Today, Explained

Ebola conspiracies

26 min
Jun 1, 2026about 2 months ago
Listen to Episode
Summary

The Trump administration's plan to quarantine Americans exposed to Ebola in Kenya instead of allowing them to return home has sparked international controversy and legal challenges. The episode examines why this approach contradicts historical precedent and public health expertise, while also exploring how conspiracy theories about Ebola are undermining outbreak response efforts in the Democratic Republic of Congo.

Insights
  • The Trump administration's aggressive quarantine approach mirrors COVID-era policies it previously criticized, revealing political inconsistency in public health response strategy
  • Public health infrastructure exists in the US specifically for managing Ebola cases, yet remains unused while the administration pursues untested international alternatives
  • Conspiracy theories about Ebola spread fastest in communities with pre-existing distrust of institutions, limited healthcare access, and cultural practices incompatible with modern containment protocols
  • Kenya's court intervention demonstrates how international health policy requires buy-in from host nations, not just government-level agreements
  • Health worker recruitment from affected communities is critical to combating misinformation and building trust during disease outbreaks
Trends
Politicization of public health crisis response overriding scientific consensus and established protocolsRapid spread of disease-related conspiracy theories in low-connectivity, high-poverty regions with historical institutional distrustInternational tension over burden-sharing in global health emergencies, with developing nations resisting unilateral decisions by wealthy countriesInadequate training and preparation timelines for emergency health deployments (3-day training cited as insufficient)Cultural incompatibility between modern disease containment practices and traditional burial/mourning customs driving community resistanceLack of contingency planning in major policy initiatives, evidenced by absence of Plan B if Kenya court blocks facilityEffectiveness of community-based health workers versus external aid workers in building trust during outbreaks
Topics
Ebola outbreak response and containment strategyInternational quarantine policy and border health securityPublic health misinformation and conspiracy theoriesHealthcare worker safety and community trustUS-Kenya diplomatic relations on health mattersInstitutional distrust in developing nationsDisease transmission in low-resource settingsCultural practices conflicting with modern medicineGovernment transparency in health crisis communicationComparative pandemic response strategiesHantavirus outbreak managementBiocontainment facility standards and capacityAid worker security and hostilityMineral extraction conspiracy narrativesCommunity-led health intervention models
People
Sabrina Siddiqui
Broke the story of Trump administration's plan to send exposed Americans to Kenya; provided detailed analysis of poli...
Raelle Ambor
Covered Ebola conspiracy theories and outbreak response in Democratic Republic of Congo and Kenya from on-the-ground ...
Jay Badacharya
Signed order forcing Hantavirus-exposed passengers to remain in quarantine facility in Nebraska
Newell King
Hosted and narrated the episode
Quotes
"Why would we import something that is not here? Why should we make Kenya an epicenter and then add cases and have us deal with this?"
Kenya Doctors' Union representativeEarly in episode
"Is Kenya being reduced to a dumping site?"
Lawyer arguing against the planMid-episode
"I personally feel that the United States has a moral and ethical obligation to its citizens that if they're going to be abroad, especially helping out people during this global health outbreak, that we should be taking care of our own."
Public health expert (unnamed)Mid-episode
"When you go to an Ebola treatment center, you're not supposed to come out alive. You're supposed to be dead."
Raelle Ambor, reporting community beliefsLate episode
"It's something that has been created to get our minerals. It is something that has been created to have us people in the hospitals and kill them."
