Day Lila

Biotech & Longevity · Sunday, 27 September 2026

01 Briefing what happened

Ebola in Congo reaches two more districts, and 8 in 10 new cases were never on a list of known contacts

Biotech & Longevity 15 sources

About 30,000 people are on Congo's Ebola contact lists, where health workers would expect about 420,000, and the outbreak has now reached 63 districts in seven provinces.

30,000 of 420,000

possible Ebola contacts that Congo's teams are actually watching

more than 8 in 10 new cases come from outside the lists [3]

7,890

confirmed Ebola cases in Congo since May, with 3,799 deaths

the second-largest Ebola outbreak on record, after West Africa's in 2014 to 2016 [2][3]

60%

of people diagnosed with Ebola in North Kivu have died

across Congo as a whole the figure is 48% [1]

The lead story — what happened

  • The Ebola outbreak in the Democratic Republic of Congo has spread to two more health districts, the World Health Organization said on Friday. [2]
  • It now reaches 63 health districts in seven provinces, including Dungu, in a province that borders South Sudan. [2]
  • Congo had confirmed 7,890 cases and 3,799 deaths by 23 September. [2]
  • The virus is Bundibugyo, a rare species of Ebola with no approved vaccine or treatment. [1][2]
  • Only about 30,000 people who may have been exposed are on contact lists, the lists of people health workers watch for symptoms. [3]
  • Health workers would expect about 60 contacts for each confirmed case, or about 420,000 in all. [3]
  • More than 8 in 10 new cases are in people who were not on any contact list, said Jean Kaseya, head of Africa's disease-control agency. [3]
  • North Kivu province now has about a third of new cases and deaths. [1]
  • Just over 60% of people diagnosed in North Kivu have died, against 48% across Congo. [1]
  • In the Butembo health zone, around a trading city in North Kivu, only two of nine health checkpoints are working, because there is not enough staff. [1]
  • Africa CDC chief Kaseya said on Tuesday that cases are spreading along Congo's borders with Uganda, Rwanda, the Central African Republic and the Republic of Congo. [7]
  • On Thursday, security forces fired during an Ebola burial in Beni after residents demanded to see the body, and at least one person was killed. [5]
  • Governments pledged about $2.9 billion at a meeting in New York on Thursday, including $886 million from the United States. [3][4]
  • The WHO's head, Tedros Adhanom Ghebreyesus, said cases are falling overall, and that contact tracing and safe burials have improved. [2]
Congo's Ebola teams are watching about 30,000 possible contacts. At about 60 per confirmed case, health workers would expect about 420,000.

Who is involved

  • Jean Kaseya

    head of the Africa Centres for Disease Control and Prevention; he said only 30,000 contacts are being watched

  • The World Health Organization

    the UN's health agency; it reported the spread to two more districts and says cases are falling overall

  • Burial teams in North Kivu

    Congolese workers who bury Ebola victims safely; they have been attacked in Butembo and Beni

  • The US State Department

    the US foreign ministry; it pledged $267 million more this week, $886 million in all

How it unfolded

  1. 15 May Congo declares the outbreak in Ituri province [8]
  2. Last week South Ubangi becomes the seventh province with cases [1]
  3. Wed 23 Sep the US pledges $267 million more [4]
  4. Thu 24 Sep a shooting at a burial in Beni; about $2.9 billion pledged in New York [5][3]
  5. Fri 25 Sep the WHO reports two more health districts [2]

Where this points

Watch whether new cases start coming from people already on contact lists. Kaseya said that, with no deaths at home and no newly infected health workers, would let him judge if control is four weeks away. [3]

What is pushing on the whole day

The bar and the word are our reading of how hard each one is pushing today. The arrow is where it is heading. The evidence is in the stories below.

Not knowing who is infected High↑

More than 8 in 10 new Ebola cases in Congo are in people nobody was watching. [3] Doctors in Bunia are still tracing where a new mpox patient caught the virus. [8] Tests for feverish babies take hours, so doctors often cannot tell a bacterial infection from a virus in time. [10]

Children missed by vaccines High↑

Bangladesh is trying to reach 3.4 million young children who missed their measles shots. [9] Its campaigns were cancelled or delayed in 2024 and 2025. [9] No vaccine is approved for Bundibugyo, the Ebola virus spreading in Congo. [2]

Distrust of health workers Building↑

Security forces fired during an Ebola burial in Beni, and at least one person died. [5] A commentary in Nature Africa says trust has been a major problem in Congo's response. [15]

Waiting for medicines Steady→

A charity says a myeloma patient in Germany has about a third more treatments than one in the UK. [14] From 22 October, medicines posted into the US need a licensed customs broker. [11] Copies of Wegovy cannot be sold in the US before 2032. [12]

The rest of the day

9 more stories on this beat.

