Belgium tests response to Ebola-like outbreak scenario in national exercise

On Tuesday, the Federal Public Service (FPS) for Health conducted an exercise with a range of partner organisations to test Belgium’s response to an outbreak of an unknown disease. Sciensano, regional health authorities, NMBS, Brussels airport, as well as the army and the World Health Organization (WHO), all took part. The exercise was carried out under the supervision of the European Centre for Disease Prevention and Control (ECDC).

It is the first time Belgium has organised such a national-level exercise with international partners. Initiated by the FPS Public Health, it aimed to test procedures for viral haemorrhagic fevers, including those caused by Ebola and Marburg viruses.

Fictional outbreak scenario

The exercise was based on a fictional scenario involving two NGO workers returning from South Sudan, both infected with Ebola. One develops symptoms and returns home to Malmedy. The other, still asymptomatic, travels back to Antwerp before visiting his mother in a residential care facility. He also forgets his mobile phone, leaving authorities unable to contact or trace him.

Participants received information in a fragmented, piecemeal way and were expected to respond as they would in real life. The procedures will now be evaluated to identify any gaps or areas for improvement.

Picture taken during the national exercise "Broken Signal" focusing on the inter-federal response to a potential outbreak of viral haemorrhagic fever (VHF), organised by the FPS Public Health, on Tuesday 17 March 2026 in Brussels. © BELGA PHOTO KAAT COSTERS

"We clearly saw that all participants took part very actively and interacted with each other," said Bart Hoorelbeke, organiser of the exercise. Hoorelbeke developed the scenario together with the ECDC. "The insightful and critical comments regarding cross-sector coordination and information exchange will be incorporated into an improved plan in the near future."

According to Paul Riley of the ECDC, this is only the second time such an exercise has been organised at a national level at the request of a Member State. "The first exercise was held at the request of Malta. We organise such exercises quite often, but usually with several EU member states at the same time," Riley said.

Broad collaboration

The exercise was conducted in collaboration with a wide range of partners, including Brussels Airport Company, Civil Protection, Defence, the FPS Mobility, high-level isolation units at University Hospital Antwerp (UZA) and Saint-Pierre University Hospital in Brussels, Infrabel, Doctors Without Borders, the National Crisis Centre, the Institute of Tropical Medicine Antwerp, the Federal Police, AViQ, Ostbelgien, Vivalis, Saniport and the WHO.

According to Dirk Ramaekers, chairman of the Management Committee of the FPS Public Health, Belgium has drawn important lessons from the coronavirus crisis. "We are now better prepared for outbreaks, but you can never be completely ready," he said.


Picture taken during the national exercise "Broken Signal" focusing on the inter-federal response to a potential outbreak of viral haemorrhagic fever (VHF), organised by the FPS Public Health, on Tuesday 17 March 2026 in Brussels. ​
© BELGA PHOTO KAAT COSTERS


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