The Africa CDC says the DRC has had more than 4,000 suspected and confirmed cases and 154 deaths this year, based in part on health authority data. That is far lower than the 27,000-odd cases recorded in the United States and 7,000 in Spain.

Elsewhere in Africa, Ghana has about 600 suspected and confirmed cases, and in Nigeria, there are nearly 2,000.

“Yes, there is an undercount,”

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