The current, rapidly metastasizing Ebola outbreak in East and Central Africa is a sobering reminder of how unprepared we remain for the inevitability of the next pandemic that is always sure to come. Especially when the US continues to hamstring the global efforts needed to contain deadly eruptions.

As of Sunday, May 24, there were 231 deaths and more than 1,000 cases reported, primarily in the Democratic Republic of Congo (DRC), though 10 African countries are now considered at risk. “You cannot cut the systems that detect and stop outbreaks early— then act shocked when they spiral. Pathogens exploit weak systems,” said Krutika Kuppalli, MD FIDSA, in a post on Sunday.

On Monday, Dr. Tedros Ghebreyesus, director-general of the World Health Organization (WHO), told the world that the outbreak was “outpacing us."

The Trump administration, previously the WHO's largest funder, is the biggest reason of these failures and need to play catch up. Assistance from the US to the DRC reportedly fell from $1.4 billion in 2024 to just $21 million in 2026, said Kuppalli.

“Many of the international systems created or strengthened after earlier Ebola crises have been weakened,” the Washington Post reported last week. While the US once "played a central coordinating role in previous Ebola response efforts,” the newspaper noted, "that infrastructure has been significantly diminished following Trump administration cuts" in early 2025.

With the US pulling out of the WHO and eviscerating the US Agency for International Development (USAID), which routed money and supplies quickly, the ability to help organizations on the ground pivot from prevention "to contact tracing and communications" has vanished, said Stephanie Psaki, US coordinator for global health security in the Biden administration.

The Trump administration has even barred key infectious disease officials from communicating with the WHO. “The whole disaster response capability at USAID no longer exists,” said Jeremy Konyndyk, the former lead of USAID’s Ebola response team.

On May 20, National Nurses United, issued a statement admonishing the Trump administration for making everyone less safe in the face of the outbreak.

“Nurses understand the life-or-death importance of prevention, and when it comes to infectious diseases, that means having strong infrastructure in place to rapidly detect and respond to new outbreaks before they are out of control," said NNU. "The Trump administration has purposely taken a sledgehammer to that infrastructure over the past year.”

Nurses are prominent among the health workers, and health policy researchers, who have long warned of the danger of sudden outbreaks that can lead to massive, deadly pandemics.

“The arrival of the next great pandemic has always been a ‘when,’ not an ‘if,’ and firewalls for stopping it are getting thinner,” journalists Conn Hallinan and Carl Bloice wrote in 2005 in the California Nurses Association’s Revolution magazine. That piece was written amid concern for the spreading of avian flu, but the warning signs of a failing prevention and response system were already evident. “Public health budgets in this nation and across the globe are being systematically starved of funding,” they wrote.

Four years later, H1NI, also known as swine flu, brought the fears to life. The Centers for Disease Control and Prevention (CDC) estimated there were 60.8 million cases and an estimated range of between 151,700 to 575,400 deaths worldwide its first year alone. Deborah Burger, RN, then president of the California Nurses Association, warned, “We should learn the lessons of the 1918-1919 flu pandemic, one of which was the enormous mitigating effect on mortality of adequate nursing care.”

Those working on the frontlines to care for infected patients are particularly vulnerable. Speaking to Hallinan and Bloice, University of Minnesota researcher Michael Osterholm predicted back in 2005 that “health care workers would become ill and die at rates similar to, or even higher than in the general public" in the face of a pandemic.

On July 17, 2009, Karen Ann Hays, a cancer care RN at Mercy San Juan Medical Center in Carmichael, CA near Sacramento, and a healthy triathlete and marathon runner, became the first health care worker in California to die of H1N1. Only after the union announced plans for a one-day strike affecting 16,000 RNs in California and Nevada, did then-Gov. Schwarzenegger and major hospitals implement new safety protocols.

In March 2014, the largest outbreak of the deadly Ebola virus was reported in West Africa. By August, the WHO declared a public health emergency as it spread in Africa, and........

© Common Dreams