Jason K. Stearns
On August 1, 2018, the government of the Democratic Republic of the Congo declared an outbreak of Ebola in the country’s war-torn northeast. It was Congo’s tenth recorded outbreak of the deadly hemorrhagic fever, but the first in an active conflict zone. Determined to avoid a repeat of the West African Ebola epidemic in 2014, when outside help was too little, too late, donors threw caution to the wind and pumped more than $700 million into northeastern Congo to fight the disease over the next 20 months. To protect their staff members, the World Health Organization and its partners put both Congolese security forces and local militia members on their payrolls. This created perverse incentives: although the combatants had reason to refrain from attacking aid workers, they also had an interest in prolonging the epidemic so they could keep profiting from it. Between August 2018 and June 2020, when the Ebola epidemic was finally declared over, some militiamen and members of the government security forces stoked violence and instability so that the disease would continue to spread and the international aid agencies would continue to pay them. A well-meaning effort to contain the disease ended up doing the exact opposite.
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