Field reports from Uganda, along with viral load testing from genome sequencing reports have effectively proven BDBV Ebola is airborne in this outbreak.
The primarily clinical presentations of the index patient in Uganda are respiratory symptoms. This does not happen in systemic ebola infection, where it occurs at the very end of the disease when your organs are fucked.
Together with the fact that these symptoms were obviously atypical enough for them to specifically do a oro pharyngeal swab for dna testing and viral load testing (normally ONLY blood is taken for ebola testing of this type) and that that swab not only came back as positive but the cycle threshold for viral load was not only very high but also close to the viral CT for blood viral load means that the infection was likely a initially pulmonary infection that peaked earlier with systemic infection being a secondary effect
https://virological.org/t/initial-genomes-from-may-2026-bundibugyo-virus-disease-outbreak-in-the-democratic-republic-of-the-congo-and-uganda/1032This basically confirms that the real reason this outbreak is spreading so fast is because its established a pulmonary infection transmission cycle that has been previously hypothesised in the literature. To explain this is why bubonic plague, Septemic plague and pneumonic plague are caused by the same pathogen but one is a highly infectious respiratory spreader the others are just bodily fluid transmitted.
What's worse is that the conditions in the environment where the outbreak is super not ideal for this transmission route; high year round humidity of 80%+, high uv and high year round temperatures, if this doesnt get contained in Africa (and it probably wont) it will rip through the western world like smallpox did the America's because our immune systems are totally immunologically naive to filoviruses.
There are now also cases of taxi drivers contracting ebola after driving a patient.