Cuts to USAID and the Ebola Outbreak in the DRC
In 2014, an Ebola crisis heavily affected West Africa. The U.S. government was deeply involved in the response. A Disaster Assistance Response Team (DART) was formed under the U.S. Agency for International Development (USAID) to oversee logistics and planning required to control the spread. Soon after, the U.S. committed nearly $1 billion toward fighting Ebola in West Africa.
At the time, this was the largest response by the U.S. government to a health crisis overseas. According to President Barack Obama, the response helped cut cases of the disease by 80%. There was a clear initiative to collaborate globally to recognize the threat this outbreak posed if not addressed appropriately. This contrasts starkly with the current response.
The Numbers
Since the start of May this year, a similar Ebola outbreak has emerged, affecting regions in Africa, with the Democratic Republic of Congo (DRC) being most impacted. According to the International Rescue Committee (IRC), it could become the deadliest outbreak on record if not addressed appropriately.
So what do the numbers say so far? Despite the first case being confirmed only recently, it is already the third-largest outbreak of the disease, with the speed of its spread most alarming. According to the British Medical Journal, there have been 250 deaths and 1,200 cases recorded. These numbers doubled in just a week, from 551 cases and 136 deaths. These statistics were published on May 27, 2026. It is important to note that these numbers include both confirmed and suspected cases.
USAID Cuts’ Impact on Ebola Outbreak in the DRC
With these numbers growing daily, understanding the impact of USAID cuts on Ebola is essential. USAID has been a cornerstone of American foreign policy since President John F. Kennedy. Last year, Donald Trump reduced it by 90% while also permanently cutting funding for thousands of projects that support development and health worldwide. The response to this outbreak has been directly affected by these cuts.
Due to the U.S. cutting funding to USAID and leaving the World Health Organization (WHO) at the beginning of the year, the U.S. was not made aware of the outbreak until nine days after the WHO did.
Dennis Carroll, an infectious disease specialist and former director of the Emerging Pandemic Threats program at USAID, said in a recent interview with NPR that the abolishment of USAID led to the disappearance of support for infrastructure. Simple logistics are not being met as before, such as personnel being able to reach critically needed hospitals and moving laboratories and samples swiftly for quick infection determination.
The experts who built a rapport with health workers in this region have largely been dismissed, so a significant amount of expertise and experience has vanished. This void left by the U.S. has not been filled by any other nation. Coordination with organizations like the WHO and the CDC was a key element in responding to outbreaks like this one.
Solutions
The data is clear on the impact of USAID cuts on the Ebola outbreak in the DRC. However, lessons from previous outbreaks can inform the current response.
Dr. Patrick Otim, WHO’s area manager for Africa, explained the importance of reacting quickly in a recent interview with the BBC. He detailed how delaying the detection of cases, engaging communities and isolating patients allows transmission chains to expand rapidly. He stresses the importance of community trust and engagement. Medical intervention alone is not enough to stop the spread effectively. Clear communication from local government and dignified, safe burials are as significant as medical supplies and test centers.
The U.S. is not inactive. It has committed more than $160 million in humanitarian and emergency funds to help fight the disease. The U.S. is also sending CDC personnel, along with a disaster-assistance response team, to the region. This, along with lessons learned from other outbreaks, gives locals hope that this crisis can be managed effectively.
Charities are also contributing to the effort. For example, UNICEF has personnel on the ground working to address the situation. So far, the organization has provided almost 50 tons of infection prevention and control supplies, including personal protective equipment, disinfectant, soaps and water purification tablets.
Conclusion
Bob Kitchen, the IRC’s Vice President Emergencies & Humanitarian Action, stated, “The warning signs are flashing red. Eastern DRC is confronting the outbreak more fragile and less prepared than during the 2018–2020 outbreak that killed more than 2,000 people and with fewer resources to fight it.”
The U.S. attitude toward foreign aid has changed significantly over the past few years. President Obama sought to reduce Ebola cases to zero, while President Trump emphasized an America-first message during his campaign and the results of those intentions are now evident. This outbreak serves as a case study demonstrating the impact of American foreign aid on global health.
Although the numbers may seem bleak, the solutions mentioned are making a difference, whether through lessons learned from previous outbreaks or through charities like UNICEF working on the front lines to slow the spread.
– Oisín Downes
Oisín is based in Galway, Ireland and focuses on Politics for The Borgen Project.
Photo: Unsplash