Each with its own sources. None of these is a link to the story above.

  1. 02

    Bangladesh starts a measles campaign for 3.4 million children

    Bangladesh began a month-long measles and rubella vaccination campaign on Saturday, aimed at 3.4 million children who were never vaccinated or were missed. [9] It covers children from 6 months to 59 months old, because Bangladesh's government lowered the usual starting age of 9 months during the outbreak. [9] The country has counted 1,087 measles deaths, confirmed and suspected, and 101 of them were confirmed in a laboratory. [9] Health experts blame vaccination campaigns that were cancelled or delayed in 2024 and 2025. [9]

    Bangladesh counts 1,087 measles deaths since March. Fewer than one in ten of them was confirmed by a laboratory test.

    Why it matters — The US disease agency calls it the world's largest measles outbreak, with nearly 187,000 suspected cases since 15 March. [9] Babies under 9 months were too young for the vaccine, and they were helping the virus spread. [9]

  2. 03

    Mpox returns to the Ebola outbreak's home city

    Doctors in Bunia, a city in northeastern Congo, confirmed a case of mpox on Friday in a 21-year-old woman. [8] Mpox is a virus that causes fever and skin sores and spreads through close contact. [8] Congo ended its national mpox emergency in April, after three years and more than 34,000 confirmed cases, but warned the virus could come back. [8] A second woman is awaiting test results, and five suspected cases in Bunia are under investigation. [8]

    Why it matters — Bunia is in Ituri, the province where the Ebola outbreak was declared on 15 May. [8] A health official said the Ebola response is making it harder to watch for other infections. [8]

  3. 04

    Mailing medicines into the US gets harder

    From 22 October, medicines mailed into the United States from abroad must clear customs through a licensed customs broker, with a money guarantee, the Wall Street Journal reported. [11] Few prescriptions sent to one person by post have ever had to clear that bar. [11] Until now Americans could import their own medicines this way, a route STAT, a health news site, calls a loophole. [11] The US government says small foreign parcels that pay no tariffs and send no tracking data carry illegal goods. [11]

    Why it matters — The US government says small parcels send no tracking data, so the rule covers all of them rather than the ones it suspects. [11] It lands on people who have been getting their own prescriptions by post. [11]

  4. 05

    A 15-minute blood test for feverish babies

    Doctors led by Tommaso Bellini of the Gaslini Institute in Genoa, Italy, tried a blood test that tells whether a feverish baby has a bacterial or a viral infection in 15 to 20 minutes. [10] It measures two proteins on white blood cells: CD64 rises when the body fights bacteria, and CD169 when it fights a virus. [10] In 85 babies under 90 days old, it correctly sorted all 15 bacterial infections, 44 viral ones and 26 babies with no infection. [10] Bellini presented the results at a European emergency medicine meeting in Paris. [10]

    Why it matters — Today's tests take hours, so many feverish babies get antibiotics, though only about 15 in 100 have a serious bacterial infection. [10] Antibiotics given without need help bacteria become resistant, and Bellini now plans a trial in 300 to 500 babies. [10]

  5. 06

    1.1 million on weight-loss drugs with no recorded reason

    A study looked at the medical records of more than 92 million US adults. [11] It found more than 1.1 million taking drugs like Ozempic with no record of a condition that would make them eligible, such as obesity or diabetes. [11] The New York Times reported the study, and STAT summed it up. [11] That is a little more than 1 in every 100 adults whose records were checked. [11] The researchers did not look at why. [11] Doctors said many people probably take the drugs to lose a few pounds, or in hope of other benefits. [11]

    Why it matters — The study can show who takes the drugs but not why, because the reason is missing from the records. [11] Novo Nordisk, which makes Ozempic and Wegovy, is meanwhile in a US court fight over a copy of its Wegovy pen. [12]

  6. 07

    Viatris sues Novo over the Wegovy pen

    Viatris, a company that makes copies of medicines once their patents run out, has sued Novo Nordisk in a federal court in Delaware. [12] Its Mylan unit wants a ruling that its planned copy of Wegovy, Novo's weight-loss drug, would not break a Novo patent on how the single-dose pen is used. [12] Copies of Wegovy and Ozempic cannot be sold in the US until 2032, when the patents on their active ingredient, semaglutide, run out. [12] Novo has settled earlier fights over copies with Mylan and other drugmakers. [12]

