What the approved products are. Which strain each covers. Why none of them works against the 2026 Bundibugyo outbreak.
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Is there an Ebola vaccine?
Yes, but only for Zaire ebolavirus. No approved vaccine targets the 2026 outbreak strain (Bundibugyo).
Two Ebola vaccines have full regulatory approval:
Ervebo (Merck rVSV-ZEBOV,
a single-dose live-attenuated vaccine, FDA-approved 2019 and EMA-approved
2019) and the Zabdeno + Mvabea
two-dose regimen from Janssen (EMA-approved 2020). Both target Zaire
ebolavirus glycoprotein only. Neither is approved or known to protect
against Bundibugyo, Sudan, Taï Forest, Reston, or Bombali virus.
Because the 2026 PHEIC strain is Bundibugyo, no approved vaccine is
indicated for the current outbreak. Investigational candidates exist
and may be deployed under WHO R&D Blueprint protocols.
Live recombinant vesicular stomatitis virus (rVSV) expressing the Zaire ebolavirus envelope glycoprotein.
Dose schedule
Single intramuscular injection.
Target strain
EBOV
Cold chain
Standard cold chain storage at −80 °C to −60 °C; thawed product is stable at 2–8 °C for up to 14 days. Cold chain remains a logistical bottleneck for field ring-vaccination campaigns.
FDA approval
2019
EMA approval
2019
WHO prequalified
Yes (2019)
Efficacy
Demonstrated 100% efficacy at preventing Ebola virus disease cases occurring 10+ days after vaccination in the 2015 Guinea ring-vaccination trial (Henao-Restrepo et al., The Lancet, 2017). Operational deployment in DRC outbreaks (2018–2020 Kivu, 2018 Bikoro, multiple resurgences) is consistent with these efficacy estimates, though without randomised controls in those settings.
Standard frozen cold chain (−80 to −60 °C for long-term storage). Operationally more complex than single-dose Ervebo.
EMA approval
2020
WHO prequalified
Yes (2021)
Efficacy
Approved by EMA on the basis of immunogenicity and safety data (no efficacy field trial). Immune responses persisted in follow-up studies. Operational suitability: pre-emptive vaccination of healthcare workers, frontliners, and at-risk populations - not reactive ring vaccination, due to the two-dose interval.
cAd3-EBO S / sBPSV - investigational · Sabin Vaccine Institute, IAVI, and partners
Mechanism
Chimpanzee adenovirus type 3 vector encoding Sudan ebolavirus glycoprotein. Distinct candidate from Merck rVSV-SUDV.
Dose schedule
Single dose under investigation.
Target strain
SUDV
Cold chain
Standard frozen cold chain.
Efficacy
Phase 2 immunogenicity data published; no Phase 3 efficacy data exist because deploying a randomised trial during an active Sudan virus outbreak has remained logistically and ethically complex. Investigational candidates were prepared for the 2022–2023 Uganda Mubende outbreak but did not reach the field in time.