Editor's note

The Ebola crisis in the Democratic Republic of the Congo (DRC) has been rumbling on since April 2018. At the start of the crisis, there was a lot of optimism that it would be swiftly dealt with – including among our authors. After all, this is the DRC’s ninth outbreak. But that spirit rapidly dissipated this week following reports that the disease had spread to neighbouring Uganda. A five-year-old boy, who fled the DRC with his family, was the first victim.

As Sterghios Moschos points out in a new article, this should never have happened. There is screening at borders (where people with high temperatures are pulled over), effective diagnostic tools that a novice can use, and a highly effective vaccine. Sadly, these things count for little when a civil war is raging and suspicion of healthcare workers is still rife. (Two minutes after we published Sterghios’ article, news came in that a second person had died of Ebola in Uganda.)

Unlike the current DRC and Uganda outbreak, most outbreaks go undetected. New research suggests that about half of all Ebola outbreaks are small (fewer than five people) and so escape wider attention. The findings highlight the need for more investment in local healthcare and surveillance.

Meanwhile, in the UK, the race for Tory leadership continues apace, with the odds on Boris Johnson to win.

Forest schools are also in the news. A new study suggests that outdoor play has significant benefits for children, including helping them become more emotionally resilient.

Clint Witchalls

Health + Medicine Editor

Top stories

Burial of Ebola victims in the DRC. EPA/HUGH KINSELLA CUNNINGHAM

Ebola outbreak spreads to Uganda – it should never have happened

Sterghios Moschos, Northumbria University, Newcastle

Vaccines against Ebola exist, as do diagnostic tests and screening at border crossings. So why is the disease spreading?

Most cases go undetected. AHMED JALLANZO/EPA-EFE

Ebola outbreaks may be more common than we think

Emma Glennon, University of Cambridge; Freya Jephcott, University of Cambridge

Many cases of Ebola are missed entirely. Affected countries need to invest in primary healthcare and detection to nip outbreaks in the bud.

Stefan Rousseau/PA

Conservative leadership election: what happens now?

Tom Quinn, University of Essex

The speed is about to pick up as the field narrows.

shutterstock

Forest schools: how climbing trees and making dens can help children develop resilience

Janine Coates, Loughborough University; Helena Pimlott-Wilson, Loughborough University

Forest School helps children learn without realising it.

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