Evidence map›Paper›PMID 42742179›Full record

ArticleNature medicine2026

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

Adrienne Amuri-Aziza, Gradi Luakanda-Ndelemo, Alisen Ayitewala, Daan Jansen, Pascal Adroba-Tandele, Andrew Nsawotebba, Eddy Kinganda-Lusamaki, Stephen Kanyerezi, Pontiano Kaleebu, Christian Ngandu and 46 more

Abstract read
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

56 authors.

Adrienne Amuri-Aziza *Institut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.ORCID http://orcid.org/0000-0002-5516-0779
Gradi Luakanda-Ndelemo *Institut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.ORCID http://orcid.org/0009-0004-0406-2361
Alisen Ayitewala *National Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.
Daan Jansen *Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-4612-6891
Pascal Adroba-TandeleLaboratoire Provincial de Santé Publique, Ituri, Democratic Republic of the Congo.
Andrew NsawotebbaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.ORCID http://orcid.org/0000-0002-5452-3603
Eddy Kinganda-LusamakiInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.ORCID http://orcid.org/0000-0001-9795-0165
Stephen KanyereziNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.ORCID http://orcid.org/0000-0002-2439-939X
Pontiano KaleebuUganda Virus Research Institute, Entebbe, Uganda.
Christian NganduInstitut National de Santé Publique (INSP), Kinshasa, Democratic Republic of the Congo.
Allan MurutaMinistry of Health, Kampala, Uganda.
Daudi JjingoAfrican Center of Excellence in Bioinformatics and Data-Intensive Science, Makerere University Kampala, Kampala, Uganda.
Susan NabaddaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.
Raphael Lumembe-NumbiInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Olga Ntumba-TshitengeWorld Health Organization Country Office, Kinshasa, Democratic Republic of the Congo.
Misaki WayengeraMakerere University College of Health Sciences, Kampala, Uganda.
Ibrahimm MugerwaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.
John O OtshudiemaWorld Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
Judith KyokushabaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.
Daniel J KyabayinzeMinistry of Health, Kampala, Uganda.ORCID http://orcid.org/0000-0002-0539-1341
Prince Akil-BandaliInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Ebola outbreak response consortium
NHLDS consortium
UVRI consortium
Uganda Ministry of Health consortium
ACE-Uganda consortium
Sentinel consortium
Henry Kyobe BosaUganda Peoples' Defence Forces, Kampala, Uganda.ORCID http://orcid.org/0000-0001-6593-8727
Daniel Mukadi-BamulekaService de Microbiologie, Département de Biologie Médicale, Cliniques Universitaires de Kinshasa, Université de Kinshasa, Kinshasa, Democratic Republic of the Congo.ORCID http://orcid.org/0000-0002-6836-8704
Charles OlaroMinistry of Health, Kampala, Uganda.
Princesse Paku-TshambuInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Ahidjo AyoubaTransVIHMI, Université de Montpellier, INSERM, IRD, Montpellier, France.
Sabue MulanguInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Aloysious SsemagandaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda.ORCID http://orcid.org/0000-0003-4377-5220
Nick LomanUniversity of Birmingham, Birmingham, UK.
Anne W RimoinDepartment of Epidemiology, Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, CA, USA.
Atek KagiriaMinistry of Health, Kampala, Uganda.
Samuel WilkinsonUniversity of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-6944-5927
Benard LubwamaMinistry of Health, Kampala, Uganda.
Kevin K AriënVirology Unit, Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.ORCID http://orcid.org/0000-0002-1340-4165
Steve Ahuka-MundekeInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Áine O'TooleInstitute of Ecology and Evolution, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0001-8083-474X
Dieudonné MwambaInstitut National de Santé Publique (INSP), Kinshasa, Democratic Republic of the Congo.
Christian HappiAfrican Center of Excellence for Genomics of Infectious Diseases, Redeemer's University, Ede, Nigeria.ORCID http://orcid.org/0000-0002-3056-6705
Martine PeetersTransVIHMI, Université de Montpellier, INSERM, IRD, Montpellier, France.
Laurens LiesenborghsDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.ORCID http://orcid.org/0000-0001-5616-8548
Piet MaesEuropean Plotkin Institute for Vaccinology, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Miles W CarrollPandemic Sciences Institute, Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-7026-7187
Jason KindrachukDepartment of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-3305-7084
Pierre AkilimaliInstitut National de Santé Publique (INSP), Kinshasa, Democratic Republic of the Congo.
Andrew RambautInstitute of Ecology and Evolution, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0003-4337-3707
Koen VercauterenDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-1472-9938
Jean-Jacques Muyembe-TamfumInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo.
Tony Wawina-BokalangaInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo. tonywawinab@yahoo.fr.ORCID http://orcid.org/0000-0001-6659-0267
Isaac SsewanyanaNational Health Laboratory & Diagnostic Services, Ministry of Health, Kampala, Uganda. sewyisaac@yahoo.co.uk.ORCID http://orcid.org/0000-0001-8605-2001
Placide Mbala-KingebeniInstitut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo. mbalaplacide@gmail.com.ORCID http://orcid.org/0000-0003-1556-3570

Funding

Fonds Wetenschappelijk Onderzoek (Research Foundation Flanders) 12AKD26N
6 · The paper itself

Abstract

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 the 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 the 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 of previously reported variants. Alongside ongoing efforts to strengthen surveillance systems and community engagement, establish Ebola treatment centers and develop targeted medical countermeasures, our report advocates for specifically increasing decentralized laboratory-diagnostics capacity, with pan-Orthoebolavirus assays, including genomic sequencing capacity, to limit further outbreak expansion and enable timely detection and control of future outbreaks.

Indexed as

Disease OutbreaksEbolavirusHemorrhagic Fever, EbolaAnimalsDemocratic Republic of the CongoGenome, ViralHumansPhylogenyUganda

Identifiers

PMID42742179
PMCPMC13668649

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.