In brief
In the early hours of November 5, armed men believed to belong to the Allied Democratic Forces (ADF) carried an overnight assault on Cantine, a village in North Kivu’s Bundibugyo district. Thirty‑three people were killed, more than fifty houses were burned, and a local health post was destroyed, forcing 180 patients—including suspected Ebola cases—to leave the village. The attack heightens fears of a new outbreak amid the country’s fastest‑spreading Ebola epidemic, as local officials and civil‑society activists accuse the ADF of the violence.
In the early hours of November 5, armed men linked to the Allied Democratic Forces (ADF) carried out a violent overnight raid on Cantine, a village in North Kivu’s Bundibugyo district of the Democratic Republic of Congo.
The assault left at least 33 people dead, more than 50 houses set on fire, and the local health post destroyed, forcing about 180 patients—including suspected Ebola cases—to flee the village, officials said.
Colonel Charles Omeonga, the Beni territorial administrator, told Reuters that fighters “killed civilians, set fire to several houses and burned out a health post.” He emphasized that the violence occurred last night.
Justin Paluku, head of a local civil‑society group, blamed the ADF for the attack when speaking to the AP news agency.
So far, we have counted 33 bodies and more than 50 houses set on fire, along with various other forms of material destruction,he told AP.
Tchetche Aliamini, another local civil‑society leader, confirmed the death toll to Reuters, adding that most victims suffered gunshot wounds while others were burned or hacked with machetes.
Christian Kakule, the medical director of Kelekele Hospital Centre in Cantine, explained how the raid disrupted care for patients.
High‑risk contacts and other individuals under monitoring have all fled. Our concern is that when probable cases end up out in the open like this, they can become a source of transmission and trigger an outbreak of the disease,he said.
Attack Details
The ADF, a Ugandan‑rooted insurgent group that pledged allegiance to ISIL in 2019, has been linked to a series of violent raids in eastern Congo, said multiple sources. The attackers set fire to more than 50 houses, an event that puts Cantine more than 50 kilometres west of Beni, the region’s capital, at risk of ongoing violence.
Following the raid, patients of the destroyed health post—many with suspected or confirmed Ebola—were forced to leave Cantine and seek treatment farther away, further straining already stretched regional health resources.
Ebola Context
The Bundibugyo outbreak is the fastest‑spreading Ebola crisis in history, with the last year’s African CDC reporting over 10,000 cases and 5,300 deaths across the DRC. North Kivu alone accounts for almost half of all new infections in the outbreak and is the second most affected province after Ituri.
North Kivu has previously hosted three Ebola outbreaks, including the 2018‑2020 epidemic that was the DRC’s largest and deadliest. The crisis directly confronts a fragile security environment where armed groups such as the ADF operate.
Experts and civil‑society observers argue that the violence could create new “hotbeds” for virus transmission and impede containment efforts. The destruction of a health post and the displacement of patients mean that isolation protocols may not be followed, potentially increasing risk of community spread.
Questions remain about how quickly security forces can respond to protect vulnerable communities and whether the ADF will continue raids. Existing peacekeeping forces have limited coverage across eastern Congo, and there are no clear indications of an imminent military intervention in Cantine.
The international community watches closely, as the same region that suffered previous Ebola outbreaks now faces an intensifying armed conflict, raising the stakes for both humanitarian and public‑health response plans.



