As Ebola Spreads in Uganda, Trump Aid Freeze Hinders Effort to Contain It, U.S. Officials Fear

Two more people are reported dead from the disease, and dozens are in isolation, as the outbreak grows.

The Ebola outbreak in Uganda has worsened significantly, and the country’s ability to contain the spread has been severely weakened by the Trump administration’s freeze on foreign assistance, American officials said this week.

The officials, representing a variety of health and security agencies, made the assessment during a meeting with U.S. Embassy staff in Kampala, the Ugandan capital, on Wednesday. An audio recording of the session was obtained by The New York Times.

There have been two more deaths, the mother and newborn sibling of a 4-year-old who died last week, an American official said. The mother and sibling died earlier than the 4-year-old, but were not identified as probable Ebola cases until after they were buried through belated contact tracing.

Eighty-two people have so far been identified as close contacts of the mother and her two children, at high risk for infection, and 68 of them are now in quarantine while the others are still being traced. The officials said public health workers’ ability to trace their contacts and conduct surveillance for new cases is severely hindered without U.S. assistance.

Two of the contacts are already symptomatic and have been admitted to an isolation hospital ward, an American official in Uganda said in the meeting. The 4-year-old was taken for treatment at four different health facilities before being diagnosed with Ebola, meaning that many of those who have potentially been exposed to the virus are health care workers.

During the meeting Wednesday, American officials said that the Ugandan government also lacked sufficient laboratory supplies, diagnostic equipment and protective gear for medical workers and people tracing contacts. The termination of grants from the U.S. Agency for International Development was impeding the ability to procure those supplies, one official said. The meeting, conducted by video, was attended by representatives from the State Department, U.S.A.I.D., the Defense Department, the U.S. Embassy in Uganda and the Centers for Disease Control and Prevention.