Tom Inglesby, the director of the Johns Hopkins Center for Health Security in Baltimore, said that if the Ebola outbreak becomes endemic in the Congo’s North Kivu province, it shows “we’ve lost the ability to trace contacts, stop transmission chains and contain the outbreak.” In this situation, Ebola could spread, which could negatively impact both trade and travel, according to a report by Becker’s Hospital Review. The health ministry has said teams responding to the Ebola outbreak are attacked three or four times a week on average, a level of violence unseen in the country's nine previous outbreaks of the virus. Doctors reported 308 “confirmed” or “probable” cases of Ebola in the outbreak, approaching the highest total ever seen in the Congo. According to The Washington Post, if international Ebola containment efforts fail in the Congo, it would mark the first time the virus was not stopped since 1976 when Ebola was first identified. "No other epidemic in the world has been as complex as the one we are currently experiencing," the country's health minister, Dr. Oly Ilunga Kalenga, said in a statement late on Friday. Teams responsible for responding to the outbreak “have faced threats, physical assaults, repeated destruction of their equipment and kidnapping,” Health Minister Oly Ilunga said. Two of our colleagues in the Rapid Response Medical Unit even lost their lives in an attack.”

Armed groups vying for control of Congo’s mineral-rich east have staged regular attacks in Congo’s Ituri and North Kivu provinces, complicating the response by health officials who are also meeting community resistance. Some sick people have refused to go to treatment centers, health-care workers are still being infected, and some people are dying of Ebola or spreading the virus to new areas.
The death toll of the ebola virus outbreak in the Democratic Republic of the Congo that started in August, rises to 200 people. This is the deadliest ebola outbreak in the history of the country.