Community member expressing conspiracy theoryLate episode
Full Transcript
It's hundreds of Kenyans in the town of Nanyuki today protesting a plan by the Trump administration to send American citizens who've been exposed to Ebola in Central Africa to Kenya instead of bringing them home. This Ebola outbreak started in the Democratic Republic of Congo. It's since spread to Uganda. But there are currently no confirmed cases in Kenya, and so Kenyans are asking, why send the Americans here? I spoke to the head of the Kenya Doctors' Union lobby group and he was like, why would we import something that is not here? Why should we make Kenya an epicenter and then add cases and have us deal with this? Today explained from Vox does not appreciate cliches, but between cuts to American aid in the region, the sheer aggressiveness of this virus, and conspiracy theories that threaten public health workers, this Ebola outbreak has become a perfect storm. That is coming up next. Dell PCs with Intel inside are built for the moments you plan, and the ones you don't. For the time you forgot your charger at the gate. Passengers, we are now on our initial ascent. Or when you're bouncing between projects like a ping pong ball. We build PCs with long lasting battery life so you're not scrambling for a charger. And built in intelligence so you can stay focused on whatever you're doing. Dell Technologies. Built for you. Support for this show comes from Odoo. Running a business is hard enough. So why make it harder with a dozen different apps that don't talk to each other? Introducing Odoo. It's the only business software you'll ever need. It's an all in one fully integrated platform that makes your work easier. CRM, accounting, inventory, e-commerce and more. In the best part, Odoo replaces multiple expensive platforms for a fraction of the cost. That's why over thousands of businesses have made the switch. So why not you? Try Odoo for free at Odoo.com. That's Odoo.com. This is Today Explained. The Wall Street Journal broke the story of the Trump administration's plan to send Americans who've been exposed to Ebola to Kenya instead of letting them come home. WSJ National Politics reporter Sabrina Siddiqui, what is the plan? So what the administration has been trying to do is set up a quarantine facility in Kenya at an Air Force base where they would essentially house Americans who have been exposed to Ebola and anyone who also tests positive. The number one priority of our foreign policy is to protect the American people. We cannot and will not allow any cases of Ebola to enter the United States. And they're kind of describing it as somewhat of a tent hospital, but there are various plans underway for also adding potentially if needed isolation units and bio-containment units. That is, of course, if there are people who truly get sick or need further care. But even then, I think what they see this as is an opportunity to have a place for Americans to quarantine while they're evaluated and they have deployed public health officers from the United States to assist with these efforts. And one thing that they have also said is that if Americans test positive, they would only perhaps stay at this facility for a couple days before being sent to another country. And they're looking at facilities in Europe that could potentially accommodate Americans if they were to truly get sick. Okay. So what the US is saying is we don't want you coming back into the US. You look at the reaction to this here at home and there's a lot of shock. Ebola outbreaks have happened before. This is a very dangerous, dangerous virus. How does the US usually handle this when our citizens are affected? That's actually been very striking about the administration's response to this particular outbreak because in previous outbreaks, Americans who had been exposed to Ebola or who had tested positive were allowed to return home and they were monitored and cared for at quarantine facilities here in the United States. Two Americans infected with Ebola are expected back in the US for treatment. For the first time in history, doctors right here in the United States will battle the Ebola virus. And it's been called a miracle. Doctors say two American missionary workers stricken with Ebola are cured. We're going to have new monitoring and movement guidance that is sensible based in science and tailored to the unique circumstances of each health worker that may be returning from one of these countries after they have provided the kind of help that they need. And we do have biocontainment units as well. During this recent Honto virus outbreak, American passengers who were aboard the cruise ship or that outbreak occurred have been quarantining at one of those biocontainment units in Nebraska. So it's frankly been bizarre to a lot of public health officials I've spoken with and epidemiologists that Americans would not be allowed to come home. And it just appears to be the case that the Trump administration is taking a very hard line against letting anyone who is known to have Ebola to be allowed back here in the United States because what they're saying is that they do not want any Ebola cases to exist in the United States during this outbreak. Multiple agencies involved here are also very involved in tracking people just to make sure that nobody comes into this country that has Ebola and creates a problem for us. Okay, so the plan is send Americans to Kenya and what is the status of that plan? It's interesting because the Trump administration announced that the U.S. and Kenya had reached an agreement to stand up this quarantine facility for Americans in Kenya and then a Kenyan high court put a temporary hold on the Trump administration's plan to set up that facility. So right now the plan is very much in limbo and the expectation is that the Kenyan court will reconsider this case tomorrow but as of now it's not clear if the plan is even going to move forward. Okay, and I imagine that's in part because Kenya feels like Kenya has a say in this and it may be that Kenyan authorities have agreed to something