A confirmed Ebola case is reported in Democratic Republic of Congo’s South Kivu province, an area held by a rebel alliance and located hundreds of kilometres from the outbreak’s epicentre. The rebel group that controls the region says the case is a fatal one and indicates the outbreak is expanding beyond its initial location. Multiple outlets describe the new report as related to a rare strain that was detected last week, although details of the patient’s circumstances and contacts are not provided in the articles.

The reports also highlight access challenges in eastern DRC, where widespread armed violence can hinder surveillance, transport and delivery of medical supplies and support services. The World Health Organization has declared the outbreak a public health emergency of international concern, and the outbreak has, according to one summary, resulted in 160 suspected deaths so far.

Overall, the new confirmed case in rebel-held territory underscores the difficulty of controlling transmission across remote areas while security conditions complicate public health response efforts.