Daniela Manno
Clinical Assistant Professor at the London School of Hygiene & Tropical Medicine (LSHTM)
A case of Ebola disease in a doctor returning from a humanitarian mission in the Democratic Republic of the Congo has been linked to the ongoing Bundibugyo virus disease outbreak. While this is the first reported case in Europe, its detection is not entirely unexpected given that transmission continues in eastern DRC and international travel between affected areas and Europe occurs regularly.
Case identification and contact tracing remain challenging in some outbreak-affected areas, meaning that infected individuals may seek healthcare before their exposure has been recognised. Healthcare workers are particularly vulnerable because they may encounter patients in the early stages of Ebola disease, when symptoms are often non-specific and can be mistaken for other common infections, delaying recognition, diagnosis, and the implementation of appropriate infection prevention and control measures.
However, the overall risk to the general population in Europe and the UK remains low. European countries have well-established protocols for identifying and managing suspected cases of viral haemorrhagic fever. Healthcare facilities should remain vigilant, particularly when assessing travellers arriving from affected areas who present with symptoms compatible with Ebola disease. Rapid identification, isolation, diagnostic testing, contact tracing, and appropriate infection prevention and control measures remain the most effective tools for preventing onward transmission.