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  • Why Coronavirus Will Become Africa's Catastrophe

  • Coronavirus disease (Covid-19) is giving humanity its toughest challenge since 1918 - when influenza
    killed more people than during World War I. Since its outbreak late last year in Wuhan, China, Covid-
    19 has infected over 3.3 million persons and killed more than 234,000 globally. The fatality keeps
    mounting as the virus is alive in every region, except Antarctica.
    As of May 01, in order of fatality, Europe announced over 1.4 million confirmed cases and 132,543
    deaths. The region of the Americas declared over 1.2 million cases and 74,591 deaths. Additionally,
    the Middle East announced 176,928 cases and 7,304 deaths. Western Pacific reported 146,720 cases
    and 6,037 deaths. Furthermore, South-East Asia reported 51,351 cases and 2,001 deaths. Africa
    reported 36,743 cases and 1,591 deaths, according to Statista.
    Observe that Africa is the least affected continent, despite being the poorest in health care delivery and
    disaster control. Here we examine the factors that will make Covid-19 a catastrophe in Africa.

    Late Detection
    Virtually every nation on the continent lack sufficient testing facilities. The most populous nation,
    Nigeria has only 17 testing laboratories for about 200 million population living in 36 states and the
    federal capital. The labs can only conduct about 3,000 scans daily. Hence, thousands of suspected
    cases face a long wait. During the delay, most of the suspected cases, out of faith that they’re
    uninfected with Covid-19, continues to interact and infect people. Many would have stayed at the
    isolation centers, but the abodes are at best unconducive, and at worst inhabitable.
    The late detection problem is made worse by elites using their influence to get tested fast, even when
    they have no reason to worry. They are robbing those who really need testing and treatment of
    attention. In consequence, Sudan’s first case was reported posthumously. Another posthumous case
    was reported in Nigeria.

    False Statistics and Underreported Cases
    Late detection brings about underreported cases. The low fatality being reported across Africa is
    deceptive. The figures gives African governments a pass mark when they’re failing. It makes them
    think they’re curtailing the virus excellently, when they’re not. False statistics is misleading African
    nations to plan poorly for an imminent outbreak. They are planning a bit ahead, when they should be
    planning far-ahead.
    Worrying, Africa can’t measure up when the fatality erupts. The Commissioner for Health of Lagos
    State, Nigeria, Professor Akin Abayomi, stated during a media briefing on April 06 that “if we see
    5,000 cases in four weeks or two weeks, we do not have the capacity to cope with that and most other
    (African) countries do not have the capacity to cope with that.”

    Illiteracy and Ignorance
    Majority of Africa’s rural population and the urban underclass either thinks Coronavirus does not exist
    or they’re immune to it. Efforts by civil societies to convince them otherwise has been abortive, and
    would remain so till they begin to see people die in their environment. Then, it would be too late to
    contain the spread.
    African governments have largely failed to provide consistent and credible information to the ignorant
    many – a flaw the Coronavirus-5G controversy has shown some developed nations are also guilty of.
    Countless persons in Nigeria’s 20 million commercial city, Lagos, thinks Covid-19 is a sham. Same
    applies to Accra, Abidjan, Johannesburg and many others.
    Majority of the rural population don’t even know what a virus is. Enlightenment is being done on the
    radio and television they have no electricity to power. Nationally, the illiterates and ignorant-many
    can’t learn online as they’re either unskilled to surf the web, lack access to internet or can’t afford it.
    With multitudes either discounting or ignorant of Covid-19, Africa becoming Italy is just a tick away.

    Self-medication and Misdiagnosis
    A lot of people guess ailment, and treat themselves when sick in Africa. This act is mainly caused by
    illiteracy, poverty, unaffordable, and unavailable health care services. People who periodically suffer
    from ailments that share symptoms with Covid-19 will naturally think they’re down with the same
    ailments when sick. Several persons on the continent are currently treating cough, malaria, and other
    common illnesses when they are actually down with Covid-19.
    Africans rarely visit hospitals to treat common ailments such as cough and malaria. They simply
    procure a widely-acclaimed effective drug or make herbal concoctions for cure. It is when the self-
    medications fail that they think of hospital. In the course of misdiagnosis and self-medication, they
    infect their contacts, who then go on to infect the larger community. Such delay in diagnosis and
    treatment is what Covid-19 needs to spread.

    Rife Malnutrition and Terminal Diseases

    Africa has infectious pathogens such as Lassa hemorrhagic fever and Ebola. The continent also has
    several people living with deadly diseases such as cancer, tuberculosis and HIV. There are roughly
    15.3 million people living with HIV in Africa, according to the World Health Organization (WHO).
    Covid-19 will exterminate these immune compromised persons fast, if they contract it. South Africa
    has over 7 million HIV-infected persons.
    Tuberculosis weaken the lungs, which make its patient who contract Covid-19 susceptible to death.
    WHO reported 2.5 million persons fell ill with tuberculosis in Africa in 2016. This implies that the
    continent currently has no less than 10 million persons living with tuberculosis.
    Than other continents, Africa has scores of youngsters whose supposed strong immune should hasten
    recovery from Covid-19. Unfortunately, many are suffering from malnutrition due to pervasive
    poverty. The malnutrition, which has weakened their immune system, would make them die fast of

