Across recent Ebola outbreaks in the Democratic Republic of Congo and the wider Great Lakes region, some people who become ill do not immediately seek hospital care. Multiple reports drawing on Associated Press accounts describe a pattern in which residents choose either the nearest hospital or the shrine of a traditional healer, with the latter choice sometimes leading to worse outcomes. Sources say many communities interpret the onset of hemorrhagic fever as a spiritual affliction, prompting people to seek herbs and prayers rather than medical treatment. The reports also note that misinformation and distrust of health workers can contribute to delays in reaching care. In addition, humanitarian workers describe heightened risk not only for patients but also for health workers and for religious leaders and worshippers who gather while transmission is ongoing. Because Ebola spreads through close contact with the bodily fluids of sick people and deceased patients, delayed or unsafe care can increase exposure. To respond, aid groups and public health efforts increasingly involve religious leaders to encourage safer practices during outbreaks, including promoting medical care and modifying burial-related practices. The current situation is described as especially complex in a region that has experienced many Ebola outbreaks since 1976.