but Kenyan people feel differently and again, we're keeping in mind that Ebola is a very, very dangerous virus. How did people in Kenya respond when they were told the United States wants to send its citizens to you? That's precisely what I think the issue is here. One of the lawyers who is part of the legal group that is arguing this case said, and I quote, is Kenya being reduced to a dumping site? And I think that really captures the mood of many Kenyans who learned about this plan through news reports and were wondering why and frankly critical of their government for agreeing to allow Americans who had been exposed to Ebola to be rerouted to Kenya when there are no known or suspected cases of Ebola in Kenya. How is it that the Americans say they don't want to touch this thing? They want to stay away from it. Yet we are the ones who think we are a kanda that we are going to step up and fight Ebola. We are saying, hell no, take that facility to DRC, take it to where it's needed. Why would you create a facility in my country and it doesn't serve me? Yet the same, same facility is going to host people who are endangering my own life. And there are obviously a lot of concerns, including from medical groups in Kenya, that there could perhaps be an outbreak in Kenya that stems from bringing Americans to the country who have been exposed to the virus. Does anyone know why Kenya? The administration said that they were looking for somewhere in the region that is unaffected by the outbreak where they don't believe there is as high risk of spread and that is not too far so that people could get there quickly. There are also just politics involved and it seems like they were able to come to some kind of agreement with the government even if it's been halted by the courts. And I also think that again, this is temporary for people who actually get sick. So it doesn't even look like it was necessarily a long-term plan in terms of how they plan to actually use this facility because at the same time that they're saying Americans can quarantine in Kenya, they also said that anyone who truly gets sick would be evacuated to a tertiary care center and that they're currently talking to partners in Europe to try and identify where sick patients can be taken. But again, these are just some of the questions that a lot of people have around the administration's plans, which they haven't been terribly forthcoming about and which again have drawn criticism not just from people in Kenya, but also from public health experts here at home who simply do not understand why they would not allow Americans to return to their home country. Let me ask you what you've been hearing from public health experts because there is, from the non-experts point of view, there's kind of a knee-jerk sense in this. It's Ebola's dangerous, keep people where they are or keep people elsewhere so that they don't bring Ebola into the United States. You said public health experts say this does not make sense. Why doesn't it make sense? What do they tell you? Well, I think there are a couple of things that are at play. One is that public health experts do say that it is the responsibility of the United States government to take care of its own people and to allow them to return home so that they could receive the highest quality of care and that they have these state-of-the-art facilities specifically designed for outbreaks and viruses like Ebola. We built and sustained a system of specialized treatment centers all around the United States that are capable of managing patients exactly like this. Right now, those are sitting empty. I personally feel that the United States has a moral and ethical obligation to its citizens that if they're going to be abroad, especially helping out people during this global health outbreak, that we should be taking care of our own. I also think that there is the component of mental health and that in addition to just needing to receive the appropriate care, that people should have access to their support system, that they should be allowed to be in closer proximity to their families if they were to get sick. And people see that as a moral responsibility that the United States has to afford Americans that opportunity. There's also just the fact that in previous outbreaks, Americans were brought home and the Trump administration has not provided a medical rationale for why they're so opposed to Americans coming back home other than saying that time is of the essence when someone has Ebola. Well, time was also of the essence in prior outbreaks and the US did not stop Americans from returning home. Yeah, they're sort of acting like normies would act. Normies who are worried and say, don't get this near me, which is not the same way historically that medical professionals act. Okay. So you've been covering the hand virus outbreak as well. And I wonder whether you're seeing a pattern here or a trend here in the way this administration is responding to these public health crises where the public is inclined to freak out a bit and public health experts might have a different idea of what needs to happen. Well, here's what's really fascinating about covering the hand virus outbreak as well as the Ebola outbreak. The Trump administration has been willing to embrace these very aggressive quarantine and isolation measures despite the fact that this administration is full of people at the highest levels of leadership who were so critical of what they saw as heavy handed social distancing and isolation guidelines during the COVID-19 pandemic. Tonight fresh anger rippling across the country. I need my job. I need to work. From coast to coast, thousands of people frustrated. Whether it's masks, whether it is statements of social distancing, statements like the things about travel restrictions, it's like, what are we hoping to accomplish for this? And they're going even further. There are a couple of passengers who wanted to leave the Nebraska facility where those who've been exposed to the Hantavirus have been quarantining. And the acting director of the CDC, Jay