The militia groups are very likely involved in these attacks, but locals too may be involved, motivated by suspicion and fear. This happened at the height of the West African outbreak in uganda, when villagers attacked a group of health professionals trying to teach Ebola prevention techniques in rural Guinea, killing eight.
The ongoing outbreak in the DRC; Yes, you should, because of political and cultural factors. As an infectious disease doctor, I cared for Liberian patients during the 2014-15 West African outbreak. Watching the current outbreak from afar; study have been thinking about the differences that make this outbreak arguably harder to stop. Understanding the differences and similarities between the previous outbreak and the current one can help tremendously.
Outbreak in Uganda
The consequence has been a rise in new infections, which may lead to a feedback loop in which more people become harder to treat, causing more infections in turn. Ebola treatment units, yet seem to be unconcerned with tuberculosis and malaria, which are major and longstanding scourges in Africa.
All these factors may cause families to “hide” Ebola cases from contact tracers; leading to further spread; the vaccine keeps the current outbreak partially in check; while instability prevents its eradication. By contrast, the West African outbreak of 2014-2015 rose with such unprecedented speed that it dominated world headlines for nearly four months between August and October 2014.
Devastating economic impact
The longer Ebola persists in the DRC; the more likely an improbable event will occur like the spread of the virus beyond the borders of the DRC, or perhaps much further beyond its borders. The spread into Uganda may simply be a warning sign. There is little cause for optimism that the epidemic will end anytime soon.
What both outbreaks do share is a devastating economic impact, one that can also spread beyond its borders and “infect” the entire region. The West African outbreak of 2014-2015 cost no less then several billion dollars, possibly as much as tens of billions of dollars. If Uganda becomes heavily involved, the current outbreak may prove equally costly.