Opinions
2026.06.04 22:22 GMT+8

In sickness and in health: Why China hailed a reliable friend of Africa

Updated 2026.06.04 22:22 GMT+8
Stephen Ndegwa

China dispatches medical expert team to the Democratic Republic of the Congo to combat Ebola, Beijing, China, June 2, 2026. /CGTN

Editor's note: Stephen Ndegwa, a special commentator for CGTN, is the executive director of South-South Dialogues, a Nairobi-based communications development think tank. The article reflects the author's opinions and not necessarily the views of CGTN.

On June 2, the first team of Chinese medical experts departed for the Democratic Republic of the Congo (DRC) following Beijing's announcement of emergency humanitarian assistance in response to an Ebola outbreak. The deployment was swift. It was also, for those who have tracked China-Africa health cooperation over the past six decades, entirely consistent with an established pattern of engagement.

Understanding why that consistency matters requires some context about both the disease and the country receiving assistance. The DRC has recorded more Ebola outbreaks than any other nation – over a dozen since the virus was first identified along the Ebola River in 1976. The country's eastern provinces in particular have faced repeated flare-ups, the most severe of which, between 2018 and 2020, infected nearly 3,500 people and killed more than 2,200, making it the second-largest Ebola outbreak in recorded history, according to the World Health Organization (WHO).

There remains no universally available vaccine and no definitive cure, making early expert intervention one of the few tools capable of limiting transmission chains during an active outbreak. Against that backdrop, response time is not a secondary consideration but the primary variable.

China's June 2 deployment reflects a foreign policy posture that Beijing has formalized through several institutional frameworks. The Forum on China-Africa Cooperation (FOCAC), which held its most recent summit in Beijing in September 2024, includes specific commitments in public health, such as training African medical personnel, constructing hospitals and disease surveillance infrastructure, and deploying medical brigades.

According to China's National Health Commission, Chinese medical teams have operated in more than 40 African countries since 1963, with a cumulative 60 years of continuous presence on the continent. In the specific domain of infectious disease response, China's track record in Africa is documented. During the 2014 to 2016 West Africa Ebola crisis, the largest in history, killing over 11,000 people across Guinea, Sierra Leone, and Liberia according to WHO data, China deployed over 1,000 health workers and donated more than $120 million in assistance, making it one of the largest bilateral contributors to the response.

Chinese military medical teams operated field hospitals in Liberia under conditions that international health responders described, in WHO after-action reports, as among the most demanding of the outbreak.

Members of a Chinese anti-epidemic medical expert team arrive in Kinshasa, capital of the Democratic Republic of the Congo (DRC), June 2, 2026. /Xinhua

China has also provided financial and technical support for the Africa CDC's headquarters in Addis Ababa, which became operational in 2023. The Africa CDC, established under the African Union in 2017, functions as the continent's primary public health coordination body. Infrastructure investments of this kind are categorically different from emergency deployments; they represent systemic contributions to African health governance capacity rather than episodic crisis responses.

China's engagement with Africa spans multiple domains, including infrastructure, trade, diplomatic cooperation, and, increasingly, public health. It is within this broad and maturing partnership that the DRC deployment must be understood. Bilateral relationships of this scale are built through repeated action across sectors and over time. In the specific domain of public health cooperation, the empirical record shows a level of operational consistency that distinguishes China from many of its bilateral partners, whose engagement with African health systems is more intermittent.

The question that follows any emergency deployment is whether it generates durable local capacity. Training health workers who remain in-country, establishing laboratory infrastructure that continues to function after international teams withdraw, and embedding surveillance protocols in national health systems are outcomes that determine whether external assistance produces dependency or resilience.

China's stated commitment at FOCAC 2024 included deepening technical cooperation on public health with Africa, sending 2000 medical personnel to Africa, and training 100 professionals. These are commitments that extend the partnership beyond emergency response into sustained institutional development.

For the DRC specifically, the immediate priority is containment. Chinese medical experts arriving with supplies and technical knowledge address that need directly. This deployment also advances the longer-term institutional strengthening of the DRC's health infrastructure, adding another chapter to a partnership that has consistently demonstrated its value precisely when the stakes are highest.

Indeed, China's response to the current Ebola outbreak is representative of a public health engagement model that has operated on the African continent consistently for over six decades, and that continues to respond when the need arises.

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