The United States Centers for Disease Control and Prevention has confirmed that the Bundibugyo Ebola outbreak in the Democratic Republic of the Congo is the largest on record. Oxfam reports that the actual number of infections is likely substantially higher than official figures due to a near-total collapse in hygiene infrastructure and a critical decline in contact tracing. In Ituri Province, one of the outbreak's epicenters, only one in five health centers has adequate access to clean water, according to field data. The breakdown in public health systems threatens containment and increases the risk of further transmission across affected communities.