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Response to the Novel Corona Virus (COVID-19) Pandemic Across Africa: Successes, Challenges, and Implications for the Future

  • Olayinka O. Ogunleye
  • , Debashis Basu
  • , Debjani Mueller
  • , Jacqueline Sneddon
  • , R. Andrew Seaton
  • , Adesola F. Yinka-Ogunleye
  • , Joshua Wamboga
  • , Nenad Miljković
  • , Julius C. Mwita
  • , Godfrey Mutashambara Rwegerera
  • , Amos Massele
  • , Okwen Patrick
  • , Loveline Lum Niba
  • , Melaine Nsaikila
  • , Wafaa M. Rashed
  • , Mohamed Ali Hussein
  • , Rehab Hegazy
  • , Adefolarin A. Amu
  • , Baffour Boaten Boahen-Boaten
  • , Zinhle Matsebula
  • Prudence Gwebu, Bongani Chirigo, Nongabisa Mkhabela, Tenelisiwe Dlamini, Siphiwe Sithole, Sandile Malaza, Sikhumbuzo Dlamini, Daniel Afriyie, George Awuku Asare, Seth Kwabena Amponsah, Israel Sefah, Margaret Oluka, Anastasia N. Guantai, Sylvia A. Opanga, Tebello Violet Sarele, Refeletse Keabetsoe Mafisa, Ibrahim Chikowe, Felix Khuluza, Dan Kibuule, Francis Kalemeera, Mwangana Mubita, Joseph Fadare, Laurien Sibomana, Gwendoline Malegwale Ramokgopa, Carmen Whyte, Tshegofatso Maimela, Johannes Hugo, Johanna C. Meyer, Natalie Schellack, Enos M. Rampamba, Adel Visser, Abubakr Alfadl, Elfatih M. Malik, Oliver Ombeva Malande, Aubrey C. Kalungia, Chiluba Mwila, Trust Zaranyika, Blessmore Vimbai Chaibva, Ioana D. Olaru, Nyasha Masuka, Janney Wale, Lenias Hwenda, Regina Kamoga, Ruaraidh Hill, Corrado Barbui, Tomasz Bochenek, Amanj Kurdi, Stephen Campbell, Antony P. Martin, Thuy Nguyen Thi Phuong, Binh Nguyen Thanh, Brian Godman
  • Lagos State University
  • Steve Biko Academic Hospital
  • WHO Collaborating Centre for Social Determinants of Health and Health in all Policies
  • Charlotte Maxeke Medical Research Cluster
  • National Health Service Scotland
  • Queen Elizabeth University Hospital, Glasgow
  • University of Glasgow
  • Nigeria Centre for Disease Control
  • Uganda Alliance of Patients’ Organizations (UAPO)
  • University of Belgrade
  • University of Botswana
  • Effective Basic Services (eBASE) Africa
  • Adelaide University
  • University of Bamenda
  • Children’s Cancer Hospital Egypt
  • National Research Centre
  • Eswatini Medical Christian University
  • Raleigh Fitkin Memorial Hospital
  • Ghana Police Hospital
  • University of Ghana
  • Ghana Health Service
  • University of Health and Allied Sciences
  • Institute of Tropical and Infectious Diseases
  • University of KwaZulu-Natal
  • Kamuzu University of Health Sciences
  • University of Namibia
  • Ekiti State University
  • University of Pittsburgh Graduate School of Public Health
  • Med. University of Southern Africa
  • Tshilidzini Hospital
  • Eugene Marais Hospital
  • Federal Ministry of Health Sudan
  • Qassim University
  • University of Khartoum
  • SMSB
  • Egerton University
  • East Africa Centre for Vaccines and Immunization (ECAVI)
  • University of Zambia
  • University of Zimbabwe
  • Ministry of Health and Child Care, Zimbabwe
  • London School of Hygiene & Tropical Medicine
  • Biomedical Research and Training Institute Harare
  • Zimbabwe College of Public Health Physicians
  • Independent Consumer Advocate
  • Medicines for Africa
  • Community Health and Information Network (CHAIN)
  • University of Liverpool
  • University of Verona
  • Jagiellonian University Medical College
  • University of Strathclyde
  • Hawler Medical University
  • University of Manchester
  • Faculty of Biology, Medicine and Health
  • HCD Economics
  • Hanoi University of Pharmacy
  • Karolinska University Hospital
  • School of Pharmaceutical Sciences, Universiti Sains Malaysia

Research output: Contribution to journalReview articlepeer-review

166 Citations (Scopus)

Abstract

Background: The COVID-19 pandemic has already claimed considerable lives. There are major concerns in Africa due to existing high prevalence rates for both infectious and non-infectious diseases and limited resources in terms of personnel, beds and equipment. Alongside this, concerns that lockdown and other measures will have on prevention and management of other infectious diseases and non-communicable diseases (NCDs). NCDs are an increasing issue with rising morbidity and mortality rates. The World Health Organization (WHO) warns that a lack of nets and treatment could result in up to 18 million additional cases of malaria and up to 30,000 additional deaths in sub-Saharan Africa. Objective: Document current prevalence and mortality rates from COVID-19 alongside economic and other measures to reduce its spread and impact across Africa. In addition, suggested ways forward among all key stakeholder groups. Our Approach: Contextualise the findings from a wide range of publications including internet-based publications coupled with input from senior-level personnel. Ongoing Activities: Prevalence and mortality rates are currently lower in Africa than among several Western countries and the USA. This could be due to a number of factors including early instigation of lockdown and border closures, the younger age of the population, lack of robust reporting systems and as yet unidentified genetic and other factors. Innovation is accelerating to address concerns with available equipment. There are ongoing steps to address the level of misinformation and its consequences including fines. There are also ongoing initiatives across Africa to start addressing the unintended consequences of COVID-19 activities including lockdown measures and their impact on NCDs including the likely rise in mental health disorders, exacerbated by increasing stigma associated with COVID-19. Strategies include extending prescription lengths, telemedicine and encouraging vaccination. However, these need to be accelerated to prevent increased morbidity and mortality. Conclusion: There are multiple activities across Africa to reduce the spread of COVID-19 and address misinformation, which can have catastrophic consequences, assisted by the WHO and others, which appear to be working in a number of countries. Research is ongoing to clarify the unintended consequences given ongoing concerns to guide future activities. Countries are learning from each other.

Original languageEnglish
Article number1205
JournalFrontiers in Pharmacology
Volume11
DOIs
Publication statusPublished - 11 Sep 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Africa
  • COVID-19
  • health policy
  • misinformation
  • prevalence
  • review
  • treatment
  • unintended consequences

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