1. United States
2. N.C.
3. Letter

I am writing to express deep concern regarding reports that the administration plans to deny repatriation to U.S. citizens exposed to the Ebola virus while serving in public health roles in the Democratic Republic of Congo. Instead, these individuals may be sent to or treated in Kenya rather than brought home for monitoring and care. The United States has a longstanding ethical responsibility to protect and care for its citizens, particularly those who serve in high-risk roles to advance global health and humanitarian efforts. Public Health Service officers and other Americans working on the front lines of infectious disease outbreaks do so with the understanding that their government will ensure access to the highest standard of care if they are exposed or fall ill. The United States maintains specialized, state-of-the-art facilities designed specifically to treat high-risk infectious diseases such as Ebola. Experts have emphasized that early access to such advanced care significantly improves survival rates. Facilities being rapidly established abroad are unlikely to match the level of preparedness, equipment, and clinical experience available domestically. Previous administrations, regardless of political affiliation, have consistently prioritized repatriating exposed or infected U.S. citizens for treatment in specialized units at home. This policy shift represents a significant and concerning departure from established public health and national responsibility practices. Ensuring that exposed individuals are treated in the most advanced facilities is not only a moral obligation but also a matter of national preparedness. Proper containment, monitoring, and treatment within established U.S. systems reduces uncertainty and strengthens public confidence in the nation’s ability to respond to infectious disease threats. I urge you to seek immediate clarification from the administration regarding this policy and to advocate for the repatriation of U.S. citizens exposed to Ebola. Congress should exercise its oversight authority to ensure that Americans serving abroad receive the highest standard of care and that long-standing commitments to their safety are upheld. Conclusion Americans who risk their lives to combat deadly outbreaks abroad deserve the assurance that their country will stand behind them in times of need. I respectfully ask you to take action to ensure that this obligation is honored.