Healthcare-associated transmission and early IPC system vulnerabilities during the 2026 Bundibugyo Ebola outbreak in eastern Democratic Republic of the Congo.

The 2026 Bundibugyo Ebola outbreak in eastern DRC highlighted important early infection prevention and control (IPC) challenges, including healthcare-associated transmission, healthcare worker infections, unsafe triage systems, limited isolation capacity, and shortages of IPC supplies. This commentary argues that pathogen-specific preparedness may remain insufficient in settings characterized by diagnostic uncertainty and proposes an "IPC-first" outbreak response framework based on rapid syndromic IPC activation before definitive laboratory confirmation becomes available.