Today the head of Africa's Centres for Disease Control and Prevention warned that thousands of case contacts have not been traced in the ongoing Ebola outbreak in the Democratic Republic of the Congo (DRC). 

“If we don't stop the outbreak very soon, it will be worse than what we had in West Africa and eastern ‌DRC,” Africa CDC Director-General Jean Kaseya, MD, MPH, said during a virtual meeting of African heads of state in Burundi. Kaseya was referring to an outbreak in Guinea, Liberia, and Sierra Leone in 2014 to 2016 that killed more than 11,000 people. 

The outbreak currently has at least 827 cases and 194 deaths, but it is largely uncontrolled in North and South Kivu and Ituri provinces. The outbreak is caused by the Bundibugyo strain of the virus, which has no vaccine or treatments. 

Children diagnosed as having multisystem inflammatory syndrome in children (MIS-C) following COVID-19 infection are more likely to have new and lingering health conditions than those not diagnosed with MIS-C, according to study published last week in Pediatrics.  

MIS-C, a rare but potentially deadly post-viral hyperinflammatory condition that often requires hospitalization, occurs in some children following COVID-19. While previous research indicated that some symptoms waned two years after infection, this new paper is the first to show that health complications can persist up to 4.5 years after COVID-19. 

14-fold higher chance of heart disease

In the large retrospective cohort study, researchers from Albert Einstein College of Medicine examined the Montefiore Health System electronic health records of 173 children with MIS-C and 14,190 children without the condition. They compared the two groups’ health for up to 4.5 years after their COVID-19 diagnosis. 

The broad multisystem risks underscore the need for structured follow-up of patients with MIS-C.

Having MIS-C contributed to children acquiring new chronic health conditions. These children experienced a nearly 14-fold higher chance of developing cardiovascular disease, including heart failure. Children who had MIS-C also were at an increased risk of high blood pressure; neurologic and psychological disorders such as stroke, depression, and anxiety; respiratory and gastrointestinal conditions; and chronic kidney disease and shock. 

“The broad multisystem risks underscore the need for structured follow-up of patients with MIS-C,” the authors wrote. “Routine blood pressure monitoring is essential, given the markedly elevated risk of hypertension.” 

In addition, the researchers recommend multidisciplinary follow-up for children who had MIS-C that incorporates screening for cardiovascular health, renal function, and neurologic and mental conditions. 

 “Long-term outcome patterns in our cohort showed a clear and persistent accumulation of multisystem morbidity among survivors of MIS-C compared to matched controls without MIS-C, with disparities widening steadily over 4.5 years,” the authors wrote. 

• A new poll conducted by Cygnal of general election voters in 13 Republican-leaning states—South Carolina, Idaho, West Virginia, Montana, Texas, Florida, Georgia, Ohio, Iowa, Louisiana, Oklahoma, Kansas, and Arkansas—shows that most voters support vaccines. Overall majorities of the electorate in nine states that had an oversample of likely Republican primary voters opposed eliminating school vaccine requirements (61% in Idaho to 70% in South Carolina). And at least three in four GOP primary voters said they support health insurance providing free vaccines for those who want them. The surveys were conducted in September 2025, February 2026, and April 2026. “The politics here are straightforward: this is not an anti-vaccine base,” Cygnal said in a report on the findings.
• Hong Kong health authorities reported late last week the first locally acquired case of H9N2 avian flu infection in Hong Kong in more than six years, and they published more details about the case yesterday. The patient, a 2-year-old boy, is currently hospitalized and in stable condition. All six of his household contacts have remained asymptomatic. Hong Kong has reported 11 cases of H9N2 on the mainland since 1999, none fatal. 
• The US Food and Drug Administration (FDA) said Clover Hill Dairy has expanded its recall of various cheese products in light of an ongoing Listeria outbreak linked to soft cheeses produced by Clover Hill. Now the company says in addition to ricotta and requeson, all cheese products produced by the company, including hard cheeses and flavored varieties are also recalled. So far nine people have been sickened in the outbreak, including one death. Clover All Dairy has confirmed distribution in  Maryland, New Jersey, New York, North Carolina, Virginia, and Washington D.C.