Confirmed Ebola cases in the Democratic Republic of Congo have reached 11,042, with at least 5,387 deaths.^[1] By those figures, about 49 of every 100 people confirmed infected have died. It is the largest recorded Ebola outbreak in the country's history.^[2] It is the second-largest on global record.^[3] It was declared in mid-May.^[4] The strain The outbreak is caused by the Bundibugyo strain of the virus.^[5] No specific vaccine or treatment exists for it.^[6] The World Health Organization approved clinical trials for two new Ebola vaccines earlier in November.^[7] The pace The WHO reported 10,400 confirmed cases and 5,103 deaths as of 31 October.^[8] Set against the new figures, that is 642 more cases and 284 more deaths in under two weeks. Where it is The outbreak has spread to eight of Congo's 26 provinces.^[9] Ituri province accounts for nearly 70% of all cases.^[10] North Kivu is now the main site of new transmission.^[11] Cases have been reported across East, Central and West Africa.^[12] Why it spread Delayed detection, conflict and strained health services increased the speed of the spread.^[13] Health workers and facilities have been attacked during the outbreak.^[14] On the roads Screening shows how the virus moves. Since the outbreak began, 71 confirmed cases have been detected along transit routes.^[15] Of those, 95 percent were on informal routes, away from official crossings.^[16] The bodies of 258 Ebola victims have been intercepted on travel routes.^[17] Some 55 million screenings have been carried out in Congo and 11 neighbouring countries.^[18] The money The International Organization for Migration requires $110 million for its regional Ebola operations through March 2027.^[19] It faces a funding gap of nearly $60 million.^[20] More than half of what it needs is not there.