    Why it matters — Novo earned nearly $31 billion from Wegovy and Ozempic last year, so each patent around the drug is worth a court fight. [12] Novo declined to comment, citing the case. [12]

  7. 08

    UK myeloma patients ask for faster access

    Myeloma UK, a charity for people with myeloma, a blood cancer, published a report saying UK patients miss treatments already used elsewhere in Europe. [14] It says a patient in Germany would have about a third more treatments available. [14] NICE, the body that judges whether England's health service should pay for a medicine, said it approved 94% of the cancer drugs it assessed in 2025/26. [14] This month the NHS approved DVRD, a four-drug mix tailored to how well each patient responds. [14]

    Why it matters — In trials, 84% of people on DVRD were still free of myeloma after four years, and about 1,900 people a year could get it. [14] Myeloma affects more than 35,000 people in the UK. [14]

  8. 09

    Pandemic plans on paper did not predict deaths

    The NUS-Lancet PRIME Commission, a group of researchers, launched its final report on pandemic readiness during this year's UN General Assembly. [15] It drew on 20 country case studies, three of them in Africa, and 819 interviews. [15] The commentary says readiness scores built from plans and equipment were poor at predicting how countries fared in COVID-19. [15] The authors of a commentary in Nature Africa say their own 2021 study found countries with higher scores were more likely to record more deaths. [15]

    Why it matters — The commentary names the Ebola outbreak in Congo, where trust in the response has been a major problem, as a reason to build plans with communities. [15] It says the work of community health workers needs steady money between emergencies, not only once a crisis starts. [15]

  9. 10

    Roche pays $70m now for a drug-hunting method

    Roche, the Swiss drug company, will pay Atavistik Bio $70 million up front to help find new drugs for heart, kidney and metabolic diseases. [13] Up to $1.9 billion more will follow only if the work reaches set goals. [13] Atavistik, from Cambridge, Massachusetts, studies where the body's own small molecules stick to proteins, to find hidden pockets a drug could grip. [13] Its own lead drug is in an early trial for hereditary haemorrhagic telangiectasia, a severe disease that affects many organs. [13]

    Roche's deal with Atavistik is worth about $2 billion on paper. Only $70 million is paid on signing.

    Why it matters — Roche has mostly sold cancer drugs, and heart, kidney and metabolic disease is a field it is moving into. [13] Most of the $2 billion in the headline is paid later, and only if the work reaches set goals. [13]

02 Lesson why it matters

When nobody can tell who is at risk, everyone gets the same treatment

Many feverish babies get antibiotics and every medicine posted into the US will soon need a customs broker, because nobody can yet tell the few who carry the danger from the many who do not.

The twist

The way out of treating everyone is not to care less about the danger. It is to find a quick way to tell who actually has it.

The picture

3 of 20

babies with a serious bacterial infection

Out of every 20 babies brought to hospital with a fever, about 3 have a serious bacterial infection. Until a test can say which 3, many of the 20 get antibiotics.

How it works

  1. A danger reaches only some of many people or parcels
  2. Nobody can yet tell which ones carry it
  3. So the measure goes to every one of them
  4. Covering everyone costs more and meets more resistance
  5. A quick way to sort lets the measure shrink to the few

The same force, elsewhere today

Where this chain is also running, in today's other stories.

  • The 15-minute blood test for babies

    Only about 15 in 100 feverish babies have a serious bacterial infection, but the usual tests take hours. So many get antibiotics anyway, and the new test is built to sort them first.

  • Mailing medicines into the US

    The US government says small parcels send no tracking data, so it cannot see which ones carry illegal goods. So from 22 October every posted medicine must go through a licensed broker, ordinary prescriptions included.

  • Mpox in Bunia

    Here the health workers know who the patient is. They isolated the two women and are tracing the people they met, instead of acting on the whole city.

Where you've seen this

Airport security

every bag goes through the scanner, because nobody can tell from outside which one holds a weapon

Car recalls

a carmaker calls back every car from a batch when it cannot tell which ones got the faulty part

Food scares

a whole batch of salad is thrown away when a few bags might carry a germ and nobody can test them all

The catch

Sorting only helps if the quick test is right. A test that misses one sick baby would send that baby home without the drug it needed.

And the whole of it

A parent in a Genoa emergency room, a person posting pills to the US and a family burying a relative in Beni are all inside this. Each is treated as a possible danger because nobody yet has the test or the list that would say otherwise.