Badacharya, signed an order forcing them to stay there. And now as those passengers are reaching the end of their quarantine period, those who were exposed to Hantavirus who have been asymptomatic and do not have Hantavirus, as they're now returning to their home states, the Trump administration is essentially insisting on 24-7 monitoring and not allowing them to leave their homes. So all the enough, it's a very heavy handed way that the Trump administration has responded to these outbreaks, even though in some ways they were the ones who politically used criticisms of public health institutions and of the scientific community during COVID as a way to appeal to voters who are frustrated by these exact kinds of guidelines and rules during that pandemic. All right. So we are waiting on the Kenyan court to make a decision on Tuesday. What are the stakes here? What happens if Kenya says, no, President Trump, we're just not going to allow this? Well, that's actually going to be a really interesting moment if it comes to pass because it is not entirely clear if the Trump administration has a plan B. It just seems like this entire plan came together very quickly. Even the public health officers who were deployed to Kenya, when they were called upon for this assignment, they only received about three days' training. And that's something that some public health officials said simply isn't enough for people who are going to go and try to staff a facility where you have this rare strain of a deadly virus. And so when the Trump administration is talking about whether or not they would be able to send Americans to other facilities in Europe, they still haven't identified where those care centers would be, which just signals that they haven't really thought through what would happen if they are not allowed to stand up this facility in Kenya. And I suspect that while they're still negotiating with the Europeans, it's very likely that people in Europe would have the same reaction as those in Kenya. Why are you sending potentially sick Americans here rather than allowing them to return home? That was the Wall Street Journal's Sabrina Siddiqui. Coming up next, how conspiracy theories about Ebola have made it harder to fight the spread in the Democratic Republic of Congo. We're going to talk to a reporter in Kenya. Support for Today Explained comes from Vanta. What's one thing in business? Vanta asks that's spreading as fast as AI. AI risks as Vanta. Every new tool that your team signs up for, every vendor that turns on AI features, every new integration has the potential to create a risky situation for your company. And most security programs were not built for AI's pace of growth. Enter Vanta. 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But now, as of 2026, Built says members can also earn points on mortgage payments, too, wherever they live. You can earn points on each housing payment and put them towards travel partners like United and Hyatt, Rides with Lyft, Amazon.com Purchases, and more. They have something called a neighborhood concierge, which Built says works kind of like a personal system baked into your place of residence. I have one of those. It's my child, just kidding. She's too young. It can make a restaurant reservations book fitness classes and find a new local spot all while giving rewards. Renting or paying your mortgage can feel a whole lot better with Built. You can join the membership for where you live at joinbuilt.com. That's J-O-I-N-B-I-L-T.com. Make sure to use our URL so they know we sent you. Support for the show comes from Dell. Remember Dell? Dell PCs with Intel inside are built for the moments you plan. Still, and the ones you don't. Still, they're there for those late night study sessions when you get to the cafe and there's no outlets, all that stuff. Dell is built to adapt to you. It's built with long lasting batteries. You're not scrambling for an outlet and built in intelligence that makes updates around your schedule, not in the middle of it. Find technology built for the way you work at dell.co.uk forward slash Dell PCs. Built for you. This is Today Explained. We're back with Raelle Ambor. She's a reporter with The Washington Post in Nairobi. She's been writing about, among other things, Ebola conspiracy theories. I asked Raelle why this has become such an issue in this outbreak. Whenever there's a crisis, then people try to find reason for it. And there's always populations that are not so informed. There's always going to be resistances, quarters of resistance. We saw that during COVID also when people, we had anti-vaxxers who were like, this thing is not good for the system. This is population control for Africa and all that. So this was also bound to happen. And this is not really the first time that we are having people saying that these diseases are hoax. When we talk about hoax, we basically saying Ebola does not exist. It's alive. It's something that has been created to get our minerals. It is something that has been created to have us people in the hospitals and kill them. And so they can take away our minerals. So it's a very mineral rich country. Exactly. And especially the Eastern Democratic Republic of Hong Kong. The eastern part of the country is rich in cobalt, gold. This specific village, Mongolia, where the outbreak has occurred, is a gold mining region. And most of the people actually, I spoke to are telling me, this is where it started. One of the first cases was in a health center in Mongolia. There's a really, really poor community. There's no running water. There's no proper healthcare system. The healthcare system was pretty dependent on aid, on foreign aid. So one of the things that people are saying, number one, this is a hoax. Number two, what I've seen from my reporting is that they're saying that these non-profit workers, they have brought this disease to get more money. That's why you're seeing, that's why you're seeing there were attacks. There's hostility towards health workers. I interviewed someone who got Ebola in 2018 during that outbreak. And this person, there's so much