    Deficient Infrastructure
    One means of preventing Covid-19 spread is regular hand washing, but potable water supply is a
    challenge in most parts of Africa. There are three prevailing conditions in the cities: water is either
    being rationed, sourced from private boreholes, or purchased daily. Buying water to wash hands
    regularly is unrealistic to the poor majority living in slums. They also can’t afford sanitizers due to
    price hike.
    Electricity is a problem. Employees told to work from home are unable to function due to lack of
    power. Rather than work, people spend most part of the day discussing. Those already infected, but
    asymptomatic, spread Covid-19 while passionately talking sports, politics, fashion, etc. Some go out to
    play football. Such action, influenced by infrastructural deficiency, aids community transmission.
    Beyond the metropolis, the rural areas are worse off as some parts have no infrastructural exposure.
    The lack of amenities will frustrate the fight against Covid-19 as poor living conditions will make
    people have close interaction, even if they don’t wish to.

    Uncontrollable Spread in Vulnerable Communities
    Extremely poor persons in Africa think abroad returnees are wealthy. As a result, many would have
    beseeched the infected returnees for alms and contracted Covid-19. Regrettably, these poor persons
    have returned to their densely populated communities spreading the virus.
    Furthermore, some of the returnees who tested positive have hangout at popular spots and visited their
    relatives in the village. One thing African villages - most of which lack health facilities - need to go in
    ruins is a single case of Coronavirus. Several cases have been recorded in many villages.
    Also vulnerable are the internally displaced persons and refugee camps. According to estimates by the
    United Nations Refugee Agency (UNHCR), eight of the world’s ten largest refugee camps are located
    in Africa and occupied by 6.3 million persons. Almost 18 million persons are internally displaced
    across the continent. People living in close proximity, as experienced in the displaced and refugee

    camps, have a high risk of contracting Coronavirus. Just one sneak-in case will cause disaster. Same
    for the overly congested prisons.

    Impracticable Social Distancing and Self-Isolation
    Curbing Covid-19 via social distancing and self-isolation is only effective in other continents, where
    majority of the population have descent homes. In Africa, except the rich few, people generally live
    close together, sharing toilet and bath. Over 40 people share convenience in some densely populated
    homes. Under such condition, how would a couple occupying a room with four children practice
    social distancing? Should one of them get infected, how would (s)he self-isolate?
    African cities are congested out of rural-urban migration and the search for job opportunities. The
    rural migrants, many of whom can’t afford to own a home in the city, live in uncompleted buildings.
    Some team up to rent an apartment. A few of the migrants save to own an apartment and sublet bed
    spaces. The sleeping pattern in those apartments is synonymous to the prisons. How would such plebs
    in Abidjan, Cape Town, Nairobi, Lagos and other cities practice social distancing? All Coronavirus
    needs to rule there is just one victim, and now it has many.

    Hasty Ease of Lockdown
    Africa has taken raft measures to curb Covid-19, but if the fatality witnessed in leading continents is
    anything to go by, the black race cannot escape a catastrophe. Despite being disadvantaged, African
    nations are easing lockdown to save their economies, while the most part of other continents remain
    lockdown. This will lead to an aggravation of fatality. In fairness to Africa, America and Europe have
    strong economies to float prolonged lockdown, but Africa do not. Thus, the continent is trapped
    between a rock and a hard place - remain on lockdown to save lives or ease out to save the economy.
    Opting for the economy will bring Africa catastrophe. The most populous nation, Nigeria is relaxing
    lockdown amid fast rising Covid-19 cases. Nigeria failed to learn from Ghana, whose infection rose
    tremendously a week after relaxing lockdown. Africa’s hasty ease of lockdown, especially in the
    congested cities - where social distancing and hygiene devotion is almost impossible - is the havoc
    wreaking opportunity Covid has been seeking. The easement won’t last as increased fatality would
    lead to restoration of lockdown.

    Poor Healthcare System
    African countries healthcare system lacks capacity. WHO recommends doctor-population ratio of
    1:1,000, but Cameroon, Central African Republic, and Somalia has 1:10,000. Kenya has 130 intensive
    care unit (ICU) beds for 50 million people. South Africa has 3,500 ICU beds for 58 million population
    - a three quarter of what Italy with similar population has.
    Nigeria has 350 ICU beds for 200 million people. Most of the nation’s healthcare facilities don’t have
    clean running water. Generally, the system is so flawed that doctors had to call off strike over unpaid
    wages to combat Coronavirus.

    Other challenges rendering African healthcare systems incapable of handling several Covid-19 cases
    include low budgetary allocation, poorly paid staffs, and equipment shortages. The hospitals lack
    sufficient test kits, laboratories, ventilators, masks, gloves, medicines, protective suits, and other
    essentials. These deficiencies put Africa in a tragedy of not being able to fend for itself as the Covid-
    19 cases multiply.

    End Note
    Except an existing drug, such as the Chloroquine being touted by US President Donald Trump works,
    or the newly discovered vaccines on trial come out effective, Africa cannot escape a catastrophe. A
    direful state in which many will die without doctor’s touch is looming. Thousands will rest eternally in
    mass graves. It’s difficult for optimists to accept and painful for the writer to assert, but the
    handwriting on the wall is as clear as the biblical “Mene, Mene, Tekel, Upharsin.” Covid-19 will
    deliver its message of catastrophe to Africa in the next days.
    *Omoshola Deji is a political and public affairs analyst. He wrote in via

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