03 Truth what's really going on

What is really going on

Congo's Ebola teams have lost track of most people who may have been exposed. About 30,000 are on contact lists where about 420,000 would be expected, and more than 8 in 10 new cases come from outside those lists. [3] Governments pledged about $2.9 billion in New York this week, while in North Kivu burial teams are being attacked and one person was shot dead at a funeral in Beni. [3][1][5]

Why it works on us — A pledge of billions sounds like the problem is being handled, but the number that shows whether the virus is being followed is how many new cases were already on a list. [3]

Who gains

  • Licensed customs brokers in the US — From 22 October every medicine posted into the country from abroad has to go through one. [11]
  • Roche — It gets Atavistik's method for finding drug targets for $70 million now, and pays the rest only if the work succeeds. [13]
  • Viatris — It is asking a court to rule that Novo's pen patent cannot block its planned copy of Wegovy, a drug family that earned Novo nearly $31 billion last year. [12]
  • Newly diagnosed myeloma patients in England — The NHS approved DVRD this month, and about 1,900 people a year could get it. [14]
  • Beckman Coulter — One of its scientists spent much of the past decade developing the CD64 and CD169 test, and its team has a machine that runs it on finger-prick blood for research use. [10]

Who pays

  • People with Ebola in North Kivu — Just over 60% of those diagnosed there have died, against 48% across Congo. [1]
  • Mourners and burial teams in Beni — Security forces fired during a burial after residents demanded to see the body, and at least one person was killed. [5]
  • Young children in Bangladesh — Vaccination campaigns were cancelled or delayed in 2024 and 2025, and babies under 9 months were too young for the shot. [9]
  • Americans who get their own medicines by post — Their parcels will need a licensed customs broker and a money guarantee from 22 October. [11]
  • Myeloma patients in the UK — The charity Myeloma UK says a patient in Germany would have about a third more treatments. [14]

What nobody knows yet

Open questions from across today’s stories — ours included.

  • 01

    Whether Congo's Ebola outbreak is shrinking.

    The WHO's head says cases are falling overall. [2] Africa CDC's chief says that with most new cases outside the contact lists, nobody can talk about control. [3] The emergency coordinator in Congo for Doctors Without Borders, a medical charity, said the outbreak is not shrinking but moving. [1]

  • 02

    How much money was pledged against Ebola, and at which meeting.

    Reuters reports about $2.9 billion pledged at a US-convened meeting in New York on Thursday. [3] Bloomberg reports commitments of nearly $3 billion since the outbreak began, after a Group of 20 ministers' meeting in New York on Wednesday. [6] Neither report says whether the two totals count the same pledges.

  • 03

    How many people Ebola has infected in Congo.

    Government data counted 7,820 confirmed cases on Tuesday, and the WHO counted 7,890 by 23 September. [1][2] Africa CDC's chief worked from roughly 7,000 when he estimated the missing contacts, so the true gap is larger than his figure. [3]

  • 04

    Whether mpox is coming back in Bunia.

    One case is confirmed, one woman awaits results and five suspected cases are under investigation. [8] Nobody yet knows where the confirmed patient caught it. [8]

  • 05

    How many people measles has killed in Bangladesh.

    The count of 1,087 deaths mixes confirmed and suspected cases, and only 101 were confirmed in a laboratory. [9]

  • 06

    Whether the 15-minute baby test works on a hospital ward.

    It was tried on 85 babies, with the samples run in a laboratory. [10] A version for hospitals is still being built, and the larger trial of 300 to 500 babies has not started. [10]

  • 07

    Why 1.1 million US adults take drugs like Ozempic with no recorded condition.

    The researchers did not examine the reasons, and the doctors' explanations quoted were guesses. [11]

  • 08

    What Roche will actually pay Atavistik.

    Only $70 million is fixed. Up to $1.9 billion depends on goals that neither company has listed in public. [13]

04 Hope carry this

In a trial of DVRD, a four-drug treatment for myeloma, 84% of patients were still free of the cancer after four years. The NHS approved it this month for about 1,900 people a year.

Also true today

  • A blood test from a team in Genoa, Italy, sorted 85 feverish babies correctly in 15 to 20 minutes: all 15 bacterial infections, all 44 viral ones and all 26 babies with no infection.
  • Bangladesh has vaccinated nearly 20 million children against measles since April. On Saturday it began a campaign to reach 3.4 million more who were missed.

Across the beats