The number of new Ebola cases is at worrying levels and now the virus has reached Goma City, the Central Africa transport hub, where 2 million people live. A Pastor, who had become ill in Butembo travelled to Goma on 14 July and died in its treatment centre. All passengers on the bus the Pastor had taken to Goma have been traced. Butembo is one of the towns hardest hit by Ebola. The pastor held regular services in seven churches there and laid his hands on worshippers, including sick people. Over 1,650 people have died and about 700 people have recovered from Ebola. Currently there are 2,489 cases. The movement of people around or through Ebola zones is a huge challenge for health services. Provinces affected by the virus are characterised by poor infrastructure, political instability and ongoing conflict involving scores of armed militia groups and community mistrust of national authorities and outsiders. The World Health Organisation has sounded a global Ebola alarm see.