team, and was ready to step away from that squad at 29.

“I'm done,” Messi said that night — at MetLife Stadium, which just happens to be the site of this World Cup final.

He wasn't done, of course. He continued starring for Barcelona, then Paris Saint Germain, then Inter Miami. He's the two-time defending Most Valuable Player in Major League Soccer, the star of that league's reigning champions, someone who can still create goals in the biggest moments with virtual ease.

“He is pure history,” Scaloni said. “History. A legend.”

Spain is chasing history as well. La Roja — “the red” — are the favorites for Sunday, deservedly so after giving up just one goal in the team's first seven matches of this tournament. Spain has not spent a single second trailing at this World Cup; Argentina has trailed for more than 100 minutes, including stoppage time.

Defensive performances like this simply do not happen, even in the World Cup. There are three teams — Spain in 2010, Italy in 2006 and France in 1998 — who won the title and gave up a total of two goals in the tournament. This Spain team is in line to do even better than that.

“Argentina is far more than Messi,” Spain captain Rodri said. "They’ve proven that they’re a very complete team with top players. ... We are the best two teams playing in a collective manner as a group. Of course, we need to be mindful of Leo, but many other players.”

So, it's down to two. The 104th and final match of the biggest World Cup in history — 48 teams, spread out over the U.S., Canada and Mexico — comes down to the defending champions against the heirs apparent, the biggest star in the game against those who have idolized him and now can end his reign.

It was not a World Cup without challenges. The tournament had geopolitical discomfort and controversy, like an Iranian team facing what it said were onerous travel restrictions as its country was at war with the U.S., criticism of FIFA for lifting U.S. star Folarin Balogun’s red-card suspension following urging from President Donald Trump — who will be at Sunday's match to present the trophy — and the British government wanting an investigation of Argentina’s team after players posed with a banner claiming sovereignty over the Falkland Islands after their semifinal win against England.

But in the end, the World Cup will close as it always does, with one side celebrating and one side devastated.

“They’ve got their strengths. So do we," Argentina goalkeeper Emiliano Martinez said. “I wish it will be a final that goes down in history.”

AP Sports Writer Stephen Whyno in New York contributed.

See more of AP’s World Cup coverage here

The FIFA World Cup Trophy is displayed during a news conference ahead of the World Cup final soccer match between Spain and Argentina in New York, Friday, July 17, 2026. (AP Photo/Stephanie Scarbrough)

The FIFA World Cup Trophy is displayed during a news conference ahead of the World Cup final soccer match between Spain and Argentina in New York, Friday, July 17, 2026. (AP Photo/Stephanie Scarbrough)

Spain's Pedro Porro reacts after scoring his side's second goal during the World Cup semifinal soccer match between France and Spain in Arlington, Texas, near Dallas, Tuesday, July 14, 2026. (AP Photo/Ashley Landis)

Spain's Pedro Porro reacts after scoring his side's second goal during the World Cup semifinal soccer match between France and Spain in Arlington, Texas, near Dallas, Tuesday, July 14, 2026. (AP Photo/Ashley Landis)

Spanish fans celebrate in central Madrid after Spain's Pedro Porro scores his side's second goal during the World Cup semifinal soccer match between France and Spain in Arlington, Texas, near Dallas, Tuesday, July 14, 2026. (AP Photo/Bernat Armangue)

Spanish fans celebrate in central Madrid after Spain's Pedro Porro scores his side's second goal during the World Cup semifinal soccer match between France and Spain in Arlington, Texas, near Dallas, Tuesday, July 14, 2026. (AP Photo/Bernat Armangue)

Argentina's Lionel Messi celebrates after teammate Enzo Fernandez scored their side's first goal during the World Cup semifinal soccer match between England and Argentina in Atlanta, Wednesday, July 15, 2026. (AP Photo/Rebecca Blackwell)

Argentina's Lionel Messi celebrates after teammate Enzo Fernandez scored their side's first goal during the World Cup semifinal soccer match between England and Argentina in Atlanta, Wednesday, July 15, 2026. (AP Photo/Rebecca Blackwell)

Argentina's Lionel Messi (10) reacts as he leaves the ground after their win in the World Cup semifinal soccer match between England and Argentina in Atlanta, Wednesday, July 15, 2026. (AP Photo/Jacob Kupferman)

Argentina's Lionel Messi (10) reacts as he leaves the ground after their win in the World Cup semifinal soccer match between England and Argentina in Atlanta, Wednesday, July 15, 2026. (AP Photo/Jacob Kupferman)

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