The known unknowns of Ebola in the Democratic Republic of the Congo
More or Less
BBC
4.6 • 3.7K Ratings
🗓️ 30 May 2026
⏱️ 9 minutes
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Summary
On the 17th of May the World Health Organisation declared a new outbreak of Ebolavirus in the Democratic Republic of the Congo as an International Emergency.
Ebola virus is an extremely nasty viral disease with a high death toll. But despite its severity, very little is known about the number of infections in this current outbreak, in part because this particular species of Ebola is a rare one.
Headlines recently stated that modelling shows that the number of infections could be almost 1,000 more than recorded. We speak to Dr Ruth McCabe, an epidemiologist at Imperial College London, who worked on the modelling behind those estimates.
Presenter: Tim Harford Producer: Lizzy McNeill Sound Mix: James Beard Production Coordinator: Brenda Brown Editor: Richard Vadon
Transcript
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| 0:00.0 | Hello and thanks for downloading the more or less podcast, with a program that looks at the numbers known, the numbers unknown and a known unknown number of numbers and I'm Tim Harford. |
| 0:16.8 | On the 17th of May, the World Health Organization declared that a new outbreak of the Ebola |
| 0:22.1 | virus in the Democratic Republic of the Congo was an international emergency. |
| 0:27.8 | Ebola virus is an extremely nasty viral disease with a high death rate. |
| 0:32.6 | But despite the severity, little is known about the number of infections in this current outbreak, |
| 0:39.0 | in part because this particular species of Ebola is a rare one. |
| 0:43.7 | Loyal listener Richard Ellis got in touch after reading a BBC news article that said, |
| 0:48.5 | modelling by the MRC Centre for Global Infectious Disease Analysis |
| 0:52.7 | suggested there had been a significant under-detection |
| 0:56.6 | of Ebola cases. They stated the true number could be over 1,000. Richard was curious about |
| 1:04.0 | how they came to these numbers. I'd love to understand more about how this kind of disease |
| 1:08.4 | modelling works. I mean, how do researchers estimate the number |
| 1:12.2 | of unreported cases and how reliable are these models likely to be in practice? |
| 1:17.8 | I'm also curious about what it means if the true number of cases is already much higher than reported. |
| 1:25.1 | To answer Richers' questions, we spoke to Dr Ruth McCabe. |
| 1:28.8 | She's an infectious disease epidemiologist at Imperial College London, |
| 1:33.2 | and she worked on the modelling behind those estimates. |
| 1:36.7 | Let's start with what we know. |
| 1:39.1 | Ebola is an incredibly serious disease. |
| 1:42.0 | It's what we would call a viral hemorrhagic fever. It typically has |
| 1:46.1 | quite a high mortality and it spreads between contact with bodily fluids from an infected person. |
| 1:54.0 | Bodily fluids, including sweat, saliva and blood. |
... |
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