stigma that everyone ran away from them. When he got better after a couple of weeks, he went home and he found his family wasn't there because they believe that when you go to an Ebola treatment center, you're not supposed to come out alive. You're supposed to be dead. These people who go ahead and believe that the people actually operating in these Ebola treatment centers are demons like the devil. And the reason for that, I imagine, is Ebola is a very deadly disease. So if you go into a health center, there is a chance you're not coming out. People are seeing that and they're thinking, that means you go into an Ebola center and you don't come out because the people there don't want you to come out. Imagine you're in a village deep inside San Congo and one morning you wake up and there's blood coming out of your mouth and blood coming out of your nose. And this is something that people have not seen before. And within days, this is happening to your brother and your sister. And just previous in a few days earlier, you're okay. So the way Ebola manifests itself, I think also has people really scared. They're looking at this, the hemorrhagic manifestations, the fever, the headache, the vomiting. And this brings so much fear. So we reported on a story in Rampara where there's a young man who was pretty popular. I was a football player. He sang in his local church. And one day he fall sick and he's being treated at home. And then he's rushed to the hospital. And when he gets to the hospital, he dies just hours after getting to the hospital. So quickly the family is told that this person has passed on and the body was being held. And with Ebola, there's procedures in which these bodies are interred and they're trying to give them dignified send-offs. And so the people are really outraged because in the culture of the place, the bodies, when someone dies, the body is brought home. They stay one, two days, feasting and eating and burying the bodies. But with Ebola, this is impossible. So people were really outraged and they stormed the friends and family. They stormed into this Rampara hospital and they burnt the tents. And there was a body that someone else in the tent was just passed on over Ebola. That body was also burnt. And in the process, we had six patients fled. So that means these people also did not want to be held in that center. They did not want to be treated in that center. So in the process of the Rampara hospital being lit up, we had six patients escaped. And the next day in a different hospital, there's 18 people also who escaped the hospital. So these are people who are going to go back to the communities who don't believe they are unaware. And this is how this is spreading at the moment. Ebola is a terrifying illness. This is not the first time, though, that there have been outbreaks in this part of the Democratic Republic of Congo. If there have been outbreaks in the past and people have lived through them and understood them in the past, why do you think people's minds are still open to conspiracies? Why is the instinct not to say, OK, we dealt with this five years ago or eight years ago or 10 years ago, and here's how it played out, and we should trust health workers? Like if it's not the first rodeo, why are people assuming that health care workers are out to get them? I mean, because it's simply just distrust. When people distrust the systems, when people distrust their leaders, when people distrust in whenever supernatural or maybe some different phenomenon occurs, there's tend to be a certain crop of people who do not believe that is happening. But then it's usually deeper entrenched if there are other factors that are involved. We have people who are used to being by themselves, people who are self-reliance, who are used to having their own solutions to their own problems. They are well, they try to find their own solutions, hubs, they look for the herbalist, traditional African medicine, and when it gets worse, it's when they go to the hospital. So there's been distrust in the system before, and this is also what is also fueling the conspiracy theories around Ebola. And of course there's extreme poverty in this area. These are deep villages, people who do not have access to the internet, people who do not have access to, I mean, like I said earlier, running water. These are people who sort of, quote unquote, live in their own ecosystems, in their own world. So it's pretty hard to come outside and relate to health workers or aid workers in ways that we do with them. And that's why I think it's really important to have people, first responders should be people from these communities so that they can reach out to them in ways that they can connect to them and this belief in them and they trust them. So that is also really important. There's going to be a lot of work needed to get this under control. Rael Amboer is a reporter with The Washington Post in Nairobi. Avashai Artsi and Dustin DeSoto produced today's show, an Amina El-Sadi edited. David Tadashor and Patrick Boyd engineered and Gabriel Donatov checked the facts. I'm Newell King. It's today explained. Dell PCs with Intel inside are built for the moments you plan and the ones you don't. For the time you forgot your charger at the gate. Passengers, we are now on our initial ascent. Or when you're bouncing between projects like a ping-pong ball. We build PCs with long lasting battery life so you're not scrambling for a charger and built in intelligence so you can stay focused on whatever you're doing. Dell Technologies, built for you. Dell.co.uk forward slash Dell PCs. Support for this show comes from Fetch Pet Insurance. Do you have a pet? Every six seconds, a pet owner in the US gets hit with a vet bill of over a thousand dollars. And it's almost always an unwelcome surprise. That's where Fetch Pet Insurance comes in. Fetch is the most complete pet insurance. Get paid back up to 90% of vet bills. You can use any vet in the US and Canada. All vets are in network. Go to fetchpet.com slash save. Right now for your free quote. That's fetchpet.com slash save.