Ebola

Ebola is a filovirus, meaning it resembles a thread under a microscope

Filovirus is derived from the Latin word 'filum', meaning 'thread.' That term describes its thin, flexible, threadlike appearance. Originally isolated in 1976, the microscopic image of the Ebola virus is now famous, even portrayed in the movie Outbreak. In fact, Ebola's threadlike appearance can vary in both length and degree of twisting, sometimes resembling a bowl of spaghetti.

Three Ebola species are responsible for most large outbreaks of the disease

The Ebola Zaire, Sudan, and Bundibugyo species are the three ebolaviruses responsible for most large outbreaks in Africa. Among these, Ebola Zaire is the deadliest, with as many as 90% of cases resulting in death. Ebola Sudan has about a 50% fatality rate and has caused several outbreaks in Uganda. More recently discovered in 2007, Bundibugyo causes death in about 30% of people and has caused two large outbreaks in Uganda and the Democratic Republic of the Congo (DRC) before the spring 2026 DRC outbreak. Taï Forest virus is the rarest and is known to have infected a single person in the Côte d'Ivoire in 1994.

Watch the cumbersome, but necessary, precautions healthcare workers must take to care for and protect themselves while caring for Ebola patients

Treating someone with Ebola involves a painstaking process of suiting up (donning) and peeling off (doffing) protective gear. Doctors follow detailed CDC guidelines. Properly suiting up is key to protecting against fluids that transmit Ebola, and correctly removing a suit that could be contaminated with the virus is also critical.

Explore what it's like Inside a patient isolation unit

Containing a contagious disease like Ebola requires strict protective measures. There are several specialized medical wards to contain deadly infectious diseases at hospitals across the U.S. Emory University has one such unit, where 4 patients were treated during the 2014 outbreak.

Watch what the Ebola virus does inside the body in order to spread and survive

Once infected, the virus targets the body's immune cells, spreading the infection throughout the body. Patients exhibit severe flu-like symptoms. Ebola then targets the liver, which produces proteins that help blood clot, and the adrenal glands, which control blood pressure. The immune system may overreact to the viral invasion, releasing a cytokine storm that can result in shock, multiple organ failure, and death.

See how the Ebola virus affects blood circulation in the human body

Ebola infects and disables immune cells, causing a cascade of events that result in small blood clots throughout the body, weakening blood vessels, and interrupting blood flow to key organs.

An Ebola vaccine was developed during the 2018 west African Ebola outbreak

A study found that Merck's rVSV-ZEBOV Ebola vaccine (called Ervebo) was 84% effective against infection during the 2018-2020 Ebola outbreak in the DRC. This effect was observed for both sexes and among children and adults. The vaccine is approved to help provide protection against one specific species of the Ebola virus. The 2026 Ebola outbreak is with a different species of the virus—not the one that the vaccine is approved to treat.

See the evolution of Ebola vaccine and treatment development

The recently approved vaccine and treatments against Ebola are the result of many years of investments and have reshaped how the world addresses Ebola outbreaks. Four drugs were tested in the midst of the 2014 outbreak. Two proved to be so effective the clinical trial ended early. The vaccine proved effective during the 2018-2020 outbreak in the DRC.

See how Ebola tore through Guinea, Sierra Leone, and Liberia in 2014-2016

Frontline traced how the outbreak started and spread across West Africa. documenting first-hand accounts and patient experiences. This Ebola outbreak was the deadliest to date, resulting in over 11,000 deaths.

How the most famous Ebola outbreak book got aspects of the disease so wrong

Richard Preston's 1994 book The Hot Zone brought knowledge of Ebola to the masses. But, beyond the poor portrayals of the science and the scientists, the book fostered fearmongering about Ebola, with portrayals of "liquefying," "dissolving," and "bleeding out." These falsehoods about Ebola have persisted for decades and appear to be reinvigorated with every new emergence of the disease.