The Democratic Republic of Congo’s Ebola outbreak has spread southwards into an area with high security risks, World Health Organization spokesperson Fadela Chaib said on Friday.

The outbreak, the country’s worst, has killed 439 of the 713 people believed to have caught the disease. The fight against Ebola depends on tracing people who may have had contact with the disease and could fall ill and spread it further.

But the outbreak in a region of Congo with frequent fighting makes it hard for health workers to move around and monitor potential sufferers and to spread messages about how to avoid becoming sick.

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