Against the backdrop of on-going preparedness work in Uganda as related to the outbreak of Ebola in DRC, this brief summarises key considerations concerning cross-border dynamics and health structures and behaviours in the West Nile sub-region of north-west Uganda. It builds upon the SSHAP brief ‘Uganda-DRC: cross-border dynamics’ (published December 2018). Following the case inAriwara, the research team connected with a number of key informants in Arua who had been involved in previous research and confirmed that, in general, local communities were more concerned (perceived greater risk) about this case than the previous case in Kasese due its close geographic proximity to West Nile, and because cross-border movement (e.g., to the market in Ariwara) is a critical part of everyday life. This brief builds on longterm ethnographic research on issues related to health and healing conducted in Adjumani, Arua, Maracha and Moyo districts of Uganda between 2009-2018.