Ebola disease
Ebola disease is caused by viruses belonging to the genus Orthoebolavirus, Filoviridae family. There are four orthoebolaviruses that can cause disease in humans:
• Bundibugyo virus (Orthoebolavirus bundibugyoense)
• Ebola virus (Orthoebolavirus zairense)
• Sudan virus (Orthoebolavirus sudanense)
• Taï Forest virus (Orthoebolavirus taiense)
Ebola disease is rare but can lead to outbreaks with high case fatality rates.
Symptoms generally appear within 2 to 21 days of infection.
In the initial phase, symptoms include:
- fever
- general malaise and weakness
- muscle and joint pains
- headache
- loss of appetite
- diarrhoea that sometimes contain blood and mucus
- nausea
- vomiting
After around 10 days, the disease enters a second phase with symptoms linked to several organ systems. These include:
- gastrointestinal issues such as vomiting, diarrhoea, loss of appetite, and stomach pain
- neurological symptoms like headaches and confusion
- vascular symptoms like redness in the eyes and throat
- skin issues like a rash
- respiratory symptoms like cough, chest pain, and difficulty breathing
- feeling completely exhausted and weak
The disease can also lead to haemorrhagic symptoms including bloody diarrhoea, nosebleeds, vomiting blood, internal bleeding and bruises
Orthoebolaviruses are mainly found in certain wild mammal species, and transmission from animals to humans is rare. However, when it does occur, the virus can then spread from person to person and cause outbreaks. Most infections occur through direct contact with the blood, secretions, tissues, organs or other body fluids of people or animals with the infection, whether alive or dead. The virus can also spread through unprotected sexual contact with a person who has recovered from the disease, or through contact with contaminated surfaces or materials.
One vaccine has been authorised in the European Union to protect against the disease caused by Ebola virus (Orthoebolavirus zairense). However, there are no vaccines available to prevent Ebola disease caused by other types of orthoebolaviruses.
To prevent contracting an infection, it is recommended to:
- avoid habitats where orthoebolaviruses may be present
- avoid handling or eating bushmeat
- avoid close contact with wild animals in areas where orthoebolaviruses may be present
Ebola virus disease outbreak in DRC and Uganda 2026
A large outbreak of Bundibugyo virus disease is taking place in the Democratic Republic of the Congo (DRC). Although information remains limited, we assess the likelihood of infection for people living in the EU/EEA to be very low. ECDC continues to monitor the situation closely and will update its assessment as new information becomes available.