BUNIA, Congo (AP) — Wiza Bondele goes to work every day at a hospital in Congo with one goal in mind: to slow the fastest-growing Ebola outbreak on record.
At an Ebola treatment hospital in the eastern Ituri province, the epicenter of Congo's ongoing outbreak, Bondele disinfects contaminated areas, checks visitors’ temperatures and enforces handwashing protocols — work that puts him at risk of getting infected.
But like hundreds of other front-line
health workers, including burial teams and drivers, Bondele says he has been working without pay since the outbreak was declared in mid-May in one of Congo’s most remote and conflict-hit regions.
Poor welfare for front-line workers has been a key source of concern in the outbreak. The payment issues and attacks on health teams and facilities have forced some health workers to walk off the job, disrupting critical care in the outbreak that authorities say continues to spread at an alarming rate and faster than efforts to track it.
Ebola spreads through direct contact with the bodily fluids of infected people or contaminated materials, a risk Bondele is well aware of.
“Sometimes patients are bleeding or vomiting blood. We clean and disinfect those places,” the 29-year-old infection control worker told The Associated Press while on duty. “With risks like that, we deserve salaries.”
Confirmed cases in the outbreak have exceeded 4,000, including over 1,800 deaths, according to the latest government data. It is the second-largest Ebola outbreak on record, behind the 2014-2016 West Africa outbreak that recorded more than 28,000 cases, including over 11,000 deaths. Another from 2018-2020 killed at least 2,200.
This outbreak has been linked to the Bundibugyo virus, for which there are currently no approved vaccines or treatments.
A veteran of Congo’s 2018 Ebola response, Bondele returned when the virus resurfaced, believing his experience could help protect his community in Ituri, which accounts for nearly 90% of the Ebola cases.
Instead, he found himself among many workers who have continued reporting for duty without receiving the monthly salary of $510 that Bondele said they were promised.
Officials have told them that the outstanding payments will be made, he said. Workers have registered their numbers to get paid through mobile money transactions, signed attendance sheets and waited for payment notifications, but only some were eventually paid.
Bondele said even colleagues who were paid have told him they have not received the full amount.
Congolese authorities did not immediately respond to a request for comment on Thursday. Officials in the past have blamed logistical issues for the payment delays.
Without his salary, paying rent, buying food, phone credit, covering transport costs and paying water bills have all become daily struggles. He also supports his wife, child and other relatives, responsibilities he says have become increasingly difficult to meet.
One morning, the hardship became painfully visible.
Setting off for work on his motorcycle, Bondele said he ran out of fuel along the way. With no money to refill the tank, he left the bike with neighbors and walked the remaining 13 kilometers (8 miles) to the hospital. By the time he arrived, he said his shoes had fallen apart.
Despite the unpaid wages and hardship, Bondele and hundreds of workers continue to show up to the hospital seven days a week. He said his work is too important to abandon.
“I hope their conscience tells them that I deserve to be paid,” Bondele said, referring to officials.
Bondele was among hundreds of Ebola response workers in Bunia who staged strikes and protests over unpaid wages in recent weeks, at times abandoning health facilities and disrupting parts of the response as the outbreak continued to spread.
“We realized they (the authorities) weren’t doing anything, and that’s when we went on strike,” he said.
They warned that unpaid wages were undermining morale and affecting patient care. In a statement, staff at one treatment center said they would remain on strike until “concrete solutions” were found to resolve months of unpaid wages and bonuses.
Dr. Adelard Lufungula, operations manager for the government's Ebola response, said last month that the payment problem was being resolved, with workers now paid through mobile money instead of cash and the backlog expected to be cleared soon.
For Bondele, the explanations have done little to ease the uncertainty.
“I wonder whether it is injustice or whether there simply isn’t enough money,” he said.
The strikes come as the Ebola response is already battling armed conflict, widespread misinformation and deep public mistrust, all of which have made it harder for health workers to contain the outbreak.
“It is very difficult to get people to understand,” Bondele said. “Sometimes while raising awareness I can be threatened or beaten, and I have to run away.”
Some communities continue resisting basic prevention measures such as regular handwashing, he said.
Restrictions on traditional burials, where families are prevented from touching the highly contagious bodies of loved ones, have fueled resentment in some communities. Rumors claim that the virus is a hoax, that health workers are profiting from the outbreak or that hospitals are withholding lifesaving treatments.
The misinformation has repeatedly turned violent. Angry crowds have torched Ebola treatment centers, stormed hospitals to retrieve relatives’ bodies and attacked teams carrying out safe burials. Health officials say the mistrust has also made contact tracing and early treatment more difficult, particularly in remote communities affected by rebel violence.
As visitors line up for temperature checks and disinfectant is sprayed to keep the virus at bay, Bondele continues the work he says he joined out of passion.
“Working this job takes a lot of courage,” he said. “But today, I am discouraged.”
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Banchereau reported from Dakar, Senegal.
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